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Published in: International Journal of Mental Health and Addiction 3/2014

01-06-2014

A Qualitative Study of Prescribing Doctor Experiences of Methadone Maintenance Treatment

Authors: Marie Claire Van Hout, Tim Bingham

Published in: International Journal of Mental Health and Addiction | Issue 3/2014

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Abstract

Methadone maintenance treatment [MMT] is recognized as an effective treatment for opiate dependence. It is provided in Ireland in addiction clinics and for stabilized patients in primary care. The aim of the study was to explore doctor’s experiences of methadone prescribing, therapeutic alliance and methadone treatment pathways. Semi structured interviews were conducted with a convenience sample of prescribing doctors (n = 16). Thematic analysis of narratives was undertaken. Observations around MMT were positive in reducing harm associated with injecting drug use and opiate dependence, and represented an important turning point for patients. Doctor efforts to assist their patients were grounded in positive, empathic relationships. Some concerns were relayed with regard to prescribing restrictions. Participants commented on the need for policy makers to consider the expansion of MMT provision to include alternative pharmacological approaches, improved interagency, psychosocial and detoxification supports, community based nurse prescribing and adjunct treatment for poly drug and alcohol use.
Literature
go back to reference Abouvanni, G., Stevens, L. J., Harris, M. F., Wickes, W., Ramakrishna, S. S., Ta, E., et al. (2000). GP attitudes to managing drug- and alcohol-dependent patients: a reluctant role’. Drug and Alcohol Review, 19, 165–170.CrossRef Abouvanni, G., Stevens, L. J., Harris, M. F., Wickes, W., Ramakrishna, S. S., Ta, E., et al. (2000). GP attitudes to managing drug- and alcohol-dependent patients: a reluctant role’. Drug and Alcohol Review, 19, 165–170.CrossRef
go back to reference Amato, L., Davoli, M., Perucci, C. A., Ferri, M., Faggiano, F., & Mattick, R. P. (2005). An overview of systematic reviews of the effectiveness of opiate maintenance therapies: available evidence to inform clinical practice and research. Journal of Substance Abuse Treatment, 28, 321–329.PubMedCrossRef Amato, L., Davoli, M., Perucci, C. A., Ferri, M., Faggiano, F., & Mattick, R. P. (2005). An overview of systematic reviews of the effectiveness of opiate maintenance therapies: available evidence to inform clinical practice and research. Journal of Substance Abuse Treatment, 28, 321–329.PubMedCrossRef
go back to reference Appel, R. W., Ellison, A. A., Hadley, K. J., & Oldak, R. (2004). Barriers to enrollment in drug abuse treatment and suggestions for reducing them: stakeholders. The American Journal of Drug and Alcohol Abuse, 30(129), 153. Appel, R. W., Ellison, A. A., Hadley, K. J., & Oldak, R. (2004). Barriers to enrollment in drug abuse treatment and suggestions for reducing them: stakeholders. The American Journal of Drug and Alcohol Abuse, 30(129), 153.
go back to reference Ball, J. A., & Ross, A. (1991). The effectiveness of methadone maintenance treatment. New York: Springer.CrossRef Ball, J. A., & Ross, A. (1991). The effectiveness of methadone maintenance treatment. New York: Springer.CrossRef
go back to reference Bell, J., Burrell, T., Indig, D., & Gilmour, S. (2006). Cycling in and out of treatment: Participation in methadone treatment in NSW, 1990–2002. Drug and Alcohol Dependence, 81, 55–61. Bell, J., Burrell, T., Indig, D., & Gilmour, S. (2006). Cycling in and out of treatment: Participation in methadone treatment in NSW, 1990–2002. Drug and Alcohol Dependence, 81, 55–61.
go back to reference Bennett, T., & Wright, R. (1986). Opioid users’ attitudes towards and use of NHS clinics, general practitioners and private doctors. British Journal of Addiction, 81, 757–763.PubMedCrossRef Bennett, T., & Wright, R. (1986). Opioid users’ attitudes towards and use of NHS clinics, general practitioners and private doctors. British Journal of Addiction, 81, 757–763.PubMedCrossRef
go back to reference Bobrova, N., Rhodes, T., Power, R., Alcorn, R., Neifeld, E., & Krasiukov, N. (2006). Barriers to accessing drug treatment in Russia: a qualitative study among injecting drug users in two cities. Drug and Alcohol Dependence, 82, S57–S63.PubMedCrossRef Bobrova, N., Rhodes, T., Power, R., Alcorn, R., Neifeld, E., & Krasiukov, N. (2006). Barriers to accessing drug treatment in Russia: a qualitative study among injecting drug users in two cities. Drug and Alcohol Dependence, 82, S57–S63.PubMedCrossRef
go back to reference Bobrova, N., Alcorn, R., Rhodes, T., Rughnikov, I., Neifeld, E., & Power, R. (2007). Injection drug users’ perceptions of drug treatment services and attitudes toward substitution therapy: a qualitative study in three Russian cities. Journal of Substance Abuse Treatment, 33, 373–378.PubMedCrossRef Bobrova, N., Alcorn, R., Rhodes, T., Rughnikov, I., Neifeld, E., & Power, R. (2007). Injection drug users’ perceptions of drug treatment services and attitudes toward substitution therapy: a qualitative study in three Russian cities. Journal of Substance Abuse Treatment, 33, 373–378.PubMedCrossRef
go back to reference Broekaert, E., & Van der Plasschen, W. (2003). Towards the integration of treatment systems for substance abusers: report on the second international symposium on substance abuse treatment and special target groups. Journal of Psychoactive Drugs, 35, 237–245.PubMedCrossRef Broekaert, E., & Van der Plasschen, W. (2003). Towards the integration of treatment systems for substance abusers: report on the second international symposium on substance abuse treatment and special target groups. Journal of Psychoactive Drugs, 35, 237–245.PubMedCrossRef
go back to reference Butler, S. (2002). The making of the methadone protocol: the Irish system? Drugs: Education, Prevention and Policy, 9, 311–324. Butler, S. (2002). The making of the methadone protocol: the Irish system? Drugs: Education, Prevention and Policy, 9, 311–324.
go back to reference Caplehorn, J. R., Irwig, L., & Saunders, J. B. (1996). Physicians’ attitudes and retention of patients in their methadone maintenance programs. Substance Use & Misuse, 31, 663–677.CrossRef Caplehorn, J. R., Irwig, L., & Saunders, J. B. (1996). Physicians’ attitudes and retention of patients in their methadone maintenance programs. Substance Use & Misuse, 31, 663–677.CrossRef
go back to reference Caplehorn, J. R., Lumley, T. S., & Irwig, L. (1998). Staff attitudes and retention of patients in methadone maintenance programs. Drug and Alcohol Dependence, 52, 57–61.PubMedCrossRef Caplehorn, J. R., Lumley, T. S., & Irwig, L. (1998). Staff attitudes and retention of patients in methadone maintenance programs. Drug and Alcohol Dependence, 52, 57–61.PubMedCrossRef
go back to reference Carnwath, T., Peacock, J., Huxley, P., Davies, A., & Bowers, L. (1999). Are all districts equally ready for “shared care” of drug misusers? Addiction Research, 6, 307–318.CrossRef Carnwath, T., Peacock, J., Huxley, P., Davies, A., & Bowers, L. (1999). Are all districts equally ready for “shared care” of drug misusers? Addiction Research, 6, 307–318.CrossRef
go back to reference Corsi, K., Lehman, W. K., & Booth, R. E. (2009). The effect of methadone maintenance on positive outcomes for opiate injection drug users. Journal of Substance Abuse Treatment, 37, 120–126.PubMedCentralPubMedCrossRef Corsi, K., Lehman, W. K., & Booth, R. E. (2009). The effect of methadone maintenance on positive outcomes for opiate injection drug users. Journal of Substance Abuse Treatment, 37, 120–126.PubMedCentralPubMedCrossRef
go back to reference Coviello, D. M., Zanis, D. A., Wesnoski, S. A., Lynch, K. G., & Drapkin, M. (2011). Characteristics and 9-month outcomes of discharged methadone maintenance clients. Journal of Substance Abuse Treatment, 40, 165–174.PubMedCentralPubMedCrossRef Coviello, D. M., Zanis, D. A., Wesnoski, S. A., Lynch, K. G., & Drapkin, M. (2011). Characteristics and 9-month outcomes of discharged methadone maintenance clients. Journal of Substance Abuse Treatment, 40, 165–174.PubMedCentralPubMedCrossRef
go back to reference De Maeyer, J., Van der Plasschen, W., Camfield, L., Van Huele, S., Sabbe, B., & Broekaert, E. (2011). A good quality of life under the influence of methadone: a qualitative study among opiate-dependent individuals. International Journal of Nursing Studies, 48, 1244–1257.PubMedCrossRef De Maeyer, J., Van der Plasschen, W., Camfield, L., Van Huele, S., Sabbe, B., & Broekaert, E. (2011). A good quality of life under the influence of methadone: a qualitative study among opiate-dependent individuals. International Journal of Nursing Studies, 48, 1244–1257.PubMedCrossRef
go back to reference Delargy, I. (2008). Survey of general practitioners participating in the methadone treatment programme. Dublin: Irish College of General Practitioners. Delargy, I. (2008). Survey of general practitioners participating in the methadone treatment programme. Dublin: Irish College of General Practitioners.
go back to reference Dennis M., Scott CK., Funk R., & Foss M., (2005). The duration and correlates of addiction and treatment careers. Journal of Substance Abuse Treatment, 28, 51–62 Dennis M., Scott CK., Funk R., & Foss M., (2005). The duration and correlates of addiction and treatment careers. Journal of Substance Abuse Treatment, 28, 51–62
go back to reference Dole, V. P., & Nyswander, M. E. (1980). Methadone maintenance: A theoretical perspective. In D. J. Lettieri, M., Sayers, & H. W. Pearson (Eds.), Theories on drug abuse: Selected contemporary perspectives (pp. 256–261). NIDA Research Monograph 30. Washington, DC: U. S. Government Printing Office. Available from: http://archives.drugabuse.gov/pdf/monographs/download30.html (Accessed 12 December 2011). Dole, V. P., & Nyswander, M. E. (1980). Methadone maintenance: A theoretical perspective. In D. J. Lettieri, M., Sayers, & H. W. Pearson (Eds.), Theories on drug abuse: Selected contemporary perspectives (pp. 256–261). NIDA Research Monograph 30. Washington, DC: U. S. Government Printing Office. Available from: http://​archives.​drugabuse.​gov/​pdf/​monographs/​download30.​html (Accessed 12 December 2011).
go back to reference Ford, C., & Ryrie, I. (2010). A comprehensive package of support to facilitate the treatment of problem drug users in primary care: an evaluation of the training component. The International Journal on Drug Policy, 11, 387–392.CrossRef Ford, C., & Ryrie, I. (2010). A comprehensive package of support to facilitate the treatment of problem drug users in primary care: an evaluation of the training component. The International Journal on Drug Policy, 11, 387–392.CrossRef
go back to reference Friedman, S. R., Tempalski, B., Perlis, T., Keem, M., Friedman, R., & Flom, P. (2004). Estimating numbers of injecting drugs users in metropolitan areas for structural analyses of community vulnerability and for assessing relative degrees of service provision for injection drug users. Journal of Urban Health, 81, 377–400.PubMedCentralPubMedCrossRef Friedman, S. R., Tempalski, B., Perlis, T., Keem, M., Friedman, R., & Flom, P. (2004). Estimating numbers of injecting drugs users in metropolitan areas for structural analyses of community vulnerability and for assessing relative degrees of service provision for injection drug users. Journal of Urban Health, 81, 377–400.PubMedCentralPubMedCrossRef
go back to reference Gabbay, M., Smith, S., & Dawkes, M. (1996). A study of drug misusers’ contacts with general practitioners. Addiction Research and Theory, 4, 125–137.CrossRef Gabbay, M., Smith, S., & Dawkes, M. (1996). A study of drug misusers’ contacts with general practitioners. Addiction Research and Theory, 4, 125–137.CrossRef
go back to reference Gabbay, M. B., Clarke, S., Willert, E., & Esmail, A. (1999). Shared care methadone clinics a survey of patient satisfaction, behaviour change and staff views. Addiction Research, 7, 129–147.CrossRef Gabbay, M. B., Clarke, S., Willert, E., & Esmail, A. (1999). Shared care methadone clinics a survey of patient satisfaction, behaviour change and staff views. Addiction Research, 7, 129–147.CrossRef
go back to reference Gabbay, M., Shiels, C., & vanden Bos, A. (2001). Turning the tide’: influencing future GP attitudes to opiate misusers. Education for General Practice, 12, 144–152. Gabbay, M., Shiels, C., & vanden Bos, A. (2001). Turning the tide’: influencing future GP attitudes to opiate misusers. Education for General Practice, 12, 144–152.
go back to reference Gerra, G., Ferri, M., Polidori, E., Santoro, G., Zaimovic, A., & Sternieri, E. (2003). Long-term methadone maintenance effectiveness: psychosocial and pharmacological variables. Journal of Substance Abuse Treatment, 25, 1–8.PubMedCrossRef Gerra, G., Ferri, M., Polidori, E., Santoro, G., Zaimovic, A., & Sternieri, E. (2003). Long-term methadone maintenance effectiveness: psychosocial and pharmacological variables. Journal of Substance Abuse Treatment, 25, 1–8.PubMedCrossRef
go back to reference Gjersing, L., Waal, H., Caplehorn, J.R.M., Gossop, M., & Clausen, T., et al. (2010). Staff attitudes and the associations with treatment organisation, clinical practices and outcomes in opioid maintenance treatment, BMC Health Services Research, 10, 194. Gjersing, L., Waal, H., Caplehorn, J.R.M., Gossop, M., & Clausen, T., et al. (2010). Staff attitudes and the associations with treatment organisation, clinical practices and outcomes in opioid maintenance treatment, BMC Health Services Research, 10, 194.
go back to reference Gossop, M., Marsden, J., Stewart, D., & Treacy, S. (2001). Outcomes after methadone maintenance and methadone reduction treatments: two-year follow up results from the National Treatment Outcome Research Study. Drug and Alcohol Dependence, 62, 255–264.PubMedCrossRef Gossop, M., Marsden, J., Stewart, D., & Treacy, S. (2001). Outcomes after methadone maintenance and methadone reduction treatments: two-year follow up results from the National Treatment Outcome Research Study. Drug and Alcohol Dependence, 62, 255–264.PubMedCrossRef
go back to reference Gowing, L. R., Ali, R. L., & White, J. M. (2000a). The management of opioid withdrawal. Drug and Alcohol Review, 19, 309–318.CrossRef Gowing, L. R., Ali, R. L., & White, J. M. (2000a). The management of opioid withdrawal. Drug and Alcohol Review, 19, 309–318.CrossRef
go back to reference Gowing, L. R., Ali, R. L., & White, J. M. (2000b). Buprenorphine for the management of opioid withdrawal. The Cochrane Library, 8, 3. Gowing, L. R., Ali, R. L., & White, J. M. (2000b). Buprenorphine for the management of opioid withdrawal. The Cochrane Library, 8, 3.
go back to reference Gowing, L. R., Farrell, M., Bornemann, R., Sullivan, L. E., & Ali, R. L. (2006). Brief report: methadone treatment of injecting opioid users for prevention of HIV infection. Journal of General Internal Medicine, 21, 193–195.PubMedCentralPubMedCrossRef Gowing, L. R., Farrell, M., Bornemann, R., Sullivan, L. E., & Ali, R. L. (2006). Brief report: methadone treatment of injecting opioid users for prevention of HIV infection. Journal of General Internal Medicine, 21, 193–195.PubMedCentralPubMedCrossRef
go back to reference Grella, C. E., Karno M. P., Warda U. S., Moore A. A., Niv N. (2009). Perceptions of need and help received for substance dependence in a national probability survey. Psychiatric Services, 60, 1068–1074. Grella, C. E., Karno M. P., Warda U. S., Moore A. A., Niv N. (2009). Perceptions of need and help received for substance dependence in a national probability survey. Psychiatric Services, 60, 1068–1074.
go back to reference Gruer, L., Wilson, P., Scott, R., Elliott, L., Macleod, J., Harden, K., et al. (1997). General practitioner centred scheme for treatment of opiate dependent drug injectors In Glasgow. British Medical Journal, 314, 1730–1735.PubMedCentralPubMedCrossRef Gruer, L., Wilson, P., Scott, R., Elliott, L., Macleod, J., Harden, K., et al. (1997). General practitioner centred scheme for treatment of opiate dependent drug injectors In Glasgow. British Medical Journal, 314, 1730–1735.PubMedCentralPubMedCrossRef
go back to reference Harris, J., & McElrath, K. (2012). Methadone as Social Control: Institutionalized Stigma and the Prospect of Recovery. Qualitative Health Research. January, 9th 2012, Early Online. Harris, J., & McElrath, K. (2012). Methadone as Social Control: Institutionalized Stigma and the Prospect of Recovery. Qualitative Health Research. January, 9th 2012, Early Online.
go back to reference Holt, M. (2007). Agency and dependency within treatment: drug treatment clients negotiating methadone and antidepressants. Social Science & Medicine, 64, 1937–1947.CrossRef Holt, M. (2007). Agency and dependency within treatment: drug treatment clients negotiating methadone and antidepressants. Social Science & Medicine, 64, 1937–1947.CrossRef
go back to reference Hopkins, A., & Clark, D. (2005). Using heroin, trying to stop, and accessing treatment: A qualitative analysis of the experiences and vies of clients on the Peterborough Nene Drug Interventions Programme, unpublished. Hopkins, A., & Clark, D. (2005). Using heroin, trying to stop, and accessing treatment: A qualitative analysis of the experiences and vies of clients on the Peterborough Nene Drug Interventions Programme, unpublished.
go back to reference Ison, J., Day, E., Fisher, K., Pratt, M., Hull, M., & Copello, A. (2006). Self-detoxification from opioid drugs. Journal of Substance Use, 11, 81–88.CrossRef Ison, J., Day, E., Fisher, K., Pratt, M., Hull, M., & Copello, A. (2006). Self-detoxification from opioid drugs. Journal of Substance Use, 11, 81–88.CrossRef
go back to reference Järvinen, M. (2008). Approaches to methadone treatment: harm reduction in theory and practice. Sociology of Health & Illness, 30, 975–991.CrossRef Järvinen, M. (2008). Approaches to methadone treatment: harm reduction in theory and practice. Sociology of Health & Illness, 30, 975–991.CrossRef
go back to reference Joseph, H., Stancliff, S., & Langrod, J. (2000). Methadone maintenance treatment (MMT): a review of historical and clinical issues. The Mount Sinai Journal of Medicine, 67, 347–364. Joseph, H., Stancliff, S., & Langrod, J. (2000). Methadone maintenance treatment (MMT): a review of historical and clinical issues. The Mount Sinai Journal of Medicine, 67, 347–364.
go back to reference Kapadia, N., Fox, D., Rowlands, G., & Ashworth, M. (2007). Developing primary care services for high-dose benzodiazepine-dependent patients: a consultation survey. Drugs: Education, Prevention and Policy, 14, 429–442. Kapadia, N., Fox, D., Rowlands, G., & Ashworth, M. (2007). Developing primary care services for high-dose benzodiazepine-dependent patients: a consultation survey. Drugs: Education, Prevention and Policy, 14, 429–442.
go back to reference Kelly, J. F., & Westerhoff, C. M. (2010). Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms. The International Journal on Drug Policy, 21, 202–207.PubMedCrossRef Kelly, J. F., & Westerhoff, C. M. (2010). Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms. The International Journal on Drug Policy, 21, 202–207.PubMedCrossRef
go back to reference Leaver, E., Elford, J., Morris, J. K., & Cohen, J. (1992). Use of general practice by intravenous heroin users on a methadone programme. British Journal of General Practice, 42, 465–468.PubMedCentralPubMed Leaver, E., Elford, J., Morris, J. K., & Cohen, J. (1992). Use of general practice by intravenous heroin users on a methadone programme. British Journal of General Practice, 42, 465–468.PubMedCentralPubMed
go back to reference Lloyd, C. (2010). Sinning and sinned against: The stigmatisation of problem drug users. York: University of York. Lloyd, C. (2010). Sinning and sinned against: The stigmatisation of problem drug users. York: University of York.
go back to reference Luoma, J. B., Twohig, M. P., Waltz, T., Hayes, S. C., Roget, N., Padilla, M., et al. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviours, 32, 1331–1346.CrossRef Luoma, J. B., Twohig, M. P., Waltz, T., Hayes, S. C., Roget, N., Padilla, M., et al. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviours, 32, 1331–1346.CrossRef
go back to reference Luty, J., & Grewal, P. (2002). A survey of the British public’s attitudes towards drug dependence. Journal of Substance Use, 7, 93–95.CrossRef Luty, J., & Grewal, P. (2002). A survey of the British public’s attitudes towards drug dependence. Journal of Substance Use, 7, 93–95.CrossRef
go back to reference Matheson, C., Pitcairn, J., Bond, C. M., van Teijlingen, E., & Ryan, M. (2003). General practice management of illicit drug users in Scotland: a national survey. Addiction, 98, 119–126.PubMedCrossRef Matheson, C., Pitcairn, J., Bond, C. M., van Teijlingen, E., & Ryan, M. (2003). General practice management of illicit drug users in Scotland: a national survey. Addiction, 98, 119–126.PubMedCrossRef
go back to reference Mattick, R. P., Ali, R., & Lintzeris, N. (Eds.). (2009). Pharmacotherapies for the treatment of opioid dependence: Efficacy, cost-effectiveness, and implementation guidelines. New York: Informa Healthcare. Mattick, R. P., Ali, R., & Lintzeris, N. (Eds.). (2009). Pharmacotherapies for the treatment of opioid dependence: Efficacy, cost-effectiveness, and implementation guidelines. New York: Informa Healthcare.
go back to reference McDonnell, A., & Van Hout, M. (2010). Maze and minefield: a grounded theory of opiate self detoxification in rural Ireland. Drugs and Alcohol Today, 10, 24–31.CrossRef McDonnell, A., & Van Hout, M. (2010). Maze and minefield: a grounded theory of opiate self detoxification in rural Ireland. Drugs and Alcohol Today, 10, 24–31.CrossRef
go back to reference McDonnell, A., & Van Hout, M. (2011). Heroin detoxification-seeking, a grounded theory of process and practicalities. The Grounded Theory Review, 10, 17–14. McDonnell, A., & Van Hout, M. (2011). Heroin detoxification-seeking, a grounded theory of process and practicalities. The Grounded Theory Review, 10, 17–14.
go back to reference McKeganey, N. (2005). Abstinence and harm reduction: two roads to one destination? Drugs Education Prevention and Policy, 12, 251–253.CrossRef McKeganey, N. (2005). Abstinence and harm reduction: two roads to one destination? Drugs Education Prevention and Policy, 12, 251–253.CrossRef
go back to reference McKeganey, N., Morris, Z., Neale, J., & Robertson, M. (2004). What are drug users looking for when they contact drug services: abstinence or harm reduction. Drugs: Education, Prevention and Policy, 11, 423–435. McKeganey, N., Morris, Z., Neale, J., & Robertson, M. (2004). What are drug users looking for when they contact drug services: abstinence or harm reduction. Drugs: Education, Prevention and Policy, 11, 423–435.
go back to reference McKeown, A., Matheson, C., & Bond, C. (2003). A qualitative study of GPs’ attitudes to drug misusers and drug misuse services in primary care. Family Practice, 20, 120–125.PubMedCrossRef McKeown, A., Matheson, C., & Bond, C. (2003). A qualitative study of GPs’ attitudes to drug misusers and drug misuse services in primary care. Family Practice, 20, 120–125.PubMedCrossRef
go back to reference McLaughlin, D. F., McKenna, H., & Leslie, J. C. (2000). The perceptions and aspirations illicit drug users hold toward health care staff and the care they receive. Journal of Psychiatric and Mental Health Nursing, 7, 435–441.PubMedCrossRef McLaughlin, D. F., McKenna, H., & Leslie, J. C. (2000). The perceptions and aspirations illicit drug users hold toward health care staff and the care they receive. Journal of Psychiatric and Mental Health Nursing, 7, 435–441.PubMedCrossRef
go back to reference Methadone Prescribing Implementation Committee (2005). Review of the Methadone Treatment Protocol. Dublin: Department of Health and Children. Available from: www.drugsandalcohol.ie/5962 (Accessed 12 December 2011). Methadone Prescribing Implementation Committee (2005). Review of the Methadone Treatment Protocol. Dublin: Department of Health and Children. Available from: www.​drugsandalcohol.​ie/​5962 (Accessed 12 December 2011).
go back to reference Neville, R. G., McKellican, J. F., & Foster, J. (1988). Heroin users in general practice: ascertainment and features. British Medical Journal, 296, 755–758.PubMedCentralPubMedCrossRef Neville, R. G., McKellican, J. F., & Foster, J. (1988). Heroin users in general practice: ascertainment and features. British Medical Journal, 296, 755–758.PubMedCentralPubMedCrossRef
go back to reference Noble, A., Best, D., Man, L., Gossop, M., & Strang, J. (2002). Self-detoxification attempts among methadone maintenance patients: what methods and what success? Addictive Behaviors, 27, 575–584.PubMedCrossRef Noble, A., Best, D., Man, L., Gossop, M., & Strang, J. (2002). Self-detoxification attempts among methadone maintenance patients: what methods and what success? Addictive Behaviors, 27, 575–584.PubMedCrossRef
go back to reference Nosyk, B., Marsh, D. C., Sun, H., Schecter, M. T., & Anis, A. H. (2010). Trends in methadone maintenance treatment participation, retention, and compliance to dosing guidelines in British Columbia, Canada: 1996–2006. Journal of Substance Abuse Treatment, 39, 22–31.PubMedCrossRef Nosyk, B., Marsh, D. C., Sun, H., Schecter, M. T., & Anis, A. H. (2010). Trends in methadone maintenance treatment participation, retention, and compliance to dosing guidelines in British Columbia, Canada: 1996–2006. Journal of Substance Abuse Treatment, 39, 22–31.PubMedCrossRef
go back to reference Ormston, R., Bradshaw, P., & Anderson, S. (2010). Scottish social attitudes survey 2009: Public attitudes to drugs and drug use in Scotland. Edinburgh: Scottish Government Social Research. Ormston, R., Bradshaw, P., & Anderson, S. (2010). Scottish social attitudes survey 2009: Public attitudes to drugs and drug use in Scotland. Edinburgh: Scottish Government Social Research.
go back to reference Peterson, J., Schwartz, R., Mitchell, S., Schacht Reisinger, H., Kelly, S., O’Grady, K., et al. (2010). Why don’t out-of-treatment individuals enter methadone treatment programmes? The International Journal on Drug Policy, 21, 36–42.PubMedCentralPubMedCrossRef Peterson, J., Schwartz, R., Mitchell, S., Schacht Reisinger, H., Kelly, S., O’Grady, K., et al. (2010). Why don’t out-of-treatment individuals enter methadone treatment programmes? The International Journal on Drug Policy, 21, 36–42.PubMedCentralPubMedCrossRef
go back to reference Reisinger, H. S., Schwartz, R. P., Mitchell, S. G., Peterson, J. A., Kelly, S. M., O’Grady, K. E., et al. (2009). Premature discharge from methadone treatment: Patient perspectives. Journal of Psychoactive Drugs, 41, 285–296.PubMedCentralPubMedCrossRef Reisinger, H. S., Schwartz, R. P., Mitchell, S. G., Peterson, J. A., Kelly, S. M., O’Grady, K. E., et al. (2009). Premature discharge from methadone treatment: Patient perspectives. Journal of Psychoactive Drugs, 41, 285–296.PubMedCentralPubMedCrossRef
go back to reference Richards, L. (2005). Handling qualitative data: A practical guide. London: Sage Publications. Richards, L. (2005). Handling qualitative data: A practical guide. London: Sage Publications.
go back to reference Robertson, J. (1989). Treatment of drug misuse in the general practice setting. British Journal of Addict Ion, 84, 377–380.CrossRef Robertson, J. (1989). Treatment of drug misuse in the general practice setting. British Journal of Addict Ion, 84, 377–380.CrossRef
go back to reference Roe, G. (2005). Harm reduction as paradigm: is better than bad good enough? The origins of harm reduction. Critical Public Health, 15, 243–250.CrossRef Roe, G. (2005). Harm reduction as paradigm: is better than bad good enough? The origins of harm reduction. Critical Public Health, 15, 243–250.CrossRef
go back to reference Schuckit, M. (2006). Drug and alcohol abuse. A clinical guide to diagnosis and treatment (6th ed.). New York: Springer. Schuckit, M. (2006). Drug and alcohol abuse. A clinical guide to diagnosis and treatment (6th ed.). New York: Springer.
go back to reference Sheerin, I., Green, T., Sellman, D., Adamson, S., & Deering, D. (2004). Reduction in crime by drug users on a methadone maintenance therapy programme in New Zealand. The New Zealand Medical Journal, 117, U795.PubMed Sheerin, I., Green, T., Sellman, D., Adamson, S., & Deering, D. (2004). Reduction in crime by drug users on a methadone maintenance therapy programme in New Zealand. The New Zealand Medical Journal, 117, U795.PubMed
go back to reference Simoens, S., Matheson, C., Bond, C., Inkster, K., & Ludbrook, A. (2005). The effectiveness of community maintenance with methadone or buprenorphine for treating opiate dependence. British Journal of General Practice, 55, 139–146.PubMedCentralPubMed Simoens, S., Matheson, C., Bond, C., Inkster, K., & Ludbrook, A. (2005). The effectiveness of community maintenance with methadone or buprenorphine for treating opiate dependence. British Journal of General Practice, 55, 139–146.PubMedCentralPubMed
go back to reference Stewart, D., Gossop, M., & Marsden, J. (2003). Methadone treatment: outcomes and variation in treatment response within NTORS. In J. Strang & G. Tober (Eds.), Methadone matters evolving community methadone treatment of opiate addiction (pp. 249–291). London: Martin Dunitz.CrossRef Stewart, D., Gossop, M., & Marsden, J. (2003). Methadone treatment: outcomes and variation in treatment response within NTORS. In J. Strang & G. Tober (Eds.), Methadone matters evolving community methadone treatment of opiate addiction (pp. 249–291). London: Martin Dunitz.CrossRef
go back to reference Strang, J., McCambridge, J., Platts, S., & Groves, P. (2004). Engaging the reluctant GP in care of the opiate misuser. Pilot study of change-orientated reflective listening (CORL). Family Practice, 21, 150–154.PubMedCrossRef Strang, J., McCambridge, J., Platts, S., & Groves, P. (2004). Engaging the reluctant GP in care of the opiate misuser. Pilot study of change-orientated reflective listening (CORL). Family Practice, 21, 150–154.PubMedCrossRef
go back to reference Taylor, S. J., & Bogdan, R. (1984). Introduction to qualitative research methods: The search for meanings. New York: Wiley. Taylor, S. J., & Bogdan, R. (1984). Introduction to qualitative research methods: The search for meanings. New York: Wiley.
go back to reference Teesson, M., Ross, J., Darke, S., Lynskey, M., Ali, R., Ritter, A., et al. (2006). One year outcomes for heroin dependence: findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Dependence, 83, 174–180.PubMedCrossRef Teesson, M., Ross, J., Darke, S., Lynskey, M., Ali, R., Ritter, A., et al. (2006). One year outcomes for heroin dependence: findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Dependence, 83, 174–180.PubMedCrossRef
go back to reference Van den Brink, W., & Haasen, C. (2006). Evidenced-based treatment of opioid-dependent patients. Canadian Journal of Psychiatry, 51, 635–646. Van den Brink, W., & Haasen, C. (2006). Evidenced-based treatment of opioid-dependent patients. Canadian Journal of Psychiatry, 51, 635–646.
go back to reference Van Hout, M. C., & Bingham, T. (2012). Methadone maintenance and special community employment schemes: a study of Irish participants’ views. Journal of Vocational Rehabilitation, 37, 63–73. Van Hout, M. C., & Bingham, T. (2012). Methadone maintenance and special community employment schemes: a study of Irish participants’ views. Journal of Vocational Rehabilitation, 37, 63–73.
go back to reference Van Hout, M. C., & McElrath, K. (2012). Service user involvement in drug treatment programs: Barriers to implementation and potential benefits for client recovery. Drugs Education, Prevention and Policy. Early Online, 1–10. Van Hout, M. C., & McElrath, K. (2012). Service user involvement in drug treatment programs: Barriers to implementation and potential benefits for client recovery. Drugs Education, Prevention and Policy. Early Online, 1–10.
go back to reference Winstock, A., Lintzeris, N., & Lea, T. (2011). Short report. “Should I stay or should I go?” Coming off methadone and buprenorphine treatment. The International Journal on Drug Policy, 22, 77–81.PubMedCrossRef Winstock, A., Lintzeris, N., & Lea, T. (2011). Short report. “Should I stay or should I go?” Coming off methadone and buprenorphine treatment. The International Journal on Drug Policy, 22, 77–81.PubMedCrossRef
go back to reference World Health Organisation (2009). Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence. Geneva: World Health Organisation. Accessed on July 10th 2011 at www.who.com. World Health Organisation (2009). Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence. Geneva: World Health Organisation. Accessed on July 10th 2011 at www.​who.​com.
go back to reference Wynne-Jones, G., Mallen, C. D., Main, C. J., & Dunn, K. M. (2010). Sickness certification and the GP: what really happens in practice? Family Practice, 27, 344–350.PubMedCrossRef Wynne-Jones, G., Mallen, C. D., Main, C. J., & Dunn, K. M. (2010). Sickness certification and the GP: what really happens in practice? Family Practice, 27, 344–350.PubMedCrossRef
Metadata
Title
A Qualitative Study of Prescribing Doctor Experiences of Methadone Maintenance Treatment
Authors
Marie Claire Van Hout
Tim Bingham
Publication date
01-06-2014
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 3/2014
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-013-9436-3

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