Objective: This study assessed patients' views of a methadone programme in a Dublin general practice including the degree to which the patients were involved in decisions about their treatment.

Conclusions: Most patients receiving methadone in general practice were listed to and had a say in deciding their methadone dose but did not have an opportunity to engage in more structured or contractual forms of involvement in treatment such as written care plans. In line with a patient centred approach, treatment providers should set their sights beyond the safe delivery of methadone, to provide a service which is centred on patient goals, expectations and choice.