1 option
Community treatment of drug misuse : more than methadone / Nicholas Seivewright.
- Format:
- Book
- Author/Creator:
- Seivewright, Nicholas.
- Language:
- English
- Subjects (All):
- Drug abuse--Treatment.
- Drug abuse.
- Methadone maintenance.
- Narcotic addicts--Services for.
- Local Subjects:
- Narcotic addicts--Services for.
- Physical Description:
- xvi, 243 pages : illustrations ; 23 cm
- Place of Publication:
- Cambridge ; New York : Cambridge University Press, 2000.
- Summary:
- Combines highly practical approach with strong research base to provide comprehensive guide to treatment and service provision.
- Contents:
- Drug misuse as a social problem 3
- Risk factors for drug misuse 4
- The role of treatment 6
- Inpatient and residential treatment 8
- Part I Treatments
- 1 Methadone maintenance: a medical treatment for social reasons? 17
- The term 'methadone maintenance' 18
- Formal methadone maintenance programmes 19
- Other long-term methadone prescribing 20
- The nature of methadone treatment 22
- Effectiveness of methadone 29
- Associated counselling 33
- Practical management 35
- Other forms of methadone, including injectable 43
- 2 More than methadone? The case for other substitute drugs 49
- Diamorphine 50
- Dipipanone (Diconal) 55
- Cyclimorphine 56
- Morphine 57
- Issues in prescribing euphoriant opioids 59
- Levo-alpha-acetylmethadol (LAAM) 61
- Buprenorphine 62
- Dihydrocodeine 64
- Amphetamines 65
- Benzodiazepines 70
- 3 Achieving detoxification and abstinence 82
- Quick detoxifications from heroin 83
- Clonidine 88
- Methadone 88
- Treatment in pregnancy 99
- Buprenorphine 103
- Inpatient treatment 104
- Other influences on choice of detoxifcation method 106
- Treatment of minor opioid misuse 106
- Relapse prevention 107
- 4 Treatment of nonopiate misuse 118
- Cocaine 119
- Amphetamine 128
- Methylenedioxymethamphetamine (MDMA, 'ecstasy') 132
- Benzodiazepines 135
- Cyclizine 138
- Hallucinogens 139
- Steroids 140
- Volatile substances 140
- Cannabis 141
- Alcohol 143
- Nicotine 145
- Part II Providing clinical services
- 5 Community drug services 153
- Historical development 153
- Changes in emphasis 155
- Local provision 158
- Drug counselling 164
- 6 Treatment of drug misuse in primary care 167
- Problems 167
- Levels of interest 169
- Positive treatment approaches 171
- 7 Balancing security and accessibility 176
- The changing policy picture 177
- Drug misuse deaths 180
- Implications for services 184
- 8 Dual diagnosis
- drug misuse and psychiatric disorder 190
- Mental disorders in drug misusers 191
- Drug misuse in the severely mentally ill 196
- Epilogue Future directions 204
- The scope of treatment 204
- Opioid substitution 205
- Security of treatment 206
- Evidence-based practice 207
- Stimulant misuse 208
- Hepatitis C 209
- Detoxification 210
- Child protection 210
- Appendix 1 Protocols for quick detoxification from heroin 212
- Appendix 2 Opioid equivalent dosages 215.
- Notes:
- Includes bibliographical references (pages 219-240) and index.
- ISBN:
- 0521590914
- 0521665620
- OCLC:
- 41018895
The Penn Libraries is committed to describing library materials using current, accurate, and responsible language. If you discover outdated or inaccurate language, please fill out this feedback form to report it and suggest alternative language.