期刊
JOURNAL OF SUBSTANCE ABUSE TREATMENT
卷 24, 期 4, 页码 305-311出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/S0740-5472(03)00038-2
关键词
treatment entry; opiate injectors; methadone maintenance treatment
This study of 577 out-of-treatment drug injectors was designed to assess predictors of methadone maintenance treatment entry, including offering free treatment coupons. Using targeted sampling methods, participants were recruited through street outreach; randomly, they were either assigned a coupon for 90 days of free treatment or required to pay for their treatment. Regardless of assignment, all subjects who desired treatment were provided transportation, rapid intake, and a waiver of the treatment entry fee. Overall, 33% entered treatment, including 66% of those who received a free coupon. Other factors associated with treatment entry included desire for treatment, heroin use, prior treatment experience, associating with fewer drug-using friends, and injecting with a previously used unsterile needle/syringe. Injecting cocaine and smoking crack reduced the probability of treatment entry. Findings lend support to street outreach efforts designed to increase rates of treatment entry among chronic out-of-treatment drug injectors. Additional treatment options are required for those abusing cocaine. (C) 2003 Elsevier Inc. All rights reserved.
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