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https://hdl.handle.net/2440/35992
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Type: | Journal article |
Title: | One year outcomes for heroin dependence: findings from the Australian Treatment Outcome Study (ATOS) |
Author: | Teesson, M. Ross, J. Darke, S. Lynskey, M. Ali, R. Ritter, A. Cooke, R. |
Citation: | Drug and Alcohol Dependence, 2006; 83(2):174-180 |
Publisher: | Elsevier Sci Ireland Ltd |
Issue Date: | 2006 |
ISSN: | 0376-8716 1879-0046 |
Statement of Responsibility: | Maree Teesson, Joanne Ross, Shane Darke, Michael Lynskey, Robert Ali, Alison Ritter, Richard Cooke |
Abstract: | Aim: To determine 1 year outcomes for drug use, criminality, psychopathology and injection-related health problems in those entering treatment for heroin dependence in Australia. Design: Longitudinal prospective cohort study. Participants: Seven hundred and forty five individuals entering treatment (methadone/buprenorphine maintenance therapy; detoxification; residential rehabilitation) and 80 heroin users not seeking treatment. Setting: Sydney, Melbourne and Adelaide, Australia. Findings: A total of 657 individuals were re-interviewed at 1 year, 80% of the original sample. There were substantial reductions in heroin and other drug use across all three treatment modalities. The majority of those who had entered treatment were heroin abstinent at 1 year (maintenance therapy 65%, detoxification 52%, residential rehabilitation 63%) compared to 25% of the non-treatment sample. The reduction in heroin use among the treatment samples was paralleled by reductions in poly drug use. There were also substantial reductions in risk-taking, crime and injection-related health problems across all treatment groups, and less marked reductions among the non-treatment group. Psychopathology was dramatically reduced among the treatment modalities, while remaining stable among the non-treatment group. Positive outcomes at 1 year were associated with a greater number of cumulative treatment days experienced over the 1 year follow-up period (‘treatment dose’) and fewer treatment episodes undertaken in that time (‘treatment stability’). |
Keywords: | Heroin dependence prospective cohort study treatment outcome |
Rights: | Copyright © 2005 Elsevier Ireland Ltd All rights reserved. |
DOI: | 10.1016/j.drugalcdep.2005.11.009 |
Description (link): | http://www.sciencedirect.com/science/journal/03768716 |
Published version: | http://dx.doi.org/10.1016/j.drugalcdep.2005.11.009 |
Appears in Collections: | Aurora harvest Pharmacology publications |
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