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首页> 外文期刊>Journal of Addiction >Evaluation of a Low-Threshold/High-Tolerance Methadone Maintenance Treatment Clinic in Saint John, New Brunswick, Canada: One Year Retention Rate and Illicit Drug Use
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Evaluation of a Low-Threshold/High-Tolerance Methadone Maintenance Treatment Clinic in Saint John, New Brunswick, Canada: One Year Retention Rate and Illicit Drug Use

机译：加拿大新不伦瑞克省圣约翰市低阈值/高耐受性美沙酮维持治疗诊所的评估：一年保留率和非法药物使用

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摘要

Objective. To report the one-year retention rate and the prevalence of illicit opioid use and cocaine use in the Low-Threshold/High-Tolerance (LTHT) methadone maintenance treatment (MMT) clinic located in Saint John, New Brunswick, Canada. Methods. A description of the LTHT MMT clinic is provided. The one-year retention rate was determined by collecting data on patients who enrolled in the LTHT MMT clinic between August 04, 2009 and August 04, 2010. The prevalence of illicit drug use was determined using a randomly selected retrospective cohort of 84 participants. For each participant the results of six consecutive urine tests for the most recent three months were compared to the results of the first six consecutive urine tests after program entry. Results. The one-year retention rate was 95%, 67% of the cohort achieved abstinence from illicit opioids and an additional 13% abstained from cocaine use. Conclusion. The novel feature of the LTHT MMT clinic is that patients are not denied methadone because of lack of ancillary services. Traditional comprehensive MMT programs invest the majority of financial resources in ancillary services that support the biopsychosocial model, whereas the LTHT approach utilizes a medical model and directs resources at medical management.
机译：目的。报告位于加拿大新不伦瑞克省圣约翰的低阈值/高耐受性（LTHT）美沙酮维持治疗（MMT）诊所的一年保留率以及非法阿片类药物和可卡因的使用率。方法。提供了LTHT MMT诊所的说明。通过收集2009年8月4日至2010年8月04日在LTHT MMT诊所就诊的患者的数据来确定一年保留率。使用随机选择的84名参与者进行回顾性研究，确定了非法药物的使用率。对于每位参与者，将最近三个月连续六次尿液测试的结果与计划进入后前六次连续尿液测试的结果进行比较。结果。一年的保留率为95％，其中67％的人因非法阿片类药物而戒酒，另外13％的人因使用可卡因戒酒。结论。 LTHT MMT诊所的新颖之处在于，不会因缺乏辅助服务而拒绝为患者提供美沙酮。传统的综合MMT计划将大部分财务资源投资于支持生物心理社会模型的辅助服务，而LTHT方法则利用医学模型并将资源用于医学管理。

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