Methadone has been used successfully as a substitution agent for heroin dependency for more than 30 years. As a result of its success, other effective methods of treatment have been neglected. Established as a key text on all treatment options for drug misusers, Community Treatment of Drug Misuse: More Than Methadone has been highly praised for its practical orientation based on a solid research background. For the second edition, all the main evidence-based and more pragmatic treatment approaches are reviewed, not only in the management of opiate dependence, but across the range of drugs. It focuses extensively on developments in the last few years as a result of policy initiatives and research findings, including coverage of buprenorphine treatment, the systematic treatment of cocaine abuse and work with special patient groups. This is of direct relevance to medical as well as non-medical practitioners undertaking clinical work in the addictions.
Preface; Introduction; Part I. Treatments: 1. Methadone: the main treatment for the main presenting drug problem; 2. More than methadone? The case for other substitute drugs; 3. Achieving detoxification and abstinence; 4. Treatment of nonopiate misuse; Part II. Providing Clinical Services: 5. Community drug services; 6. Treatment of drug misuse in primary care; 7. Dual diagnosis - drug misuse and psychiatric disorder; 8. Liaison work and special patient groups; Appendix. Protocols for quick detoxification from heroin; Glossary; References; Index.