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Q In people waiting to enter a community-based methadone maintenance treatment programme, does rapid access interim methadone maintenance with minimal additional services increase the likelihood that patients enter the methadone treatment programme and reduce drug use and criminal behaviour?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Psychiatry ★★★★★★☆
randomised controlled trial.
Follow up period:
up to 120 days.
Baltimore, Maryland, USA.
319 participants (mean age 41 y, 59% men, 93% African American) who met DSM-IV criteria for current heroin dependence for ⩾1 year. Exclusion criteria included pregnancy and an acute medical or psychiatric illness.
methadone, 20 mg/day increased by 5 mg/day, to a mean dose of 78 mg/day (n = 199); or usual waiting list condition (n = 120). Participants who were assigned to …