Home > Family and community burdens of addiction: case-mix analysis at a new community-based methadone treatment service.

Quigley, Paul A (2002) Family and community burdens of addiction: case-mix analysis at a new community-based methadone treatment service. Drugs: Education, Prevention and Policy , 9 , (3) , pp. 221-231.

The study aimed to examine demographic and psychosocial features of clients presenting to a new community addiction service in Dublin by retrospective collection of data from the National Drug Treatment Reporting System and from case records on site. The setting was Ballymun Addictions Service, where adequate records were available for three-quarters of all cases seen to date. Findings included a mean age of injecting commencement of 18 years, a 7-year period of injecting before treatment entry, 80% hepatitis C infection rate, 39% prevalence of heroin-addicted siblings, 73% within-family substance misuse, 80% male previous conviction rate and universal early school leaving. Psychosocial problems included domestic violence, sexual assault, homelessness, self-harm, teenage sex work and homicide history. It is concluded that the caseload of the community-based addiction service includes many complex problems and that prognosis for most clients must be guarded. Community-based treatment services need to address the endemic and collective nature of addiction processes in the poverty context.


Item Type:Article
Date:October 2002
Call No:AN, JT8.8.2, VH 4.2 D11
Page Range:pp. 221-231
Publisher:Informa healthcare
Volume:9
Number:3
Keywords:AODD treatment center, AODD treatment method, Ballymun, community-based treatment, drug treatment unit, hepatitis C, HIV infection
EndNote:View
Accession Number:HRB 1985 (Available)
Subjects:G Health and disease > Disorder by cause > Communicable disease
L Social psychology and related concepts > Marital relations > Family and kinship > Family and substance use
VA Geographic area > Europe > Ireland
VA Geographic area > Europe > Ireland > Dublin
J Health care, prevention and rehabilitation > Risk and needs assessment > Risk assessment
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution) > Methadone maintenance

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