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Research Articles

The Value of Clinical Case Management in a Methadone Maintenance Treatment Program

, M.S.W, , M.D., , M.D. & , M.D.
Pages 70-72 | Published online: 08 Aug 2011
 

Abstract

Background/Objective: This study sought to determine whether case management was positively associated with improved outcomes and treatment compliance in those enrolled in a methadone maintenance treatment (MMT) program. Methods: An intervention group (n = 396) received case management while the other group (n = 1308) did not. Total N = 1704. Results: Statistically significant reductions were seen in the intervention group, in the proportion of urine samples positive for drugs of abuse (relative risk reduction = −15.4% (95% confidence interval (CI): −17.7, −13.1)), missed daily methadone doses (−1.9% (95% CI: −2.4, −1.4)), and missed physician appointments (−40.1% (95% CI: −43.7, −36.3)). ConclusionsScientific Significance: Case management appears to be a very valuable tool in MMT programs.

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