Supervised Injectable Heroin: A Clinical Perspective
Author(s) -
James Bell,
Rob van der Waal,
John Strang
Publication year - 2016
Publication title -
the canadian journal of psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.68
H-Index - 117
eISSN - 1497-0015
pISSN - 0706-7437
DOI - 10.1177/0706743716673966
Subject(s) - heroin , methadone , dysphoria , addiction , medicine , psychology , psychiatry , clinical trial , psychotherapist , clinical psychology , drug , anxiety , pathology
Six recent randomised control trials (RCTs) have suggested that supervised injectable heroin (SIH) can be effective in patients who persist in street heroin use during methadone treatment. However, short-term randomised control trials have limitations in assessing the effectiveness of treatments for addictive disorders, which are chronic and relapsing disorders of motivation. These RCTs particularly fail to capture the process of the SIH treatment and the diversity of influence and change over time.
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