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Addiction Treatment Forum reports on substance abuse news of interest to opioid treatment programs and patients in methadone maintenance treatment.

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Medication-Assisted Treatment

 

ATTC Addiction Messenger Part 1: Medication-Assisted Treatment - Setting the Context

July 2012

MAT Part 1

ATTC Addiction Messenger Part 2: Medication-Assisted Treatment - Helping Patients Succeed

August 2012

MAT Part 2

 

ATTC Addiction Messenger Part 3: Medication-Assisted Treatment – Implementation Challenges and Strategies

September 2012

MAT Part 3

Opioid Abuse During Pregnancy Spurs Medical Treatment Guidance Opinion Paper

The American Congress of Obstetricians and Gynecologists

April 2012.

http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Health_Care_for_
Underserved_Women/Opioid_Abuse_Dependence_and_Addiction_in_Pregnancy

 

Using Medication to Support Recovery - Research and Practice Updates

Addiction Technology Transer Center (ATTC)

Volume 10. Issue 1.

PDFPDF available here for download <click here... > (1.45MB, 10pp)

 

Vermont Integrated Treatment Continuum for Substance Use Dependence “Hub/Spoke” Initiative—Phase 1: Opiate Dependence

Vermont Agency of Human Services

January 2012.

PDFPDF available here for download <click here... > (75KB, 4pp)

 

Legality of Denying Access to Medication Assisted Treatment in the Criminal Justice System

Legal Action Center

This report examines the prevalence of opiate addiction in the criminal justice system, its devastating consequences, and the widespread denial of access to one of its most effective forms of treatment: medication assisted treatment (“MAT”).

The report then analyzes the circumstances in which the denial of MAT violates Federal anti-discrimination laws and the United States Constitution.

The PDF is available online at: http://www.lac.org/doc_library/lac/publications/MAT_Report_FINAL_12-1-2011.pdf

 

Issues of Medication Assisted Treatment and Pregnant Women Webinar

Three hour webinar from the Addiction Technology Transfer Center (ATTC)

May 5, 2011.

The webinar is available online at: http://ireta.org/webinars

 

Using Methadone Safely and Effectively Video- A Patient's Guide

Sponsored by the Substance Abuse Mental Health Services Administration (SAMHSA)

The 26 minute video focuses on four areas: 1) How methadone works in the body and what it is so effective in treating opioid addiction, 2) Risks associated with methadone treatment and appropriate safety guidelines, 3) Staff and patients discuss safety practices and procedures, and 4) Review of key safety measures. The video is available online at: http://www.atforum.com/addiction-resources/videos.php

 

Beyond Methadone: Improving the Health of Patients in Opioid Treatment Programs

Vocal-NY

Released October, 2011.

HTML Online PDF available for download at: http://www.vocal-ny.org/2011/10/06/beyond-methadone-improving-the-health-of-patients/

EUROPAD Journal

Heroin Addiction and Related Clinical Problems, the official journal of EUROPAD (European Opiate Addiction Treatment Association), is a peer-reviewed publication for professionals wanting to stay informed of research and opinion on opioid misuse treatment in Europe and around the world. A particular emphasis is on medication-assisted treatments for opioid addiction. Full copies of the journal dating back to its inception in 1999 are available for free download as PDF documents. March 2013 issue added April 28, 2013.
<click here for journal listings…>

 

Narcotics Anonymous and the Pharmacotherapeutic Treatment of Opioid Addiction in the United States

By William L. White, MA

Released 2011.

PDFPDF available here for download <click here... > (311KB, 64pp)

 

Research Article - Distance Traveled and Cross-State Commuting to Opioid Treatment Programs in the United States

Journal of Environmental and Public Health, Volume 2011 (2011), Article ID 948789, 10 pages, doi:10.1155/2011/948789.

This study examined commuting patterns among 23,141 methadone patients enrolling in 84 opioid treatment programs (OTPs) in the United States from 2005-2009.

PDFPDF available here for download <click here... > (1.14MB,10pp)

 

Research Article - Benzodiazepine Use and Misuse Among Patients in a Methadone Program

Chen et al.: Benzodiazepine Use and Misuse Among Patients in a Methadone Program. BMC Psychiatry 2011 11:90.

PDFPDF available here for download <click here... > (170KB,7pp)

 

Medical Consequences of Drug Abuse

National Institute of Drug Abuse (NIDA)

HTML Online http://www.nida.nih.gov/consequences/

 

Recovery-Oriented Methadone Maintenance Monograph

Released October 2010.

There are growing calls to shift the acute-care model of addiction treatment to a model of sustained recovery support analogous to the long-term management of other chronic diseases. The purpose of this monograph written by William White, MA, and Lisa Mojer-Torres, JD, is to explore what this shift means to the design and delivery of methadone maintenance (MM) treatment and the status of MM treatment and MM patients in the United States.

PDFPDF available here for download <click here... > (1.0MB,168pp)

 

Medication-Assisted Treatment (MAT) Booklets for Patients, Families and Friends

A series of three booklets produced in October 2009, by the Substance Abuse and Mental Health Services Administration (SAMHSA)), are designed to provide basic information about MAT for opioid addiction including medication options for treatment - methadone, naltrexone, and buprenorphine. The booklets also explain how medication options fit into the overall recovery process.

One booklet is directed at families and friends of patients entering MAT. The other two booklets present facts about naltrexone and buprenorphine and are directed at patients entering MAT.

Medication-Assisted Treatment for Opioid Addiction - Facts for Families and Friends
PDF PDF available here for download <click here…> (1.4MB, 20pp)

HTML OnlineThe Facts About Naltrexone booklet PDF is available at:
http://www.kap.samhsa.gov/products/brochures/pdfs/naltrexone_facts.pdf

HTML OnlineThe Facts About Buprenorphine booklet PDF is available at:
http://www.kap.samhsa.gov/products/brochures/pdfs/buprenorphine_facts.pdf

 

In-service Training Manual Based on TIP 43 (Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs)

Released October 2008.

A training manual is available for TIP 43 (Medication-Assisted Treatment (MAT) for Opioid Addiction in Opioid Treatment Programs. The manual provides a detailed in-service training curricula for introducing substance abuse treatment professionals to MAT for opioid addiction in outpatient treatment programs. It also describes opioid use disorders; assessment and treatment planning; pharmacology and dosing, and evidence-based best practice for treatment.

 The training manual which includes 13 modules with PowerPoint slides is available for download at: http://www.kap.samhsa.gov/products/trainingcurriculums/tip43.html


CSAT TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs

Released November 2005.
PDF PDF available here for download <click here…> (1.33MB, 356pp)


Quick Guide for Clinicians – Based on TIP 43 – Medication-Assisted Treatment for Opioid Addiction in Opioid Addiction Treatment Programs.

Released May 2007.
This Quick Guide is based on TIP 43 and is designed to meet the needs of the busy clinician for concise, easily accessed how-to information.
PDF PDF available here for download <click here…> (215KB, 44pp)



Knowledge Application Program (KAP) Keys for Clinicians – Based on TIP 43 – Medication-Assisted Treatment for Opioid Addiction in Opioid Addiction Treatment Programs.

Released May 2007.
PDF PDF available here for download <click here…> (244KB, 22pp)

 

California Society of Addiction Medicine (CSAM) - Guidelines for Physicians Working in California Opioid Treatment Programs

Released April 2009.

HTML Online <Click here to view PDF file... > (1.76MB, 152pp)



SAMHSA - Medication-Assisted Treatment Patients’ Rights

Printed 2009.

PDF PDF available here for download <click here…> (414KB, 21pp)

 

Managing Addicted Inmates: Medication Assisted Therapy in Corrections

This multimedia educational program from the National Commission on Correctional Healthcare provides information vital to understanding the devastating problem of opioid abuse and the steps to implementing medication assisted therapy when appropriate. It features commentary from leading correctional and medical experts, plus downloadable resources to help you and your medical staff.

HTML Online <Click here to view presentation... >


Methadone Maintenance Treatment and the Criminal Justice System

A 26-page PDF report from the National Association of State Alcohol and Drug Abuse Directors, Inc. (NASADAD). Released April 2006.
HTML Online <click here to view PDF...>

 

Methadone Treatment for Pregnant Women
A 2-page brochure from the Substance Abuse Mental Health Services Administration (SAMHSA). Printed 2006.
PDF <click here to view PDF...>

 

Does Methadone Formulation Make A Difference?
Stewart B. Leavitt, MA, PhD; Editor. Released 2003.
pdf PDF available here for download <click here… > (36KB, 1pp)

 

world travel guideWorld Travel Guide for MMT Patients
Advice for travelers on methadone maintenance covers the world from A to Z: Afghanistan to Zimbabwe and nearly 200 countries in between. A project of INDRO e. V. in Germany.
HTML Online <click here...>

 

Updated MAT Primer for Patients from DPA

About Methadone and Buprenorphine is a revised (2006) 50-page booklet from the Drug Policy Alliance (DPA) that covers most of the questions patients and their loved ones might have about Medication-Assisted Treatment (MAT). There also is a brief discussion on buprenorphine, added in this 2nd edition. Written in nontechnical language, it gives facts, dispels myths, and also provides helpful tips on such topics as traveling with methadone, storing the drug, concerns about overdose, and much more.

To obtain copies, contact the Drug Policy Alliance at 212-613-8020; e-mail to

nyc "at" drugpolicy . org; or <click here> to visit the DPA publications library where you can download a PDF file copy of the booklet.


"Methadone in the Treatment of Narcotic Addiction"
Andrew Byrne, MD
This book is a good read for physicians and other health care workers interested in a broad understanding of addiction and methadone maintenance. Byrne presents his experiences gathered from over a decade of practice in the field in a straightforward, fact-filled manner.
HTML Online <Click her to view web book online...>

 

Methadone Medical Maintenance Manual
David A. Fiellin, Michael V. Pantalon, Patrick G. O'Connor. This manual describes procedures involved in the delivery of Medical Management (MM) of methadone maintenance treatment by a trained physician in a primary care setting.; 1998
pdf PDF available here for download <click here…> (49KB, 20pp)


Methadone Treatment Works

A Compendium for Methadone Maintenance Treatment. Monograph Series Number 2, December 1994, A Monograph of The Chemical Dependency Research Working Group. The New York State Office of Alcoholism and Substance Abuse Services
pdf PDF available here for download <click here…> (265KB, 47pp)


Methadone Patients and the Treatment of Pain

Section from CDRWG Monograph 2, Payte JG, Khuri K, Joseph H, Woods J.;1994
(MS Word Document available here for download <click here…> (48KB, 8pp)


"In My Backyard Video: Dispelling Myths About Methadone"

The International Center for Advancement of Addiction Treatment (ICAAT) has produced a 15-minute video addressing the "not-in-my-backyard" (NIMBY) phenomenon - probably the greatest barrier to meaningful expansion of methadone treatment availability in America. Throughout the USA, and in many other nations as well, efforts to open new facilities are met with fierce opposition based on fear of resultant crime and a general deterioration of the neighborhood.

This film which became available in October 2009, highlights the patients, staff and services of a methadone maintenance treatment clinic operating since 1974 in a church building in the heart of residential and commercial Greenwich Village, NYC.

To order a copy of the DVD contact Hindy Bernstein via e-mail at hbernstein@icaat.org

 

"Exploring the World of Opioid Dependency" DVD

Exploring the World of Opioid Dependency is a new informational video (running time: approx: 15 min) produced exclusively for the Opioid Treatment Providers of Georgia (OTPG) and it's members. It is an informative and emotional overview of addiction, it's impact on lives and most importantly, the treatment solutions and healing that is possible.

To order the stigma-reduction DVD, "Exploring the World of Opioid Dependency," go to http://www.otpgeorgia.org/. The cost is $40 for non-OTPG members.

 

"METHADONE TREATMENT: The Hope for a New Life" Videotape

This is a 30-minute videotape providing critical information on opioid addiction and methadone maintenance treatment (MMT). Produced by COMPA (Committee of Methadone Program Administrators, Inc.) of New York State, it depicts the true story of opioid addiction, including the disease process and its devastating effects on the addicted person, the family, and the community.

On camera testimony of experts in the field and patients clearly underscore the overwhelming efficacy of MMT. Viewers will find the video compelling and enlightening, providing new insights into addiction and methadone treatment that are certain to dispel myths and help overcome stigma.

The video costs $45 plus $5 shipping and handling Contact COMPA at: 911 Central Avenue, #322, Albany, NY 12206.
Phone: 518-326-6043. E-mail: compahb@hotmail.com.


"The Joy of Being Normal" - Short Video Paints Positive MMT Portrait

This is a short (7 1/3 minutes) video that skillfully illustrates the benefits of methadone as a medication allowing people to live normal and productive lives. Several vignettes reveal examples of "secret successes" that have so often been hidden from public view – MMT patients flourishing in everyday life, with responsible jobs and loving families.

The film is excellently produced, culturally diverse, attention-grabbing, and suitable for any audience. It is certain to generate further interest and set a very positive tone for discussions with community groups, healthcare professionals, families and prospective patients, and others. Indeed, this innovative production can be a powerful tool to help spark the sort of open dialogue that may help abolish the enduring, unjustified stigma surrounding this vital treatment modality.

Copies of The Joy of Being Normal can be ordered from Danya International: 8737 Colesville Rd., Suite 1100; Silver Spring, Maryland 20910. Phone: 866-774-1735. The video costs $9.95.
HTML Online <click here to order online…>

 

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