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PubMed1993

Social policy issues in narcotics abuse.

Social Policy in regard to drug abuse is presently the subject of intense controversy in this country. This paper examines the relationships between various policies with major emphasis on Treatment and Law enforcement. Specifically, it is recommended that greater use be made of civil commitment programs that give heroin and cocaine addicts a clear choice, that is, personal freedom is made contingent on drug-free, responsible behavior.

Criminal Law↗
PubMed1999

Access to narcotic addiction treatment and medical care: prospects for the expansion of methadone maintenance treatment.

Methadone maintenance treatment (MMT) for opioid addiction is safe and effective but underutilized because of inaccessibility, under-financing and the stigma generally attached to maintenance therapies. In addition, cumbersome regulation of methadone prescription and treatment impedes the delivery of care and retards expansion of methadone maintenance into office practice settings. Exaggeration of the problem of methadone diversion further hinders development of MMT. Despite obstacles, methadone maintenance has been successfully expanded and extended into primary care settings abroad. Initial trials in the U.S. have shown that methadone maintenance in physician office-based settings yields positive results with some advantages over care in large methadone clinics. Alternatives to methadone, such as buprenorphine, are also being explored in primary care settings. With implementation of the NIH Consensus Statement on Effective Medical Treatment of Heroin Addiction, including training of primary care physicians, methadone maintenance treatment could reach many more patients, achieve higher success rates, and substantially reduce the deleterious effects of opioid addiction in the U.S.

Health Care Costs↗
PubMed1987

Radioimmunological hair analysis for narcotics and substitutes.

In recent years it has become possible to detect organic pharmaceuticals and poisons in a few milligrams of hair, using radioimmunological methods. Some methods are specific for individual compounds, others for groups of compounds. This is of great importance inter alia for forensic purposes, especially in cases of drug abuse. With the help of such hair analysis it is possible to trace the drug career of an addicted person for up to one year, and in certain cases for a longer period. Frequently, the results provide information on events in the rather distant past. This can be of considerable anamnestic and forensic importance.

Adult↗