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Published in: Addiction Science & Clinical Practice 1/2012

Open Access 01-12-2012 | Commentary

Just call it “treatment”

Authors: Peter D Friedmann, Robert P Schwartz

Published in: Addiction Science & Clinical Practice | Issue 1/2012

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Abstract

Although many in the addiction treatment field use the term “medication-assisted treatment” to describe a combination of pharmacotherapy and counseling to address substance dependence, research has demonstrated that opioid agonist treatment alone is effective in patients with opioid dependence, regardless of whether they receive counseling. The time has come to call pharmacotherapy for such patients just “treatment”. An explicit acknowledgment that medication is an essential first-line component in the successful management of opioid dependence.
Literature
1.
go back to reference Weiss RD, Potter JS, Fiellin DA, Byrne M, Connery HS, Dickenson W: Adjunctive counseling during brief and extended buprenorphine-naloxone treatment for prescription opioid dependence: a 2-phase randomized controlled trial. Arch Gen Psychiatry. 2011, 68: 1238-1246. 10.1001/archgenpsychiatry.2011.121.PubMedCentralCrossRefPubMed Weiss RD, Potter JS, Fiellin DA, Byrne M, Connery HS, Dickenson W: Adjunctive counseling during brief and extended buprenorphine-naloxone treatment for prescription opioid dependence: a 2-phase randomized controlled trial. Arch Gen Psychiatry. 2011, 68: 1238-1246. 10.1001/archgenpsychiatry.2011.121.PubMedCentralCrossRefPubMed
2.
go back to reference Strang J, McCambridge J, Best D, Beswick T, Bearn J, Rees S, Gossop M: Loss of tolerance and overdose mortality after inpatient opiate detoxification: follow up study. BMJ. 2003, 326: 959-960. 10.1136/bmj.326.7396.959.PubMedCentralCrossRefPubMed Strang J, McCambridge J, Best D, Beswick T, Bearn J, Rees S, Gossop M: Loss of tolerance and overdose mortality after inpatient opiate detoxification: follow up study. BMJ. 2003, 326: 959-960. 10.1136/bmj.326.7396.959.PubMedCentralCrossRefPubMed
3.
go back to reference McLellan AT, Arndt IO, Metzger DS, Woody GE, O'Brien CP: The effects of psychosocial services in substance abuse treatment. JAMA. 1993, 269: 1953-1959. 10.1001/jama.1993.03500150065028.CrossRefPubMed McLellan AT, Arndt IO, Metzger DS, Woody GE, O'Brien CP: The effects of psychosocial services in substance abuse treatment. JAMA. 1993, 269: 1953-1959. 10.1001/jama.1993.03500150065028.CrossRefPubMed
4.
go back to reference Mattick RP, Breen C, Kimber J, Davoli M: Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database Syst Rev. 2009, 3: CD002209-PubMed Mattick RP, Breen C, Kimber J, Davoli M: Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database Syst Rev. 2009, 3: CD002209-PubMed
5.
go back to reference Yancovitz SR, Des Jarlais DC, Peyser NP, Drew E, Friedmann P, Trigg HL, Robinson JW: A randomized trial of an interim methadone maintenance clinic. Am J Public Health. 1991, 81: 1185-1191. 10.2105/AJPH.81.9.1185.PubMedCentralCrossRefPubMed Yancovitz SR, Des Jarlais DC, Peyser NP, Drew E, Friedmann P, Trigg HL, Robinson JW: A randomized trial of an interim methadone maintenance clinic. Am J Public Health. 1991, 81: 1185-1191. 10.2105/AJPH.81.9.1185.PubMedCentralCrossRefPubMed
6.
go back to reference Schwartz RP, Highfield DA, Jaffe JH, Brady JV, Butler CB, Rouse CO, Callaman JM, O'Grady KE, Battjes RJ: A randomized controlled trial of interim methadone maintenance. Arch Gen Psychiatry. 2006, 63: 102-109. 10.1001/archpsyc.63.1.102.CrossRefPubMed Schwartz RP, Highfield DA, Jaffe JH, Brady JV, Butler CB, Rouse CO, Callaman JM, O'Grady KE, Battjes RJ: A randomized controlled trial of interim methadone maintenance. Arch Gen Psychiatry. 2006, 63: 102-109. 10.1001/archpsyc.63.1.102.CrossRefPubMed
7.
go back to reference Gruber VA, Delucchi KL, Kielstein A, Batki SL: A randomized trial of 6-month methadone maintenance with standard or minimal counseling versus 21-day methadone detoxification. Drug Alcohol Depend. 2008, 94: 199-206. 10.1016/j.drugalcdep.2007.11.021.PubMedCentralCrossRefPubMed Gruber VA, Delucchi KL, Kielstein A, Batki SL: A randomized trial of 6-month methadone maintenance with standard or minimal counseling versus 21-day methadone detoxification. Drug Alcohol Depend. 2008, 94: 199-206. 10.1016/j.drugalcdep.2007.11.021.PubMedCentralCrossRefPubMed
8.
go back to reference Byrne A, Wodack A: Census of patients receiving methadone treatment in a general practice. Addiction Res Theory. 1996, 13: 341-349.CrossRef Byrne A, Wodack A: Census of patients receiving methadone treatment in a general practice. Addiction Res Theory. 1996, 13: 341-349.CrossRef
9.
go back to reference Gossop M, Stewart D, Marsden J, Browne N: Methadone treatment for opiate dependent patients in general practice and specialist clinic settings: outcomes at 2-year follow-up. J Subst Abuse Treat. 2003, 24: 313-321. 10.1016/S0740-5472(03)00040-0.CrossRefPubMed Gossop M, Stewart D, Marsden J, Browne N: Methadone treatment for opiate dependent patients in general practice and specialist clinic settings: outcomes at 2-year follow-up. J Subst Abuse Treat. 2003, 24: 313-321. 10.1016/S0740-5472(03)00040-0.CrossRefPubMed
10.
go back to reference Keen J, Oliver P, Rowse G, Mathers N: Does methadone maintenance treatment based on the new national guidelines work in a primary care setting?. Brit J Gen Pract. 2003, 53: 461-467. Keen J, Oliver P, Rowse G, Mathers N: Does methadone maintenance treatment based on the new national guidelines work in a primary care setting?. Brit J Gen Pract. 2003, 53: 461-467.
11.
go back to reference Gossop M, Marsden J, Stewart D, Lehman P, Strang J: Methadone treatment practices and outcome for opiate addicts treated in drug clinics and in general practice: results from the national Treatment Outcome Research Study. Brit J Gen Pract. 1999, 49: 31-34. Gossop M, Marsden J, Stewart D, Lehman P, Strang J: Methadone treatment practices and outcome for opiate addicts treated in drug clinics and in general practice: results from the national Treatment Outcome Research Study. Brit J Gen Pract. 1999, 49: 31-34.
12.
go back to reference Bellis Lewis D: General practice or drug clinic for methadone maintenance? A controlled comparison of treatment outcomes. Int J Drug Policy. 2001, 12: 81-89. 10.1016/S0955-3959(00)00077-3.CrossRefPubMed Bellis Lewis D: General practice or drug clinic for methadone maintenance? A controlled comparison of treatment outcomes. Int J Drug Policy. 2001, 12: 81-89. 10.1016/S0955-3959(00)00077-3.CrossRefPubMed
13.
go back to reference Fiellin DA, Pantalon MV, Chawarski MC, Moore BA, Sullivan LE, O’Connor PG, Schottenfeld RS: Counseling plus buprenorphine-naloxone maintenance therapy for opioid dependence. N Engl J Med. 2006, 355: 365-374. 10.1056/NEJMoa055255.CrossRefPubMed Fiellin DA, Pantalon MV, Chawarski MC, Moore BA, Sullivan LE, O’Connor PG, Schottenfeld RS: Counseling plus buprenorphine-naloxone maintenance therapy for opioid dependence. N Engl J Med. 2006, 355: 365-374. 10.1056/NEJMoa055255.CrossRefPubMed
14.
go back to reference Mattick RP, Kimber J, Breen C, Davoli M: Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence. Cochrane Database Syst Rev. 2008, 2: CD002207-PubMed Mattick RP, Kimber J, Breen C, Davoli M: Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence. Cochrane Database Syst Rev. 2008, 2: CD002207-PubMed
15.
go back to reference Newman RG, Whitehill WB: Double-blind comparison of methadone and placebo maintenance treatment of narcotic addicts in Hong Kong. Lancet. 1979, 314: 485-488. 10.1016/S0140-6736(79)91550-2.CrossRef Newman RG, Whitehill WB: Double-blind comparison of methadone and placebo maintenance treatment of narcotic addicts in Hong Kong. Lancet. 1979, 314: 485-488. 10.1016/S0140-6736(79)91550-2.CrossRef
16.
go back to reference Sees KL, Delucchi KL, Masson C, Rosen A, Clark HW, Robillard H, Banys P, Hall SM: Methadone maintenance vs 180-day psychosocially enriched detoxification for treatment of opioid dependence: a randomized controlled trial. JAMA. 2000, 283: 1303-1310. 10.1001/jama.283.10.1303.CrossRefPubMed Sees KL, Delucchi KL, Masson C, Rosen A, Clark HW, Robillard H, Banys P, Hall SM: Methadone maintenance vs 180-day psychosocially enriched detoxification for treatment of opioid dependence: a randomized controlled trial. JAMA. 2000, 283: 1303-1310. 10.1001/jama.283.10.1303.CrossRefPubMed
17.
go back to reference McLellan AT, Lewis DC, O'Brien CP, Kleber HD: Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA. 2000, 284: 1689-1695. 10.1001/jama.284.13.1689.CrossRefPubMed McLellan AT, Lewis DC, O'Brien CP, Kleber HD: Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA. 2000, 284: 1689-1695. 10.1001/jama.284.13.1689.CrossRefPubMed
18.
go back to reference Schwartz RP, Kelly SM, O'Grady KE, Gandhi D, Jaffe JH: Randomized trial of standard methadone treatment compared to initiating methadone without counseling: 12-month findings. Addiction. 2012, 107: 943-952. 10.1111/j.1360-0443.2011.03700.x.PubMedCentralCrossRefPubMed Schwartz RP, Kelly SM, O'Grady KE, Gandhi D, Jaffe JH: Randomized trial of standard methadone treatment compared to initiating methadone without counseling: 12-month findings. Addiction. 2012, 107: 943-952. 10.1111/j.1360-0443.2011.03700.x.PubMedCentralCrossRefPubMed
19.
go back to reference World Health Organization: Guidelines for the Psychosocially-Assisted Pharmacological Treatment of Opioid Dependence. 2009,  , Geneva, Switzerland World Health Organization: Guidelines for the Psychosocially-Assisted Pharmacological Treatment of Opioid Dependence. 2009,  , Geneva, Switzerland
Metadata
Title
Just call it “treatment”
Authors
Peter D Friedmann
Robert P Schwartz
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2012
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/1940-0640-7-10

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