作者: McLellan At , O'Brien Cp , Luborsky L , Woody Ge
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摘要: Data have been presented about the potential role of psychotherapy for psychiatrically impaired methadone-maintained opiate addicts. Complete data from one study, and preliminary a second, indicate that professional can be helpful as supplement to ongoing drug-counseling services patients having clinically significant psychiatric symptoms. If is used, care must taken integrate it into clinical methadone-treatment program. Not all therapists are equally adept at engaging working with In hiring therapists, attempts should made identify those who not only technically competent but also interested comfortable this population. It emphasized there considerable variability among methadone programs in such vital areas leadership, staffing patterns, organization, dosing procedures, location, physical plant, availability ancillary services. These administrative differences may play feasibility success use drug-treatment programs. Finally, noted no evidence cures addiction or used successfully without integrating other important services, drug counseling, treatment, overall program structure. There reason believe, however, provide additional meaningful benefits subgroup impaired.