Evidence-based treatment for opiate-dependent clients: Availability, variation, and organizational correlates

Lori J. Ducharme, Hannah K. Knudsen, Paul M. Roman

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


The majority of opiate-dependent clients entering substance abuse treatment are referred to "drug-free" (non-methadone) modalities. Given the known challenges of treating these clients in drug-free settings relative to the documented effectiveness of methadone maintenance, these analyses investigate the availability of various clinical and wraparound services for this population among a US sample of addiction treatment programs with and without methadone maintenance services (N = 763). Face-to-face interviews conducted in 2002-2003 gathered data on the number of opiate-dependent clients treated; organizational characteristics, including size, ownership, accreditation, and staffing; treatment practices, including methadone availability, use of other pharmacotherapies, and levels of care; and services offered, including vouchers, transportation, and other wraparound services. Facilities treating proportionately more opiate-dependent clients were significantly more likely to offer a variety of evidence-based services, regardless of methadone availability. Implications for referral linkages and quality of care are discussed.

Original languageEnglish
Pages (from-to)569-576
Number of pages8
JournalAmerican Journal of Drug and Alcohol Abuse
Issue number4
StatePublished - Dec 1 2006

Bibliographical note

Funding Information:
The authors gratefully acknowledge support from research grants R01DA14482 and R01DA13110 from the National Institute on Drug Abuse.


  • Evidence-based practice
  • Innovation
  • Opiate addiction
  • Treatment

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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