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self index.cfm
site_filepath /www/sites/mfapp/templates/main/
 
Alan Trachtenberg, Md  
     
     
Methadone in the Treatment of Narcotic Addiction by Dr. Andrew J. Byrne, MB BS, 1995.

Effective Medical Treatment of Heroin Addiction in Office-Based Practices with A Focus on
Methadone Maintenance-
November 6, 2000 at the New York Academy of Medicine, NY. WORKING DRAFT REPORT


M E T H A D O N E M A I N T E N A N C E G U I D E L I N E S approved by the College of Physicians and Surgeons of Ontario for members of the College and they replace the August 1996 Methadone Treatment Guidelines and the earlier 1992 publication of Health Canada entitled "The use of opioids in the treatment of opioid dependence". In 1996, following program changes made by the Bureau of Drug Surveillance (Health Canada), the College of Physicians and Surgeons entered into a formal partnership with the Ontario Substance Abuse Bureau of the Ministry of Health through a funding agreement to administer the provincial methadone program. The mandate of the College's program since 1996 has been to improve the quality and accessibility of methadone maintenance treatment in Ontario. This has been accomplished in conjunction with the Centre for Addiction and Mental Health (CAMH) and the Ontario College of Pharmacists (OCP). The profile of methadone treatment in Ontario has been enhanced through the outreach activities and the recruitment of individual physicians to prescribe methadone in the treatment of opioid dependence. The guidelines are intended to reflect the general standard of practice in Ontario for prescribing methadone in the maintenance treatment of opioid dependence.

OAT clinics around the country have recently been targetted by the organization CRACK, Children Requiring a Caring Kommunity, continues to expand its base of operations across the country. CRACK is a non-profit organization that uses a cash incentive program to influence drug-addicted women (and now Methadone patients too) with a promise of $200 upon verification that they have been sterilized or use long-term birth control methods and devices, such as Norplant, Depo-Provera, or an IUD. This links to Current policies of the American Public Health Association that oppose coercing women into sterilization or Norplant use, and that affirm the Association’s support for expanded drug treatment facilities for pregnant women who use harmful drugs3 and its recognition that “racism and its consequences are dangerous to health.” It also highlights the Association’s concern about the controversial use of cash incentives to influence health decision-making including reproductive decisions.

(SHORT-TERM METHADONE ADMINISTRATION REDUCES ALCOHOL CONSUMPTION IN NON-ALCOHOLIC HEROIN ADDICTS (F. Caputo, et al)