Therapeutic Drug Rehab Communities (TCs) Are Highly Structured Programs
Patients entering these programs are abusers of drugs other than opiates or are opiate abusers for whom maintenance therapy is not recommended, such as those who have stable, well-integrated lives and only brief histories of drug dependence.
Therapeutic communities (TCs) are highly structured programs in which patients stay at a residence, typically for 6 to 12 months. Patients in TCs include those with relatively long histories of drug dependence, involvement in serious criminal activities, and seriously impaired social functioning. The focus of the TC is on the resocialization of the patient to a drug-free, crime-free lifestyle.
Short-term residential programs, often referred to as chemical dependency units, are often based on the “Minnesota Model” of treatment for alcoholism. These programs involve a 3- to 6-week inpatient treatment phase followed by extended outpatient therapy or participation in 12-step self-help groups, such as Narcotics Anonymous or Cocaine Anonymous.
Chemical dependency programs for drug abuse arose in the private sector in the mid-1980s with insured alcohol/cocaine abusers as their primary patients. Today, as private provider benefits decline, more programs are extending their services to publicly funded patients.
Methadone maintenance programs are usually more successful at retaining clients with opiate dependence than are therapeutic communities, which in turn are more successful than outpatient programs that provide psychotherapy and counseling.
Within various methadone programs, those that provide higher doses of methadone (usually a minimum of 60 mg.) have better retention rates. Also, those that provide other services, such as counseling, therapy, and medical care, along with methadone generally get better results than the programs that provide minimal services.
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Methadone Maintenance: idle edsel – Methadone Conspiracy
idle edsel breaks the Methadone Conspiracy story on 1-1-11 in Norfolk Virginia. Basic Pharmacology: How Methadone Works? Part I Introduction by Joycelyn Woods Education Series Number 5.1 February 2001 (Revised) ——————————————————————————– Joycelyn Woods has a graduate degree in neuroscience and psychopharmacology. She has published in neuroscience journals and is recognized internationally for her methadone advocacy work. She is a recipient of the “Richard Lane Methadone Advocacy Award.” ——————————————————————————– The Lack of Education Ignorance about methadone abounds (Zweben and Sorensen, 1988). Stigma and prejudice have kept accurate education about methadone treatment being taught in medical and schools of higher education. The primary source of information about methadone comes from the sensationalized media. Thus, professionals working in the field, supportive services to methadone treatment, law enforcement, health professionals, employers and the public know very little about methadone at all, and what they do know is probably wrong. Even worse is the fact that they don’t know that they don’t know. And, at the bottom of this is the methadone patient who must bear the brunt of the prejudice and stigma and with no where to turn to. Methadone patients read the denigrating newspaper articles and television reports that disparage methadone maintenance treatment …
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