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  Vol. 38 No. 9, September 1981 TABLE OF CONTENTS
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Long-term Follow-up of Clients of High- and Low-Dose Methadone Programs

Dr McGlothlin died shortly after this article was accepted. For the field and for many colleagues it is a loss that is keenly felt.—ED.

William H. McGlothlin, PhD; M. Douglas Anglin, PhD

Arch Gen Psychiatry. 1981;38(9):1055-1063.


Abstract

• A six- to seven-year follow-up of 1971-1973 admissions to three methadone hydrochloride maintenance programs was conducted. Ninety percent of those alive were interviewed. Two of the programs used a high-dose, long-retention policy, while the third used low doses and a relatively strict policy with respect to involuntary termination for program violations. Retention was much longer for the two high-dose programs, and during the sixto seven-year period from program entry to interview, the clients had significantly less arrests, incarceration, narcotic addiction, and self-reported criminal behavior than did the patients in the low-dose program. These advantages persisted until the time of interview and existed for periods with as well as without methadone. In addition, the overall social costs in the high-dose programs were substantially less than in the low-dose program.



Author Affiliations

From the Department of Psychology, University of California, Los Angeles.


Footnotes

Accepted for publication Dec 4, 1980.

Reprint requests to Department of Psychology, University of California, Los Angeles, 405 Hilgard Ave, Los Angeles, CA 90024 (Dr Anglin).



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