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Providing medical care to methadone clinic patients: Referral vs on-site care

Author

Listed:
  • Umbricht-Schneiter, A.
  • Ginn, D.H.
  • Pabst, K.M.
  • Bigelow, G.E.

Abstract

Objectives. Intravenous drug users are at high risk for medical illness, yet many are medically underserved. Most methadone treatment programs have insufficient resources to provide medical care. The purpose of this study was to test the efficacy of providing medical care at a methadone clinic site vs referral to another site. Methods. Patients with any of four target medical conditions were randomized into an on-site group offered medical care at the methadone treatment clinic and a referred group offered medical care at a nearby clinic. Entry to treatment and use of medical services were analyzed. Results. Of 161 intravenous drug users evaluated, 75 (47%) had one or more of the target medical conditions. Fifty-one were randomized. In the on-site group (n = 25), 92% received medical treatment; in the referred group (n = 26), only 35% received treatment. Conclusions. Providing medical care at a methadone treatment program site is more effective than the usual referral procedure and is a valuable public health intervention.

Suggested Citation

  • Umbricht-Schneiter, A. & Ginn, D.H. & Pabst, K.M. & Bigelow, G.E., 1994. "Providing medical care to methadone clinic patients: Referral vs on-site care," American Journal of Public Health, American Public Health Association, vol. 84(2), pages 207-210.
    • Handle: RePEc:aph:ajpbhl:1994:84:2:207-210_1
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    Cited by:

    1. Jacobson, Jerry Owen & Robinson, Paul & Bluthenthal, Ricky N., 2007. "A multilevel decomposition approach to estimate the role of program location and neighborhood disadvantage in racial disparities in alcohol treatment completion," Social Science & Medicine, Elsevier, vol. 64(2), pages 462-476, January.
    2. Eric Bäckström & Katja Troberg & Anders Håkansson & Disa Dahlman, 2021. "Healthcare Contacts Regarding Circulatory Conditions among Swedish Patients in Opioid Substitution Treatment, with and without On-Site Primary Healthcare," IJERPH, MDPI, vol. 18(9), pages 1-10, April.
    3. Wenzel, Suzanne L. & Longshore, Douglas & Turner, Susan & Ridgely, M. Susan, 2001. "Drug courts: A bridge between criminal justice and health services," Journal of Criminal Justice, Elsevier, vol. 29(3), pages 241-253.
    4. Wu, Elwin & El-Bassel, Nabila & Gilbert, Louisa & Chang, Mingway & Sanders, Glorice, 2010. "Effects of receiving additional off-site services on abstinence from illicit drug use among men on methadone: A longitudinal study," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 403-409, November.
    5. Feldman, Matthew B. & Weinberg, Gregg S. & Wu, Elwin, 2012. "Evaluation of a system designed to link people living with HIV/AIDS with mental health services at an AIDS-service organization," Evaluation and Program Planning, Elsevier, vol. 35(1), pages 133-138.

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