The HCMC MMTs pilot program has brought many positive results. However, there is some individuals who still
use illicit drugs such as heroin and methamphetamine. This paper of study aims to explore the effects of heroin on induction/
stabilization and maintenances periods and the issues of co-occurring disorders
Data were collected as part of a prospective descriptive study on during the pilot phase. The data collected including
Methadones average doses and other variables to be analyzed, urine testing of 180 patients from November 2010 to July 2011. The
ANOVA test used to compare the illicit heroin use group and ARV treated group.
Among the180 patients, 96.1% people are male, average age is 30.7 years, 35% patients with ARV treatment. 46.1% used
drugs before 18 years old, 61,7% took heroin and 38,3% combined heroin with other drugs.100% use drugs during the induction
phase, 75,06% use drugs during the stabilization phase and 24,08% use drug during the first month of the maintaining phase.
Among patients still used heroin, the average Methadone dose is high (120.04 47.74mg) with long average in the induction
phase (61.16 33.71 days), while, for patients not used heroin, the average Methadone dose is low (85.22 33.71mg) and the
average the induction phase is short (47.31 32.25 days) (p=0.003 & P=0.021). 2.8% MMT patients have depression disorders;
27.2% anxiety disorders and 5.6% mood disorders by MINI CIM-10 versions assessment.
In the first month taking maintenance dose, 69.69% were positive with heroin tested and 18.18% were positive with
methamphetamine tested in urine.
The decreasing percentage of those using drugs during MMT programs periods is a positive result. The Methadone
dose indication must be increased and given that finding the ethical to do is to expand the program immediately and stop the
pilot phase. MMTs program should combine drug interactions knowledge and clinical assessment skill, particularly COWS
evaluation, and psychological consultation to decrease heroin use in therapy substitutions training
Dr. Pham Van Tru, Deputy Director of HCMC Mental Hospital, Chief of Professional Supporting Group of MMT Program of HCMC. Associate Professor. PhD. Nguyen Tan Binh, Deputy of Health Service of HCMC, Deputy-President of Committee AIDS of HCMC. Dr Tieu Thi Thu Van. Office Manager of Committee AIDS of HCMC. And other collaborators of the MMT sites in HCMC.
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