Yes, recovery is hard. Yes, you can do it. Yes, we will help you every step of the way. Peak Wellness Center offers proven treatment for substance abuse, based on the latest research and more than 50 years of experience helping people recover from addictions. The comprehensive services available through our private, non-profit clinics include residential and outpatient treatment options, long-term aftercare and special support for families.

Substance abuse treatment.

Objective. To examine whether the addition of counseling, medical care, and psychosocial services improves the efficacy of methadone hydrochloride therapy in the rehabilitation of opiate-dependent ...

The Effects of Psychosocial Services in Substance Abuse Treatment

Objective.— To provide clinicians, patients, and the general public with a responsible assessment of the effective approaches to treat opiate dependence. Participants.— A nonfederal, nonadvocate, 12-member panel representing the fields of psychology, psychiatry, behavioral medicine, family medicine, drug abuse, epidemiology, and the public. In addition, 25 experts from these same fields presented data to the panel and a conference audience of 600. Presentations and discussions were divided into 3 phases over 21⁄2 days: (1) presentations by investigators working in the areas relevant to the consensus questions during a 2-day public session; (2) questions and statements from conference attendees during open discussion periods that are part of the public session; and (3) closed deliberations by the panel during the remainder of the second day and morning of a third day. The conference was organized and supported by the Office of Medical Applications of Research, National Institutes of Health. Evidence.— The literature was searched through MEDLINE and other National Library of Medicine and online databases from January 1994 through September 1997 and an extensive bibliography of 941 references was provided to the panel and the conference audience. Experts prepared abstracts for their presentations as speakers at the conference with relevant citations from the literature. Scientific evidence was given precedence over clinical anecdotal experience. Consensus Process.— The panel, answering predefined questions, developed its conclusions based on the scientific evidence presented in open forum and the scientific literature. The panel composed a draft statement that was read in its entirety and circulated to the experts and the audience for comment. Thereafter, the panel resolved conflicting recommendations and released a revised statement at the end of the conference. The panel finalized the revisions within a few weeks after the conference. The draft statement was made available on the World Wide Web immediately following its release at the conference and was updated with the panel’s final revisions. Conclusions.— Opiate dependence is a brain-related medical disorder that can be effectively treated with significant benefits for the patient and society, and society must make a commitment to offer effective treatment for opiate dependence to all who need it. All persons dependent on opiates should have access to methadone hydrochloride maintenance therapy under legal supervision, and the US Office of National Drug Control Policy and the US Department of Justice should take the necessary steps to implement this recommendation. There is a need for improved training for physicians and other health care professionals. Training to determine diagnosis and treatment of opiate dependence should also be improved in medical schools. The unnecessary regulations of methadone maintenance therapy and other long-acting opiate agonist treatment programs should be reduced, and coverage for these programs should be a required benefit in public and private insurance programs. JAMA. 1998;280:1936-1943 IN THE UNITED STATES, before 1914, it was relatively common for private physicians to treat patients dependent on opiates in their practices by prescribing narcotic medications. Although the passage of the Harrison Act did not prohibit the prescribing of a narcotic by a physician to treat an addicted patient, this practice was viewed as problematic by US Treasury officials charged with enforcing the law. Physicians who continued to prescribe were indicted and prosecuted. Because of withdrawal of treatment by physicians, various local governments and communities established formal morphine clinics for treating opiate addiction. These clinics were eventually closed when in 1920 the American Medical Association stated that there was unanimity that prescribing opiates to addicts for self-administration (ambulatory treatment) was not an acceptable medical practice. For the next 50 years, opiate addiction was basically managed in this country by the criminal justice system and the 2 federal

Effective medical treatment of opiate addiction

A conceptual framework for transferring research to practice.

https://psycnet.apa.org/journals/adb/11/4/294.pdf

Treatment retention and follow-up outcomes in the Drug Abuse Treatment Outcome Study (DATOS).

Drug Abuse Treatment: A National Study of Effectiveness

Treatment Outcome Prospective Study (TOPS): Client characteristics and behaviors before, during, and after treatment.: (469102004-001)

The criminal justice client in drug abuse treatment.: (470162004-001)

Changing Needle Practices in Community Outreach and Methadone Treatment

The authors examine the common assumption that AIDS/HIV outreach prevention programs and similar programs in methadone treatment compete for the same population by comparing injecting drug users (IDUs) reached by each intervention in four communities. Similar results across sites reinforced the conclusions that, compared to IDUs entering methadone treatment, the IDUs contacted in outreach were more likely to be male, black, and young; to start injecting drugs when they were older, have shorter histories of injecting risk, and currently inject drugs less often than daily; to inject infrequently only opiates and frequently inject only cocaine; and to have not been in formal treatment ever or in the past six months.

Elizabeth R. Cavanaugh

Papers

Drug Abuse Treatment: A National Study of Effectiveness

Treatment Outcome Prospective Study (TOPS): Client characteristics and behaviors before, during, and after treatment.: (469102004-001)

The criminal justice client in drug abuse treatment.: (470162004-001)

Changing Needle Practices in Community Outreach and Methadone Treatment

A Comparison of Injecting Drug Users Reached through Outreach and Methadone Treatment