Opioid Addiction Treatment Modalities and Some Guidelines to Their Optimal Use
作者:
RawsonRichardA.,
LingWalter,
期刊:
Journal of Psychoactive Drugs
(Taylor Available online 1991)
卷期:
Volume 23,
issue 2
页码: 151-163
ISSN:0279-1072
年代: 1991
DOI:10.1080/02791072.1991.10472233
出版商: Taylor&Francis Group
关键词: opioid addiction treatment modalities;patient selection;pharmacotherapies;treatment barriers
数据来源: Taylor
摘要:
AbstractOpioid addiction treatment consists of a broad range of treatment modalities, with each playing a valuable role within the overall network of treatment alternatives. Therapeutic communities are often the treatment of choice for addicts who are under legal contingencies and amenable to a rigorous process of life-style change. Methadone maintenance offers the most widely available treatment and is a modality that is compatible with the needs of many injecting heroin users. Outpatient drug-free models offer structure and support to detoxified opioid addicts and nonaddicted opioid abusers. New pharmacotherapies, including clonidine, LAAM, naltrexone and buprenorphine, provide promise for addressing the needs of many opioid abusers who are not currently accessing the treatment system. Furthermore, the treatment system could be better utilized if treatment planning was based more on the needs of the addict than on the ideological bias of the clinician; training efforts could be useful in facilitating change in clinician attitudes.
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