Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Methadone treatment case study vignettes
Methadone treatment A2 psychology
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Methadone treatment case study vignettes
Currently in Ontario there are approximately 30,000 people, between the ages of 15 and 49, using illicit opioids on a regular basis. (Hart 2007) Opioid use is a costly and dangerous social problem and is the fastest growing drug problem in the country. The good news is that there is a treatment that has been proven by research and evidence to be effective. Methadone Maintenance Treatment (MMT) is a long term treatment program used to treat opioid dependence and addiction.(Source) MMT works by preventing withdrawal symptoms in opiate users. It also prevents the euphoria the user is seeking from other opiates. MMT uses the drug of Methadone to do this. Methadone is a synthetic opioid commonly used to treat opioid dependence.(Source) Methadone is different from other opioids because it is created synthetically and does not produce a euphoric feeling or a ‘high’ in the user. MMT is a cheaper, more effective and a safer way to treat opioid addiction and due to these reasons it should become the national standard for treating opioid addiction and dependence in Canada.
Prior to examining the opposing arguments about MMT let’s take a look at some of the background information. MMT was first researched in the state of Florida in the 1960’s. (source) Clinics both private and non-profit began to spring up in the USA in the 1970’s. In the 1960’s Methadone began to appear in Canada, as a detoxification treatment. (Source) The original studies of MMT shared 6 conclusions. Those 6 conclusions stated; that methadone normalized patient behaviours, with a high enough dose (about 80-120mg) euphoric effects from other opioids would be blocked, a patient's tolerance to methadone didn’t increase over time, oral dosage eliminated the need for needles, ...
... middle of paper ...
... Health.
Volpicelli, J., & Szalavitz, M. (2000). Recovery options:The complete guide. John Wiley & Sons
Fernandez, H., & Libby, T. A. (2011). Herion:It's history, pharmacology and treatment (2nd, Rev and Updated ed.). Humberto Fernandez
Magill, E. (Ed.). (2011). Teen health series:Drug information for teens (3rd ed.). Peter E. Ruffner.
Methadone maintenance. (2013, October 30). Retrieved March 4, 2014, from Opiate Addiction & Treatment Resource website: http://www.opiateaddictionresource.com/treatment/methadone_maintenance
Skidmore-Roth, L. (n.d.). Mosby's 2014 nursing drug reference (27th ed.). St. Louis, MO: Elsevier
Perkinson, R. R., & Jongsma, A. E., Jr. (2006). Practice Planners: The addiction: Treatment planner (3rd, Rev. ed.). Hoboken, NJ: John Wiley & Sons.
Kroes, S. (2014, March 06). Interview by A Matthews []. Methadone information.
The methadone program at Rosthern Hospital is a very active and intense program. Boast over 20 patients that are regular methadone users, the involvement of the physicians, pharmacists, nurses, and addiction counselors are key (Melle, 2016). Dr. Melle is the coordinator of the methadone program at Rosthern Hospital. His roles include, patient recruitment, patient care management, follow up care, and most importantly prescription and dosage of the methadone (Melle, 2016). Pharmacist’s role in methadone treatment is providing the methadone to the hospital, as well as in Warman pharmacy they monitor and dispense some methadone to some of the patients in the methadone program. Addiction counselors are an outside resource that the staff at Rosthern hospital can utilize. There are not social workers or counselors at Rosthern, but Dr. Melle and the nurses prefer if their patients are regularly seeing an addiction counselor while in the methadone program. Finally, the nurses role in the methadone program is early treatment and monitoring of patients during detox, the continued monitoring or patients when methadone doses change, dispensing methadone and monitoring our patients in the recovery program, and observation of patient’s success during the program. Together the interprofessional team has successfully treated dozens of patients, and the methadone program address the needs of both the patients and the addiction issues that are plaguing the surrounding communities (Melle,
Smyth, N. (1994). Addictions counseling: a practical guide to counseling people with chemical and other addictions/The addiction process: effective social work approaches/Clinical work with substance-abusing clients (book). Social Work, 39(5), 616.
The opioid crisis is Canada’s worst public health crisis since the emergence of HIV in the 1980s. The epidemic is dangerously pervasive, affecting Canadians of all ages and income brackets. The Government of Canada has taken several steps to address the crisis, but many doctors and public health
Cnn.com. [online], Available: http://www.cnn.com/2000/US/02/23/kiddrugs2_23.a.tm/ Schwarzer, Kathy. A. Interview December 15, 2000 The International Coalition for Drug Awareness. ICFDA.
In previous years, the government has not made great efforts toward stopping opioid addiction (Global). With the vast amount of deaths, over 183,000 since 1999, and dependencies, it would be foolish for the government to not address this (Jones).
Every year, 2.6 million people in the United States suffer from opioid abuse and of that 2.6 million, 276,000 are adolescents, and this problem is only escalating. An individual’s physical and emotional health suffers as well as their personal lives as they lose employment, friends, family, and hope. Opioid addiction begins with the addictive aspects of the drug. People easily become hooked on the relieving effects of the opioids and suffer withdrawal symptoms if they stop using the drug completely because their nerve cells become accustomed to the drug and have difficulty functioning without it; yet the addiction to the drug is only one aspect of the complex problem. The stigma about opioid addiction has wide-reaching negative effects as it discourages people with opioid abuse problems from reaching out.
About one out of five 10th graders and about 1 out of four high school seniors used marijuana in the past month (Facts for Teens, 1). It is the second most popular drug among teens in the US (Encarta, 1). Teens, ages 12-17, that use marijuana weekly are nine times more likely than non-users to experience with illegal drugs and alcohol (Fed. Study, 1). More 13 & 14 year olds are using drugs, fifteen pe...
Alexander explains that in Canada there has been three major waves of drug intervention, the ‘“harm reduction’ techniques” (225) being the most resent consisted of: clean injectable heroin, clean needles, methadone, and housing. Although, each of the methods are devoted and knowledgeable they have done little to decreased the deaths or supress the unhappiness. While clean heroin did work well few addicts quit using and many found the conditions of reserving the drugs to be repulsive. Yet another method is legalization which is nothing new and will do little to help.
This leads to the second school of thought on medically assisted treatment. There has been a great deal of debate about the medication used to treat Opiate addiction, methadone. Many feel that the drug methadone is simply trading one drug in for another, as the addiction to methadone is quick and almost more powerful than an opiate addiction (Nelson, 1994). The withdrawals effects are far more intense with methadone and for this reason it is a lifetime maintenance medication. Some suggest that more rehabilitative programs are needed that would address the social problems the users have to help them recover, instead of the methadone program that is viewed...
McGovern, M. P., Xie, H., Segal, S. R., Siembab, L., & Drake, R. E. (2006). Addiction treatment
Capuzzi, D., & Stauffer, M. D. (2008). Foundations of addictions counseling. Boston, M.A: Pearson Education.
To begin with, in order for a facility to be successful in treating people with addictions whether it be alcohol, or drugs the facility must have a treatment plan to use and guide both counselors and the client alike to be successful in the program.
A relapse prevention plan should begin once an individual has entered treatment and should be reviewed and updated frequently. It is not just for preventing relapse, but a strategy plan on how to function in life without substances using new copping skills and the maintenance in the habit-change process ("Lecture 4," 2015). “The more information that you have about addiction, recovery, and relapse the more tools you have in your possession to maintain your recovery” (Gorski & Miller, 1986, p. 160). Planning for a client’s relapse minimizes its disastrous potential.
Methadone unlike other analgesic opioids possesses many distinguishing attributes as to why in present day it is compelling a larger demographic of medical institutes, physicians and anesthetists to use this drug in a clinical setting. In contrast to many other potent opioid analgesic compounds, Methadone can be synthesized via synthetic processes from readily available precursors.
Few people deny the dangers of drug use, while many teens are curious about drugs. They should stay away from drugs because drugs affect our health, lead to academic failure, and jeopardizes safety. Drugs are used from a long period of time in many countries. The concentration of drugs has increased from late 1960’s and 1970’s. Drugs can quickly takeover our lives. Friends and acquaintance have the greatest influence of using drugs during adolescence.