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Titolo:
Report of the council on scientific affairs: Methadone maintenance and needle-exchange programs to reduce the medical and public health consequences of drug abuse
Autore:
Yoast, R; Williams, MA; Deitchman, SD; Champion, HC;
Indirizzi:
Amer Med Assoc, Council Sci Affairs, Chicago, IL 60610 USA Amer Med AssocChicago IL USA 60610 il Sci Affairs, Chicago, IL 60610 USA
Titolo Testata:
JOURNAL OF ADDICTIVE DISEASES
fascicolo: 2, volume: 20, anno: 2001,
pagine: 15 - 40
SICI:
1055-0887(2001)20:2<15:ROTCOS>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
INJECTION-DRUG; OPIOID DEPENDENCE; GENERAL-PRACTICE; DOSE METHADONE; UNITED-STATES; HIV INCIDENCE; PRIMARY-CARE; NEW-YORK; USERS; OPIATE;
Keywords:
methadone maintenance therapy; drug abuse; pathogens;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
113
Recensione:
Indirizzi per estratti:
Indirizzo: Yoast, R Amer Med Assoc, Council Sci Affairs, 515 N State St, Chicago, IL 60610 USA Amer Med Assoc 515 N State St Chicago IL USA 60610 , IL 60610 USA
Citazione:
R. Yoast et al., "Report of the council on scientific affairs: Methadone maintenance and needle-exchange programs to reduce the medical and public health consequences of drug abuse", J ADDICT D, 20(2), 2001, pp. 15-40

Abstract

Extensive evaluation studies show that methadone maintenance therapy (MMT)reduces heroin use and associated problems in a cost-effective manner, without negative public health impact. MMT is limited by inadequate funding and understanding of relevant research, extensive regulation, and limits on the freedom of physicians to provide methadone in a variety of medical settings. Broad-based medical, public health, and scientific support exists for expansion of MMT with greater emphasis on consistency and quality, and provision of ancillary services. Programs for the exchange, free distribution? and legal pharmacy sale of needles and syringes reduce injection drug use and prevent the spread of bloodborne pathogens; drug abuse treatment and other services are important components. Neither strategy increases existing drug use nor leads to drug use initiation. The scientific literature supports assertions that drug abuse issues should be treated primarily as medical and public health rather than criminal justice issues. The effectiveness ofboth strategies warrants increased support for services, easing of federaland state restrictions governing their availability, and advocacy in theirsupport. (C) 2001 by The Haworth Press, Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 01:31:42