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https://hdl.handle.net/2440/17677
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Type: | Journal article |
Title: | The characteristics of heroin users entering treatment: findings from the Australian Treatment Outcome Study (ATOS) |
Author: | Ross, J. Teesson, M. Darke, S. Lynskey, M. Ali, R. Ritter, A. Cooke, R. |
Citation: | Drug and Alcohol Review, 2005; 24(5):411-418 |
Publisher: | Carfax Publishing |
Issue Date: | 2005 |
ISSN: | 0959-5236 1465-3362 |
Statement of Responsibility: | Ross, Joanne ; Teesson, Maree ; Darke, Shane ; Lynskey, Michael ; Ali, Robert ; Ritter, Alison ; Cooke, Richard |
Abstract: | The current study aimed to describe the characteristics (demographics, drug use, mental and physical health) of entrants to treatment for heroin dependence in three treatment modalities; and to compare these characteristics with heroin users not in or seeking treatment. Participants were 825 current heroin users recruited from Sydney, Adelaide and Melbourne: 277 entering methadone/buprenorphine maintenance treatment (MT), 288 entering detoxification (DTX), 180 entering drug-free residential rehabilitation (RR) and 80 not in treatment (NT). Treatment entrants were generally long-term heroin users with previous treatment experience. The majority of the sample (55%) were criminally active in the month preceding interview. Injection-related health problems (74%) and a history of heroin overdose (58%) were commonly reported. There were high degrees of psychiatric co-morbidity, with 49% reporting severe psychological distress, 28% having current major depression, 37% having attempted suicide and 42% having a lifetime history of post-traumatic stress disorder. Personality disorders were also prevalent, with 72% meeting criteria for antisocial personality disorder and 47% screening positive for borderline personality disorder. Striking similarities were noted between the non-treatment and treatment groups in length of heroin use career, drug use and treatment histories. |
Keywords: | Humans Heroin Dependence Methadone Buprenorphine Narcotics Treatment Outcome Severity of Illness Index Suicide Stress Disorders, Post-Traumatic Depressive Disorder, Major Residential Treatment Comorbidity Demography Health Status Crime Diagnostic and Statistical Manual of Mental Disorders Adult Patient Acceptance of Health Care Australia Female Male Inactivation, Metabolic |
DOI: | 10.1080/09595230500286039 |
Published version: | http://dx.doi.org/10.1080/09595230500286039 |
Appears in Collections: | Aurora harvest 2 Pharmacology publications |
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