Maintenance Treatment of Heroin Addiction – Evidence at the Crossroads By Helge Waal & Egil Haga (editors)

August 2003.

Maintenance Treatment of Heroin Addiction – Evidence at the Crossroads


By Helge Waal & Egil Haga (editors)


Although maintenance treatment of heroin addiction has been an accepted approach for more than thirty years, practice and guidelines vary considerably. Accordingly, we should scrutinise our choices in light of scientific evaluation, which leads to the key questions of this book: What are beliefs and what are facts in the field? What is “good” and effective treatment according to recent research?


Introductory chapters on the neurobiological basis for opiate dependence and an overview of maintenance treatment in Europe are followed by discussions of recent research on the following key issues:

    • choice of medication
    • choices in programme structure
    • maintenance treatment in different settings, such as maintenance in seriously addicts, comorbid psychiatric diseases, vocational settings, pregnancy and car driving
    • integration of maintenance treatment and psychosocial approaches

The contributors: Mary Jeanne Kreek, Michael Farrell, Lubomir Okruhlica, Emilis Subata, Berit Mørland, Mats Berglund, Björn Axel Johansson, Michael Gossop, Thomas Kosten, Michael Krausz, Ambros Uchtenhagen, Markus Heilig, Wim van den Brink, Peter Ege, Marc Reisinger, Marc Auriacombe, John E Berg, Icro Maremmani, Miriam Gargiulo, Alfred Springer, Mari Trommald, Jørg Mørland, George De Leon, Thomas McLellan, Olav Espegren, Sivert Follesø


The editors: Helge Waal is Professor of Addiction Medicine at the University of Oslo. Egil Haga was coordinator of the 5thConference of the European Opiate Addiction Treatment Association (May 2002), of which this anthology is a follow-up.


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