Entry Into Comprehensive Methadone Treatment Via Interim Maintenance
Information source: Friends Research Institute, Inc.
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Opiate Dependence
Intervention: Interim (Behavioral); Comprehensive (Behavioral); Restored (Behavioral)
Phase: N/A
Status: Completed
Sponsored by: Friends Research Institute, Inc. Official(s) and/or principal investigator(s): Robert P Schwartz, M.D., Principal Investigator, Affiliation: Friends Research Institute, Inc.
Summary
The purpose of the study is to determine whether one of three levels of counseling intensity
will be associated with better treatment outcomes when combined with methadone maintenance
treatment for heroin-addicted adults drawn from a methadone treatment program waiting list.
Clinical Details
Official title: Entry Into Comprehensive Methadone Treatment Via Interim Maintenance
Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Primary outcome: Opioid positive drug tests
Secondary outcome: HIV risk behaviorTreatment Retention Cost-benefit Cocaine positive tests
Detailed description:
Waiting lists for methadone treatment programs persist, and new and more effective
approaches for expanding treatment access and improving outcomes for heroin dependent
individuals are needed. Recently completed research demonstrated that so-called "Interim
Methadone Maintenance" (i. e., methadone with crisis counseling only, for individuals on
waiting lists) was associated with greater entry into methadone treatment, less
self-reported heroin and cocaine use, lower rates of opioid-positive drug tests, and lower
rates of self-reported crime. The present study will build on this work by comparing three
levels of counseling provided with methadone treatment: 1)"Interim" Methadone Treatment; 2)
"Comprehensive" Methadone Treatment (which is the name for the usual amount of counseling
provided, i. e., about once per week) and; 3)"Restored" Methadone Treatment in which the
counselors will have a lower case load and will be able to provide more attention to their
patients.
Eligibility
Minimum age: 18 Years.
Maximum age: N/A.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- adult
- meets criteria for methadone maintenance
- unable to gain admission to methadone program within 14 days
Exclusion Criteria:
- pregnant
- acute medical or psychiatric illness
Locations and Contacts
Friends Research Institute, Baltimore, Maryland 21201, United States
Additional Information
Related publications: Schwartz RP, Jaffe JH, Highfield DA, Callaman JM, O'Grady KE. A randomized controlled trial of interim methadone maintenance: 10-Month follow-up. Drug Alcohol Depend. 2007 Jan 5;86(1):30-6. Epub 2006 Jun 21. Schwartz RP, Highfield DA, Jaffe JH, Brady JV, Butler CB, Rouse CO, Callaman JM, O'Grady KE, Battjes RJ. A randomized controlled trial of interim methadone maintenance. Arch Gen Psychiatry. 2006 Jan;63(1):102-9. Highfield DA, Schwartz RP, Jaffe JH, O'Grady KE. Intravenous and intranasal heroin-dependent treatment-seekers: characteristics and treatment outcome. Addiction. 2007 Nov;102(11):1816-23. Epub 2007 Sep 3. Schwartz RP, Kelly SM, O'Grady KE, Gandhi D, Jaffe JH. Interim methadone treatment compared to standard methadone treatment: 4-month findings. J Subst Abuse Treat. 2011 Jul;41(1):21-9. doi: 10.1016/j.jsat.2011.01.008. Epub 2011 Feb 24.
Starting date: June 2008
Last updated: January 8, 2015
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