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The Report of the American Medical Association's Council on Scientific Affairs urges the use of methadone maintenance and needle-exchange programs to reduce the harmful effects of intravenous drug abuse.
Writing in the Journal of Addictive Diseases, Richard Yoast, Ph.D., and other members of the Council review the literature on both of these approaches to addiction treatment and prevention and report promising findings despite ongoing reluctance in some sectors to embrace either methadone or the needle exchange.
According to the authors, studies of methadone maintenance treatment (MMT), including the Drug Abuse Treatment Outcome Study (DATOS), the Drug Abuse Reporting Program (DARP) and the Treatment Outcome Prospective Study (TOPS), have found treatment to be both medically and socially effective. In DATOS, for example, researchers found that, among 2,966 addicts receiving MMT for …