{"id":2832,"date":"2021-04-16T14:50:49","date_gmt":"2021-04-16T04:50:49","guid":{"rendered":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/new-study-criticises-drug-policy-and-claims-doctors-often-encourage-increased-doses\/"},"modified":"2021-04-16T14:50:49","modified_gmt":"2021-04-16T04:50:49","slug":"new-study-criticises-drug-policy-and-claims-doctors-often-encourage-increased-doses","status":"publish","type":"post","link":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/new-study-criticises-drug-policy-and-claims-doctors-often-encourage-increased-doses\/","title":{"rendered":"New study criticises drug policy and claims doctors often encourage increased doses  \u00a0"},"content":{"rendered":"<p>Apr 13, 2021, <strong><a href=\"https:\/\/www.irishtimes.com\/profile\/conor-gallagher-7.4048148\" target=\"_blank\" rel=\"noopener\">Conor Gallagher<\/a><\/strong><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/nobrainer.org.au\/images\/feature-images\/methusers.jpg\" alt=\"There are about 10,000 people on Methadone Maintenance Therapy in Ireland.  Photograph: iStock\" width=\"450\" height=\"305\" style=\"margin-right: 30px; margin-bottom: 30px; float: left;\" \/><\/p>\n<p>There are about 10,000 people on Methadone Maintenance Therapy in Ireland. Photograph: iStock<\/p>\n<p>Methadone users who wish to become drug free are being discouraged by doctors, who are often more interested in increasing patients\u2019 doses, a new study claims. Those prescribed methadone to help them stay off heroin describe themselves as \u201clifers\u201d bound in \u201cliquid handcuffs\u201d which prevents them from becoming drug-free.<\/p>\n<p>According to the&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33429162\/\" target=\"_blank\" rel=\"noopener\">study, which was carried out by&nbsp;<\/a><a href=\"https:\/\/www.irishtimes.com\/topics\/topics-7.1213540?article=true&amp;tag_organisation=Trinity+College\" target=\"_blank\" rel=\"noopener\">Trinity College<\/a>&nbsp;academics and published in the International Journal of Drug Policy, users view methadone as a \u201cball and chain\u201d and doctors rarely assist in helping patients come off the drug. \u201cThose who aspired to reducing their daily methadone dose or becoming drug free reported not merely that they were not assisted in striving towards these goals, but that clinicians did not permit them to discuss such an aspiration,\u201d authors&nbsp;<a href=\"https:\/\/www.irishtimes.com\/topics\/topics-7.1213540?article=true&amp;tag_person=Paula+Mayock\" target=\"_blank\" rel=\"noopener\">Paula Mayock<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.irishtimes.com\/topics\/topics-7.1213540?article=true&amp;tag_person=Shane+Butler\" target=\"_blank\" rel=\"noopener\">Shane Butler<\/a>&nbsp;wrote.<\/p>\n<p>The authors conducted in-depth interviews with 25 long-term recipients of Methadone Maintenance Therapy (MMT), 16 of whom had been on methadone for more than 20 years. Indefinite MMT, along with needle exchanges and other harm reduction initiatives, was introduced in&nbsp;<a href=\"https:\/\/www.irishtimes.com\/news\" target=\"_blank\" rel=\"noopener\">Ireland<\/a>&nbsp;in the late 1980s to combat the heroin epidemic which had taken hold in urban areas. There are about 10,000 people on MMT in Ireland, including a large portion who have been taking the drug for many years. Although recent drug policy documents use language such as \u201cpathways\u201d and \u201cprogression\u201d to a drug-free lifestyle, many MMT recipients who took part in the study felt methadone left them \u201ctrapped in a cycle that did not lead to progress or change\u201d.<\/p>\n<p><strong>\u2018Held hostage\u2019 &#8211; <\/strong>The majority of participants felt MMT had a positive impact on their lives in at least one respect, including increased stability, the opportunity to rebuild family relationships and less contact with the criminal justice system as they did not have to steal to feed their addiction.<\/p>\n<p>But this was almost always juxtaposed with the feeling that MMT prevented users from moving forward. One of the participants, identified as Dillon, said MMT stalled but did not fix the problem. \u201cIt\u2019s only just keeping it at a certain stage, it\u2019s not getting any better, you know what I mean. I just feel like [methadone] is holding everyone.\u201d<\/p>\n<p><a href=\"https:\/\/www.irishtimes.com\/news\/health\/methadone-users-actively-discouraged-from-becoming-drug-free-1.4535301\" target=\"_blank\" rel=\"noopener\" class=\"button\">For complete article<\/a><\/p>\n<p><strong>The Dalgarno Institute has long advocated for<\/strong><\/p>\n<ol>\n<li>Preference for non-chemical assisted treatments for dealing with substance use disorders.<\/li>\n<li>Such vehicle may be an option as a \u2018circuit breaker\u2019 in very extreme cases of addiction, but always with a \u2018sunset\u2019 clause on use, with definite goals to decrease and then cease medically assisted treatment in a specified time.<\/li>\n<\/ol>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33429162\/\" target=\"_blank\" rel=\"noopener\" class=\"button\">For Research click here<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Apr 13, 2021, Conor Gallagher There are about 10,000 people on Methadone Maintenance Therapy in Ireland. Photograph: iStock Methadone users who wish to become drug free are being discouraged by doctors, who are often more interested in increasing patients\u2019 doses, a new study claims. Those prescribed methadone to help them stay off heroin describe themselves [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":"","_wp_rev_ctl_limit":""},"categories":[47],"tags":[],"class_list":["post-2832","post","type-post","status-publish","format-standard","hentry","category-need-counselling"],"_links":{"self":[{"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/posts\/2832","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/comments?post=2832"}],"version-history":[{"count":0,"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/posts\/2832\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/media?parent=2832"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/categories?post=2832"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dalgarnoinstitute.org.au\/wp_site\/wp-json\/wp\/v2\/tags?post=2832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}