Drug Alcohol Depend. 1995 Jan;37(1):45-57.

Therapeutic community methods in methadone maintenance (Passages): an open clinical trial.

De Leon G, Staines GL, Perlis TE, Sacks S, McKendrick K, Hilton R, Brady R.

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Center for Therapeutic Community Research at National Development and Research Institutes, Inc., New York, NY.

Abstract

A non-random open clinical trial was conducted to determine whether a day-treatment program based on modified therapeutic community (TC) methods (Passages) produced better treatment outcomes for heroin addicts than did standard methadone maintenance therapy. Altogether, 327 methadone clients at two clinic sites were studied: 115 Passages members, and 212 comparison subjects. Compared to non-Passages clients, clients who voluntarily joined and remained in Passages for at least 6 months exhibited significantly larger reductions in cocaine use, heroin use, needle use, criminal activity, and psychological dysfunction. The present findings suggest that TC-oriented enhanced day-treatment can help methadone clients recover from drug abuse and adopt a prosocial lifestyle.

PMID:: 7882873; [PubMed - indexed for MEDLINE]

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