Entry Into Comprehensive Methadone Treatment Via Interim Maintenance
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 230
- Locations
- 1
- Primary Endpoint
- Opioid positive drug tests
Study Overview
Brief Summary
The purpose of the study is to determine whether one of three levels of counseling intensity will be associated with better treatment outcomes when combined with methadone maintenance treatment for heroin-addicted adults drawn from a methadone treatment program waiting list.
Detailed Description
Waiting lists for methadone treatment programs persist, and new and more effective approaches for expanding treatment access and improving outcomes for heroin dependent individuals are needed. Recently completed research demonstrated that so-called "Interim Methadone Maintenance" (i.e., methadone with crisis counseling only, for individuals on waiting lists) was associated with greater entry into methadone treatment, less self-reported heroin and cocaine use, lower rates of opioid-positive drug tests, and lower rates of self-reported crime. The present study will build on this work by comparing three levels of counseling provided with methadone treatment: 1)"Interim" Methadone Treatment; 2) "Comprehensive" Methadone Treatment (which is the name for the usual amount of counseling provided, i.e., about once per week) and; 3)"Restored" Methadone Treatment in which the counselors will have a lower case load and will be able to provide more attention to their patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •meets criteria for methadone maintenance
- •unable to gain admission to methadone program within 14 days
Exclusion Criteria
- •acute medical or psychiatric illness
Arms & Interventions
Interim
Methadone maintenance for up to 4 months with emergency counseling only for individuals on program waiting lists.
Intervention: Interim (Behavioral)
Comprehensive
Methadone Treatment provided with counseling as usual.
Intervention: Comprehensive (Behavioral)
Restored
Methadone Treatment with counseling provided by a clinician with a lower caseload than counseling as usual.
Intervention: Restored (Behavioral)
Outcomes
Primary Outcomes
Opioid positive drug tests
Time Frame: 4 and 12 months post-baseline
Secondary Outcomes
- HIV risk behavior(4 and 12 months post-baseline)
- Treatment Retention(4 and 12 months post-baselin)
- Cost-benefit(12 months post-baseline)
- Cocaine positive tests(4 and 12 months post-baseline)