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NCJ Number: 182715 Add to Shopping cart Find in a Library
Title: Passages: A Therapeutic Community Oriented Day Treatment Model for Methadone Maintained Clients
Journal: Journal of Drug Issues  Volume:27  Issue:2  Dated:Spring 1997  Pages:341-366
Author(s): George De Leon; Graham Staines; Stanley Sacks
Date Published: 1997
Page Count: 26
Sponsoring Agency: National Institute on Drug Abuse
Bethesda, MD 20892-9561
Grant Number: R18 DA06131
Type: Program/Project Description
Format: Article
Language: English
Country: United States of America
Annotation: After describing Passages, a day drug treatment center based on therapeutic-community (TC) methods, this article presents findings from an evaluation of Passages.
Abstract: The Passages approach uses a recovery-oriented perspective in which methadone is used to facilitate the recovery process. Differences between passages and traditional TCs include placing a greater emphasis on outreach and advocacy, reduction in the intensity of interactions, and more flexibility in the phases of treatment. The nonresidential nature of the program has given rise to the development of several innovations, including the Client Action Plan and the Passages Fellowship, designed to integrate individual and group goals and ensure sustained influence beyond the official hours of contact. Passages, like all TC programs, seeks to develop a culture in which clients learn through a mutual self-help process to foster change in themselves and others. Preliminary evaluation findings for over 500 research participants show greater differential improvement in drug-risk behavior and psychological status for the Passages clients who remained 6 months in the program compared to non-Passages clients. Although awaiting controlled studies, the current study demonstrates the feasibility of integrating methadone maintenance and TC-oriented day treatment in methadone clinics; and it provides evidence for the effectiveness of the Passages program in reducing risk behavior and improving psychological functioning among seriously dysfunctional substance abusers. 5 tables, 2 figures, and 24 references
Main Term(s): Drug treatment programs
Index Term(s): Correctional Day Programs; Heroin maintenance; Methadone maintenance; Treatment effectiveness; Treatment/Therapeutic Community
Note: DCC
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