Subsidization of Substance Use Treatment: Comparison of Methadone Maintenance Treatment and Abstinence-Based Residential Treatment in Iran

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Ahmadian Moghaddam Samaneh; ROSHANPAJOUH MOHSEN; MAZYAKI ALI; AMIRI MEHRI; Razaghi emran

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Journal: Iranian Journal of Psychiatry and Behavioral Sciences Year:2020 | Volume:14 | Issue:1 Page(s): 0-0

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Title

Subsidization of Substance Use Treatment: Comparison of Methadone Maintenance Treatment and Abstinence-Based Residential Treatment in Iran

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Keywords

Treatment Subsidization

Substance Use Treatment

Methadone Maintenance Treatment

Abstinence-Based Treatment

Iran

Abstract

Background: Subsidization is a policy to encourage the purchase and use of goods and services and to promote their affordability for the poor. The Welfare Organization of Iran subsidizes Substance Use Treatment in order to increase coverage and adherence to treatment. Objectives: This studyaimedto answer the following questions: is themodelefficient? Has the policy resulted in increased coverage and higher adherence to Substance Use Treatment? How could the model be improved? Methods: We compared two types of Substance Use Treatments of abstinence-based residential program and outpatient methadone maintenance. Based on their severity of addiction and retention in treatment clients who benefited from subsidization were compared with other clients. Therefore, 109 clients, 78frommethadonemaintenanceand31fromresidential abstinence-basedprograms were interviewed. Results: Subsidization had an encouraging effect on clients to enter Substance Use Treatment in both treatment programs (P = 0. 001). However, we were unable to find evidence that subsidization helped retention in the treatment (P = 0. 389), or that concomitant use of illegal substances in clients on methadone maintenance was lower (P = 0. 500). Based on economic status of clients (P = 0. 05) their criminal record (P = 0. 001), length of use of substances (P = 0. 05), and comorbid psychiatric conditions (P = 0. 05), it was evident that assignment to subsidization in methadone maintenance services was significantly more reasonable, while it was almost random in abstinence-based residential facilities assignment. Conclusions: The current model of substance use Treatment Subsidization is not efficient. Addiction severity subscales and socioeconomic status of clients could be considered appropriate factors for assignment to the subsidization program.

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APA: Copy

Ahmadian Moghaddam, Samaneh, ROSHANPAJOUH, MOHSEN, MAZYAKI, ALI, AMIRI, MEHRI, & Razaghi, emran. (2020). Subsidization of Substance Use Treatment: Comparison of Methadone Maintenance Treatment and Abstinence-Based Residential Treatment in Iran. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS), 14(1), 0-0. SID. https://sid.ir/paper/750327/en

Vancouver: Copy

Ahmadian Moghaddam Samaneh, ROSHANPAJOUH MOHSEN, MAZYAKI ALI, AMIRI MEHRI, Razaghi emran. Subsidization of Substance Use Treatment: Comparison of Methadone Maintenance Treatment and Abstinence-Based Residential Treatment in Iran. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS)[Internet]. 2020;14(1):0-0. Available from: https://sid.ir/paper/750327/en

IEEE: Copy

Samaneh Ahmadian Moghaddam, MOHSEN ROSHANPAJOUH, ALI MAZYAKI, MEHRI AMIRI, and emran Razaghi, “Subsidization of Substance Use Treatment: Comparison of Methadone Maintenance Treatment and Abstinence-Based Residential Treatment in Iran,” IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS), vol. 14, no. 1, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/750327/en

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