Pubdate: Fri, 17 Jan 2003 Source: Johnson City Press (TN) Copyright: 2003 Johnson City Press and Associated Press Contact: http://www.johnsoncitypress.com/ Details: http://www.mapinc.org/media/1983 Author: Robert Peets METHADONE STUDY EDITOR: I am not an expert on methadone treatment; the recent local events, however, have prompted me to educate myself on the subject, and I thought that the citizens of Johnson City might benefit from the information. First, methadone treatment for addiction has been scientifically validated to reduce heroin and other opiate use, reduce criminal behavior associated with drug use and promote increases in social behavior such as employment and interpersonal relationships. It sounds almost too good to be true. Unfortunately, there are aspects of treatment that, if not maintained, appear to produce total failure. First, a therapeutic dose of methadone must be maintained. Second, and probably more importantly, the relapse rate is extremely high if methadone treatment is discontinued. I am not aware of the proposed methadone clinic's policies on these issues. Most methadone clinics, however, have a very strict set of criteria to enter the program. Many patients routinely are prescribed below therapeutic doses, and there are definite limits to the amount of time a person can remain in treatment. Why do most methadone clinics not provide the treatment that has been scientifically validated to be effective? Because to do so would contradict our public policy on drug abuse. I guess we feel like if we give a heroin addict methadone, it's like giving a drunk driver a bottle of tequila and a Mustang. A more appropriate analogy is: methadone treatment is like treating schizophrenia with anti-psychotic medication or depression with anti-depressant medication. Treat opiate addiction with methadone. It works. Addiction is a medical issue but is treated in public policy as a criminal issue. This leads to methadone treatment centers which try to punish and treat at the same time, accomplishing little. Maybe one day we will align our policy with the validated science and actually begin winning this "war on drugs." ROBERT PEETS Johnson City - --- MAP posted-by: Josh