Comparing Health & Social Outcomes Between Opioid-Dependent Individuals in Compulsory Drug Rehabilitation Centers and Voluntary Drug Treatment Clinics in Klang Valley, Malaysia
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 281
- 主要终点
- Occurrence of opioid use (urine-toxicology)
研究概览
简要总结
This observational study compares the health and social outcomes between opioid-dependent individuals who are either recently released from a compulsory drug detention center (CDDC) or recently discharged from a voluntary treatment center (VTC) providing methadone maintenance therapy, in Malaysia.
详细描述
In July 2010, the National Anti-Drug Agency of Malaysia (NADA) introduced a non-punitive system of treatment and care for people who use drugs, voluntary treatment centers (VTCs), called 'Cure & Care' clinics, offering free methadone maintenance therapy (MMT) to opioid-dependent drug users. These centers were opened alongside existing compulsory drug detention centers (CDDCs), where people who use drugs continue to be detained involuntarily without access to evidence-based treatment. Given that both of these programs are operated by NADA but espouse vastly different responses to drug use, we compared health and social outcomes between opioid-dependent individuals recently released from CDDCs and recently initiated into MMT in the new VTCs.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Meets Diagnostic and Statistical Manual-IV criteria for opioid dependence
- •Physically and psychologically capable of understanding and undergoing informed consent process
- •Within 90 days of release or discharge and intending to return to Klang Valley region
- •For VTC arm, came to the C&C to start MMT
排除标准
- 未提供
研究组 & 干预措施
Voluntary Treatment Center
Voluntary drug treatment facilities, called 'Cure and Care' centers in Malaysia, that provide methadone maintenance therapy in addition to psychosocial interventions, recreational programming, and vocational training, among other activities.
干预措施: Methadone (Drug)
结局指标
主要结局
Occurrence of opioid use (urine-toxicology)
时间窗: Year following release from CDDC or discharge from VTC
次要结局
- Occurrence of any drug use (urine-toxicology)(Year following release from CDDC or discharge from VTC)
- Occurrence of amphetamine use (urine-toxicology)(Year following release from CDDC or discharge from VTC)
- Occurrence of benzodiazepine use (urine-toxicology)(Year following release from CDDC or discharge from VTC)
- Occurrence of methadone use (urine-toxicology)(Year following release from CDDC or discharge from VTC)
- Occurrence of buprenorphine use (urine-toxicology)(Year following release from CDDC or discharge from VTC)
- Occurrence of no-methadone use (urine-toxicology)(Year following release from CDDC or discharge from VTC)