James F Maddux

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This study reports 1 year follow-up data of 96 patients who received methadone at selected community pharmacies instead of traditional program dispensaries. Outcomes are comparable to those reported for traditional programs. Security measures were not a problem. The results indicate that most patients can begin methadone maintenance at a pharmacy without a(More)
Studies of the outcomes of substance abuse treatment are often handicapped because of subjects lost to follow-up. While follow-up data may be obtained from several sources, the follow-up interview often serves as the principal source of data. Difficulties are regularly encountered in locating and interviewing subjects not in treatment. From review of the(More)
An open clinical trial was conducted to compare the effects of rapid (1-day) admission with slow (14-day) admission to methadone maintenance on pretreatment attrition, retention during treatment, and other outcomes. One hundred eighty-six illicit opioid users eligible for methadone maintenance were randomly assigned to rapid admission or slow admission,(More)
While maintained on methadone, heroin users reduce their heroin use and related criminal activity and increase their legitimate employment. These benefits are obtained at the cost of continued opioid dependence. Furthermore, as a consequence of neural adaptation and conditioning, methadone maintenance may impede eventual recovery from opioid dependence. The(More)
Religion is often overlooked as a factor in recovery from chronic opioid dependence. Research on the effectiveness of religious programs is scanty, but three reports in the literature suggest that programs of the Pentecostal type may be particularly effective among Hispanic drug users. In this paper we review the literature and report our own observations(More)
Residence relocation affected opioid drug use among 248 addicts in San Antonio, Tex. One hundred seventy-one subjects reported a total of 465 relocations away from San Antonio during a mean follow-up period of 20 years. Subjects were voluntarily abstinent 54% of the time during relocation and 12% of the time during San Antonio residence. The frequency of(More)
The outcome of outpatient methadone withdrawal reported in 20 published studies during the 1970s varied widely: none to 62% of the patients completed withdrawal, none to 35% became abstinent at termination of withdrawal, and none to 38% were abstinent at follow-up. Although somewhat ambiguous, the results indicated that outpatient withdrawal did not lead to(More)
We compared the motor vehicle driving records of 104 former heroin users during 1 year of heroin use before admission to methadone maintenance with their records during 1 year after admission while they were maintained on methadone. We found a statistically significant increase in convictions for speeding from the year on heroin to the year on methadone,(More)