Methadone Maintenance Treatment: A Community Planning Guide

The purpose of this guide is to increase the capacity of the methadone maintenance treatment system in the province of Ontario. The decision to increase the availability of this substance abuse treatment option is based upon not only the success of the model both within this and other jurisdictions, but most importantly, client demand for the service. More from the Preface...

Please note: In the process of posting this CAMH publication online, links to external sites were reviewed. In those cases where links have changed or are no longer in use, they have been deleted from the HTML (web page) version, but remain in the PDF version. As a result, not all web pages will exactly match their PDF and print counterparts. The PDF version will be updated if and when the print version is updated.

In addition, some of the resources mentioned in this guide as being in progress at the time of publication (2000) have since been completed. Links to these newer resources are provided where available.

Table of Contents

1. Preface
2. Introduction - How to Use the Guide
3. Methadone Maintenance Treatment - Rationale and Benefits
4. Methadone Maintenance Treatment - Service Components and Delivery Models
5. Critical Stages in the Development of Methadone Maintenance Treatment Services
   1. Identification and Verification of Need
   2. Establishment of a Community Working Group
   3. Methadone Maintenance Treatment Model Development
   4. Implementation
   5. Evaluation
6. Continuity of Care for Methadone Patients
7. Special Treatment Issues
8. Community Development Troubleshooting Guide
9. Appendix - Methadone Fact Sheet
10. References
11. Recommended Resources

Author

This manual was written and researched by Mark Erdelyan, Senior Program Consultant, CAMH Windsor.

Acknowledgements

The writer would like to thank Alex Berry (London AIDS Committee), Jim Hanna (Newport Centre-Port Colborne) and Ron Shore (Street Health Centre-Kingston) for their valuable input and information that was provided prior to the writing of the guide. All of these individuals have played a key role in making methadone treatment an accessible treatment option in their communities.

I would like to acknowledge the reviewers for their support and feedback: Miranda Borisenko (CAMH - Hamilton), Anne Bowlby (OSAB-Toronto), Heather Chalmers (CAMH - Niagara), Gerry Cooper (CAMH - Sudbury), Kathy Kilburn (CAMH-North Bay), Lyle Nicol (CAMH - Thunder Bay), Dr. David Marsh (CAMH-Toronto), Elsbeth Tupker (CAMH - Toronto), Peter Williams (CAMH-Ottawa) and John Zarebski (CAMH-Kent).

Thanks to Marty McLeod for his guidance and expertise in making this document accessible on the Substance Abuse Network of Ontario (SANO) website.

A special thanks goes to Garth Martin for his support, guidance and wisdom throughout all phases of the project.

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