Take-home “privileges” for methadone maintenance patients: policies versus practices.

Filed under: Methadone Detox

J Addict Med. 2012 Dec; 6(4): 318
Newman RG

HubMed – Methadone

[Results of the Spanish experience: a comprehensive approach to HIV and HCV in prisons].

Filed under: Methadone Detox

Rev Esp Sanid Penit. 2010 Feb; 12(3): 86-90
Hernández-Fernández T, Arroyo-Cobo JM

Aims: to measure the results of prevention, health promotion and damage reduction programs for the health of the prison population via the progress of a number of illnesses in these contexts. Materials and methods: The information was taken from reports, bulletins, specifications, central records and other documents containing health information from 1993 to 2009 Results: The prevalence of HIV has diminished 3.5 times and HCV has gone down by 50% in the last ten years. The rates of seroconversion within prisons have gone down by 85% in the case of HIV and by 71% for HCV. The incidence of tuberculosis and AIDS has decreased by 85% and 93.7% respectively. The number of users of damage reduction, methadone maintenance and syringe exchange programs has progressively increased to the point where the number of IDUs has begun to diminish, while the health mediators program has been implemented in practically all prisons. Discussion: In response to WHO criteria, a series of activities were set in motion in the 90s by prisons, which focused on improving the situation of the prison population, including illness prevention and control, and damage reduction and health promotion programs. These have significantly contributed to improving the health of a population that comes from what only can be regarded as a highly vulnerable situation outside prison.
HubMed – Methadone

[Do drug using inmates have social support?: A case study in an Andalusian prisons].

Filed under: Methadone Detox

Rev Esp Sanid Penit. 2010 Jun; 12(1): 13-20
Rodríguez-Martínez A, Ruiz-Rodríguez F, Antón-Basanta JJ, Herrera-Jáimez J, Máiquez-Pérez A, Ottaviano-Castillo A

Objectives: To discover and compare the social support received by drug-dependent inmates in a drug free program and other inmates participating in a methadone maintenance program (MMP). Materials and methods: Transversal descriptive observational study carried out at Albolote Prison (Granada). The prison population at the time of the study was 1,763 inmates. The drug addicts were divided into two groups: those in a methadone maintenance program (MMP, 279 inmates) and those participating in a drug free program (58 inmates). A random sample of 60 inmates in the MMP was obtained. All the members of the drug free program participated. The two groups were interviewed to discover more about their family structure, socio-economic level and qualifications. The MOS social support survey was also used in a self applied format with assistance from the interviewer. The percentages obtained from each dimensionof the MOS questionnaire for each group was compared using Pearson’s chi-square test. Results: The social network of the MMP group was a mean 13.2. In the drug free group it was 12.9. Value of p= 0.0047. Global support was low amongst 38 individuals (74.5%) in the MMP group and 9 (15.62%) in the drug free program. It was normal amongst 13 subjects (25.5%) in the MMP group and amongst 49 (84.38%) in the drug free group. Value of p=0.0001. All the dimensions of the MOS social support survey are higher amongst the drug free group: there are statistically significant differences with the MMP group. Conclusions: Inmates in the drug free program have (and they perceive this to be the case) a greater degree of social support than participants in the MMP.
HubMed – Methadone

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