Get Methadone matters : evolving community methadone treatment PDF

By John Strang, Gillian Tober

ISBN-10: 1841841595

ISBN-13: 9781841841595

ISBN-10: 1841843652

ISBN-13: 9781841843650

content material: part A: advent, heritage and Scope --
Methadone: panacea or poison? / J. Strang and G. Tober --
The historical past of methadone and methadone prescribing / A. Preston and G. Bennett --
Methadone prescribing within the uk: what will we examine from group pharmacy surveys? / J. Sheridan --
part B: elements of scientific perform and adaptations --
Negotiating a script: the dynamics of staff/client relationships / A. Quirk ... [et al.] --
Linking psychology and pharmacology / D. Raistrick --
evaluation and end result tracking / J. Marsden, M. Gossop and D. Stewart --
Plasma methadone tracking: an relief to dose evaluation, tracking compliance and exploration of drug interactions / okay. Wolff --
Withdrawal from methadone and methadone for withdrawal / N. Seivewright and O. Lagundoye --
part C: The specified Case of Injectables --
Injectable methadone: a weird British perform / J. Strang and J. Sheridan --
Prescribing injectable methadone: to who and for what function? / L. promote --
The supervised injecting health center: a drug clinic's event of supervising the intravenous self-administration of prescribed methadone / M. Cummins --
part D: the hazards --
Dependence on methadone: the risk lurking in the back of the prescription / G. Tober --
'Using on best' and the issues it brings: extra drug use via methadone therapy sufferers / D. top and G. Ridge --
Methadone and opioid-related deaths: altering incidence through the years / M. Farrell and W. corridor --
The play, the plot and the gamers: the illicit marketplace in methadone / J. Fountain and J. Strang --
part E: provider supply --
a chief care established expert provider / S. Lawrence --
A principal review provider with extensively disseminated supply in fundamental care / F. Watson, L. Mays and J. Bury --
A centrally co-ordinated urban strategic strategy / R. Watson, J. Jay and L. Gruer --
Supervised intake of methadone in a group pharmacy / okay. Roberts --
part F: unique circumstances --
A methadone programme for substance-misusing pregnant girls / A. Walker and J. Walker --
Methadone use in youth / E. gilvarry, J. McCambridge and J. Witton --
Sectin G: Methadone experiences --
Methadone therapy: results and edition in therapy reaction with NTORS / D. Stewart, M. Gossop and J. Marsden --
speedy gain, yet what thereafter?: the push and trickle of reap the benefits of methadone therapy / E. Finch --
Methadone upkeep and aid remedies: the necessity for readability of ambitions and approaches / M. Gossop, J. Marsden and D. Stewart --
part H: In end --
Methadone: attaining the stability / G. Tober and J. Strang.

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The key message here is that staff–client interaction does not occur in an institutional vacuum: contextual factors influence what staff and clients do in their encounters with one another, so need to be considered when investigating decision-making about dose. Conclusions Qualitative research asks different questions to those of outcomes studies and can give new insights into clinical practice (Fountain 2000). In this chapter 5 These types of organizational pressures were forewarned by Strang in the late 1980s (Strang 1989).

G. clinic policy). It was widely recognized, as in much prescribing, that setting the start dose was not an exact science, one doctor saying ‘It’s not quite out of a hat, you’re sort of guided by certain things, but it’s not that important’. Such inexactness left room for flexibility to accommodate clients’ expectations and to avoid dose becoming a distraction. Perceived importance of dose Staff talked about some clients having ‘fixed ideas’ of the dose they wanted. However, staff also noted the importance of not getting ‘bogged down’ by dose, otherwise subsequent keyworking sessions can dissolve into game playing.

The data are based on prescriptions and not patients. For reasons of confidentiality, pharmacists were not asked to identify patients or prescribers, and it is therefore possible that one patient may have been receiving a prescription for more than one methadone dosage form. 3 mg for the oral mixture is thus likely to be an underestimation of the mean methadone dose for those on methadone maintenance, since at least some of these patients will have been receiving methadone ampoules and oral mixture, leading to two separate entries to the dataset (one for ampoules, one for the oral mixture).

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Methadone matters : evolving community methadone treatment of opiate addiction by John Strang, Gillian Tober


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