adder
Bluelighter
- Joined
- Mar 28, 2006
- Messages
- 2,851
I guess people creating the first maintenance programmes didn't really know what they should be for. And that way they became available to long-term heroin users who aren't willing to stop using and want to feel the rush. By violating the simplest rules of these programmes they created a stereotypical image of a MMT participant that is attached to anyone entering a programme. Their behaviour led to strict rules applying to everyone and an individual approach is non-existent. I guess this is reflected by the difference seen on buprenorphine programmes. People get doses for much longer and much faster, but a stereotypical image of a BMT participant is different too. Here in Poland very very few people trade their Suboxone pills, they are hardly noticed on the give-out points because most of them only come there to collect their rations and leave the place right away. A lot of methadone participants on the other hand stay around the point for hours selling their methadone, buying methadone from other participants and selling it at a higher price, trading various psychotropic medicines etc.
There should be a better system introduced when selecting people to whom methadone may be really helpful.
There should be a better system introduced when selecting people to whom methadone may be really helpful.