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  • Russian Drug Czar Is Accusing Harm Reducers of Drug Dealing (Sub: Rus, Eng)

    Posted on March 19th, 2012 TimB No comments

  • Heroin addiction in North Cork for first time

    Posted on March 16th, 2012 TimB No comments

    Heroin addiction has come to North Cork for the first time.

    New figures from the Health Research Bureau show that there are now 15 people in North Cork receiving methadone treatment for heroin addiction where, seven years ago, there were none.

    Every county in the country has recorded substantial increases in heroin treatment, ranging from a minimum of 20% to as high as 3,000%. Data from the Health Research Board shows a strong increase across all counties, with the biggest increase in Munster.

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  • Heroin more cost-effective than methadone to treat relapsed users (Full paper)

    Posted on March 13th, 2012 TimB No comments

    Although diacetylmorphine has been proven to be more effective than methadone maintenance treatment for opioid dependence, its direct costs are higher. We compared the cost- effectiveness of diacetylmorphine and methadone maintenance treatment for chronic opioid dependence refractory to treatment.

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  • Methadone: cure or curse? Special investigation

    Posted on February 22nd, 2012 TimB No comments

    IT is first thing on a cold Monday morning outside a chemist in Glasgow’s East End. Fidgety, gaunt looking figures are waiting for one thing – their methadone fix. As in pharmacies across the city, and country, the little bottles of luminous green liquid will be handed out to tide addicts over for another day and stave off destructive cravings for heroin.

    This strange, sad ritual seems like blessed relief for many heroin addicts across the country. The chaos of life on the lethal Class A drug is written across the faces of those limping through the door on heavy legs; heard all too often in the tragic stories of looming prison sentences and death riddled through the family tree – overdosing parents, brothers, sisters and cousins. Among the thousands of gaunt, despairing addicts standing outside Glasgow chemists on a daily basis is the son of Jim Doherty.

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  • Guidance for the use of substitute prescribing in the treatment of opioid dependence in primary care

    Posted on February 10th, 2012 TimB No comments

    Opioid dependence is common in the UK and there are effective substitution medications, including methadone and buprenorphine, to support treatment. This guidance covers the use of substitute medication, which can be an important element in the treatment of opioid dependent patients and their medically assisted recovery (MAR)

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  • The Nature of Methadone Diversion in England: A Merseyside case study

    Posted on January 14th, 2012 TimB No comments

    Methadone maintenance treatment (MMT) is a key element in treatment for opiate  addiction; however concerns about the diversion of methadone remain.  More current empirical data  on methadone diversion are required.  This research investigated the market for diverted methadone in  Merseyside, UK, in order to provide a case study which can be transferred to other areas undertaking  methadone maintenance treatment on a large scale.

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  • Holding Pattern: An exploratory study of the lived experiences of those on methadone maintenance in Dublin North East.

    Posted on November 10th, 2011 TimB No comments

    The Clients Forum of the Dublin North East Drugs Task Force are delighted to have been able to commission and publish this research report. We believe it accurately reflects the views of clients & service users, with regard to their experience of progressing through treatment, rehabilitation & training locally.

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  • Beyond Methadone: Improving the Health of Patients in Opioid Treatment Programs

    Posted on October 22nd, 2011 TimB No comments

    Over the last three decades, the War on Drugs has stripped people of myriad rights, blocked life-saving public health policies and created new social problems, such as housing and job discrimination. The negative consequences of criminalization are not felt equally, as communities of color and low-income people are much more likely to be targeted for drug-related law enforcement.

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  • Opioid substitution treatment in prison and post-release: Effects on criminal recidivism and mortality

    Posted on August 30th, 2011 TimB No comments

    Heroin dependence is a chronic condition associated with significant health and social harms. The most effective treatment for heroin dependence is opioid substitution treatment (OST), in which long-acting opioid medications such as methadone or buprenorphine are prescribed with the goal of reducing heroin use and associated harms. Internationally, OST is rarely available in prisons, despite the high proportion of heroin users among prisoners. Furthermore, limited research attention has been given to examining how prison-based OST can reduce the harms of heroin dependence. This thesis reports on two systematic literature reviews and three data linkage studies on the effects of prison-based and post-release OST

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  • Patient and clinician’s ratings of improvement in methadone-maintained patients: Differing perspectives?

    Posted on August 28th, 2011 TimB No comments

    In the last few years there seems to be an emerging interest for including the patients’ perspective in assessing methadone maintenance treatment (MMT), with treatment satisfaction surveys being the most commonly-used method of incorporating this point of view. The present study considers the perspective of patients on MMT when assessing the outcomes of this treatment, acknowledging the validity of this approach as an indicator. The primary aim of this study is to evaluate the concordance between improvement assessment performed by two members of the clinical staff (a psychiatrist and a nurse) and assessment carried out by MMT patients themselves.

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