Case management within a methadone maintenance program. A research demonstration project for HIV risk reduction.
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TL;DR
The Los Angeles Enhanced Methadone Maintenance Project has incorporated case management in order to evaluate its effectiveness in reducing the risk of infection and/or transmission of human immunodeficiency virus among high-risk heroin addicts.
Abstract
The Los Angeles Enhanced Methadone Maintenance Project has incorporated case management in order to evaluate its effectiveness in reducing the risk of infection and/or transmission of human immunodeficiency virus among high-risk heroin addicts. Those recruited into the National Institute on Drug Abuse-funded treatment/research demonstration project were randomly assigned to either an enhanced group that received case management services or to a control group receiving standard methadone maintenance services. To date, the project has identified several barriers to implementation on a wide scale, including the inordinate amount of time spent assisting patients to procure basic necessities; the unwillingness of patients to participate in certain support services; and the reluctance of many service providers to work with methadone patients.