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NCJ Number: 200149 Add to Shopping cart Find in a Library
Title: Treating Adolescent Heroin Use
Journal: Journal of the American Academy of Child & Adolescent Psychiatry  Volume:42  Issue:5  Dated:May 2003  Pages:609-611
Author(s): Christian J. Hopfer M.D.; Elizabeth Khuri M.D.; Thomas J. Crowley M.D.
Editor(s): Mina K. Dulcan M.D.
Date Published: May 2003
Page Count: 3
Sponsoring Agency: National Institute on Drug Abuse
Bethesda, MD 20892-9561
Grant Number: DA11015; DA06941; DA00357; DA09842
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This article presents a clinical perspective on the treatment of adolescent heroin use and dependence.
Abstract: Over the past decade, heroin use among young people has been increasing. In recognizing this increase in heroin use and the need for effective treatment, this article begins with a look at the clinical characteristics of adolescent heroin users. The time frame involved from use to dependence is highly individual and depends on familial, psychiatric, and environmental factors. On the other hand, tolerance can develop in less than 10 days. The article continues with a review of treatment approaches and those specific to youth. Adult research demonstrates that maintenance therapy for opiate dependent patients is associated with a dramatic reduction in drug use, associating criminal behavior and intravenous use. When presenting with early heroin use, a major treatment decision is how to detoxify them. Detoxification can be accomplished with methadone the most widely used opiate agonists. Treatment for heroin-using youths requires an approach combining psychosocial treatments, psychiatric medication management, and pharmacotherapy for opioid dependence. The model program, Adolescent Development Program (1969) is described which offers methadone treatment specifically for adolescents and young adults. In general, the same factors seen as having influenced treatment retention in adult patients apply to adolescent treatment as well. References
Main Term(s): Adolescent chemical dependency
Index Term(s): Controlled Substances; Heroin; Juvenile drug abusers; Juvenile drug treatment; Juvenile drug use; Methadone; Methadone detoxification treatment; Methadone maintenance; Opioids
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