Heroin-based Treatment
نویسنده
چکیده
This article describes the history of the heated legal controversy in Germany about prescribing medicinal narcotics. The professional corporations of medical doctors have claimed a right to govem the interpretation and definition of legal terms and for a long time resisted the clinical insights and practical experience about maintenance treatment that had been gathered from abroad. The next logical step was to prescnibe heroin also formerly a licensed medication in cases where methadone was not accepted or physically tolerated by patients. Slowly the social and political taboos against providing narcotic maintenance to addicts have been removed. The authoraddresses the question of whetherprescribing heroin to addicts can reduce health and social problems and improve the client's quality of life.
منابع مشابه
Supervised co-prescription of heroin to treatment-resistant heroin addicts is more effective than treatment with methadone alone.
van den Brink W, Hendriks VM, Blanken P, et al. Medical prescription of heroin to treatment resistant heroin addicts: two randomised controlled trials. BMJ 2003;327:310. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
متن کاملCost utility analysis of co-prescribed heroin compared with methadone maintenance treatment in heroin addicts in two randomised trials.
OBJECTIVE To determine the cost utility of medical co-prescription of heroin compared with methadone maintenance treatment for chronic, treatment resistant heroin addicts. DESIGN Cost utility analysis of two pooled open label randomised controlled trials. SETTING Methadone maintenance programmes in six cities in the Netherlands. PARTICIPANTS 430 heroin addicts. INTERVENTIONS Inhalable o...
متن کاملارتباط شاخصهای تکانشگری و رفتارهای مخاطرهجویانه با شدت ولع مصرف درگروههای مختلف معتادان به مواد افیونی
Objectives: This study is carried out with the aim of assessing the relationship between craving and impulsivity factors in three main groups of opiate addicts [heroin, crack-heroin (locally known, purified crystaline heroin), and opium]. Method: 77 opiate users in 3 groups [37 heroin intravenous (IV) abusers, 17 crack smokers and 23 opium smokers] were selected using a semi-structured intervie...
متن کاملEffects of Methadone Maintenance Treatment on Decision-Making Processes in Heroin-Abusers: A Cognitive Modeling Analysis
A B S T R A C TIntroduction: Although decision-making processes have become a principal target of study among addiction researchers, few researches are published according to effects of different treatment methods on the cognitive processes underlying decision making up to now. Utilizing cognitive modeling method, in this paper we examine the effects of Methadone maintenance treatment (MMT) on ...
متن کاملEvaluation of a community-based integrated heroin addiction treatment model in Chinese patients
In this study, we analyzed the efficacy and feasibility of a community-based integrated heroin addiction treatment model in Chinese patients. The 210 heroin addicts belonging to six Chinese communities received an integrated biopsychosocial intervention that included pharmacological treatment, counseling and social assistance. High proportions of study participants were retained at the 12-month...
متن کاملA multi-state model to estimate incidence of heroin use
BACKGROUND Existing incidence estimates of heroin use are usually based on one information source. This study aims to incorporate more sources to estimate heroin use incidence trends in Spain between 1971 and 2005. METHODS A multi-state model was constructed, whereby the initial state "heroin consumer" is followed by transition to either "admitted to first treatment" or to "left heroin use" (...
متن کامل