International Journal of Drug Policy
Volume 21, Issue 3 , Pages 173-178 , May 2010

Challenges in providing services in methadone maintenance therapy clinics in China: Service providers’ perceptions

  • Chunqing Lin

      Affiliations

    • School of Public Health, University of California at Los Angeles, Los Angeles, USA
    • Corresponding Author InformationCorresponding author at: Epidemiology, UCLA School of Public Health, 10920 Wilshire Blvd., Suite 350, Los Angeles, CA 90024, USA. Tel.: +1 310 910 9707; fax: +1 310 794 2495.
    • ,
  • Zunyou Wu

      Affiliations

    • National Center for AIDS/STD Control and Prevention, Chinese Centers for Disease Control and Prevention, Beijing, China
    • ,
  • Keming Rou

      Affiliations

    • National Center for AIDS/STD Control and Prevention, Chinese Centers for Disease Control and Prevention, Beijing, China
    • ,
  • Lin Pang

      Affiliations

    • National Center for AIDS/STD Control and Prevention, Chinese Centers for Disease Control and Prevention, Beijing, China
    • ,
  • Xiaobin Cao

      Affiliations

    • National Center for AIDS/STD Control and Prevention, Chinese Centers for Disease Control and Prevention, Beijing, China
    • ,
  • Steven Shoptaw

      Affiliations

    • Departments of Family Medicine and Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, USA
    • ,
  • Roger Detels

      Affiliations

    • School of Public Health, University of California at Los Angeles, Los Angeles, USA

Received 20 July 2009 ,Revised 23 August 2009 ,Accepted 9 September 2009.

References 

  1. Bobrova N, Rughnikov U, Neifeld E, Rhodes T, Alcorn R, Kirichenko S, et al. Challenges in providing drug user treatment services in Russia: Providers’ views. Substance Use & Misuse. 2008;43:1770–1784
  2. Deng R, Li J, Sringernyuang L, Zhang K. Drug abuse, HIV/AIDs and stigmatization in a Chinese indigenous community. Social Science & Medicine. 2007;64:1560–1571
  3. Glaser BG, Strauss AL. The discovery of grounded theory: Strategies for qualitative research. New York: Aldine de Gruyter; 1967;
  4. Gossop M, Trakada K, Steward D, Witton J. Reduction in criminal convictions after addiction treatment: 5-year follow-up. Drug and Alcohol Dependence. 2005;79:295–302
  5. Hobden K, Cunningham JA. Barriers to the dissemination of four harm reduction strategies: a survey of addiction treatment providers in Ontario. Harm Reduction Journal. 2006;3:35
  6. Joseph H, Stancliff S, Langrod J. Methadone maintenance treatment (MMT): A review of historical and clinical issues. The Mount Sinai Journal of Medicine. 2000;67:347–364
  7. Kerr T, Marsh D, Li K. Factors associated with methadone maintenance therapy use among a cohort of polysubstance using injection drug users in Vancouver. Drug and Alcohol Dependence. 2005;80:329–335
  8. Kleber HD. Methadone maintenance 4 decades later: Thousands of lives saved but still controversial. Journal of American Medical Association. 2008;300:2303–2305
  9. Li C, Mao FR. A survey of relapse among 120 ex-addicts discharged from re-education-through-labour centres. Chinese Journal of Drug Dependence. 1999;8:42–43[in Chinese]
  10. Li MQ, Lee SS, Gan ZG, Tan Yi, Meng JH, He ML. Achieving a high coverage-the challenge of controlling HIV spread in heroin users. Harm Reduction Journal. 2007;4:8
  11. Li L, Lin C, Wu Z, Wu S, Rotheram-Borus MJ, Detels R, et al. Stigmatization and shame: consequences of caring for HIV/AIDS patients in China. AIDS Care. 2007;19:258–263
  12. Ministry of Health of China (MOH), Ministry of Public Security of China, and State Food and Drug Administration (SFDA). (2006). Work Plan of Community Maintenance Treatment for Opioid Addicts. Retrieved 31.01.09 www.chinaaids.cn/worknet/download/2005/0308.doc.
  13. Muhr, T. (1997). Atlas TI [Computer software]. Berlin: Scientific Software Development.
  14. National People's Congress of China. (1990). Decision of the Standing Committee of the National People's Congress on the Prohibition against Narcotic Drugs. Retrieved 13.01.09 http://law.chinalawinfo.com/newlaw2002/SLC/slc.asp?db=chl&gid=4923.
  15. Qian HZ, Schumacher JE, Chen HT, Ruan YH. Injection drug use and HIV/AIDS in China: Review of current situation, prevention and policy implications. Harm Reduction Journal. 2006;1:3–4
  16. Tang YL. Rehabilitation program for drug addiction in correctional institutions [in Chinese]. Chinese Journal of Drug Dependence. 2001;10:27–29
  17. Tang YL, Zhao D, Zhao CZ, Cubells JF. Opiate addiction in China: Current situation and treatments. Addiction. 2006;101:655–657
  18. Pang L, Hao Y, Mi GD, Wang CH, Luo W, Rou KM, et al. Effectiveness of first eight methadone maintenance treatment clinics in China. AIDS. 2007;21:S103–S107
  19. Reid G, Aitken C. Advocacy for harm reduction in China: A new era dawns. International Journal of Drug Policy. 2009;20:365–370
  20. Ross MW, Greenfield SA, Bennett L. Predictors of dropout and burnout in AIDS volunteers: a longitudinal study. AIDS Care. 1999;11:723–731
  21. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8:27–37
  22. Shoptaw S, Stein JA, Rawson RA. Burnout in substance abuse counsellors-impact of environment, attitudes, and clients with HIV. Journal of Substance Abuse Treatment. 2000;19:117–126
  23. Sullivan GS, Wu Z. Rapid scale up of harm reduction in China. International Journal of Drug Policy. 2007;18:118–128
  24. Wang W. Illegal drug abuse and the community camp strategy in China. Journal of Drug Education. 1999;29:97–114
  25. Ward J, Hall W, Mattick RP. Role of maintenance treatment in opioid dependence. The Lancet. 1999;353:221–226
  26. Wu Z. Landmark government methadone maintenance program in mainland China. In: Proceedings of the 15th international AIDS conference. Bangkok, Thailand; July. 2004;p. 11–16
  27. Wu Z. Methadone maintenance program in mainland China: From pilot to scale-up. In: International Conference on the Reduction of Drug Related Harm. Belfast, UK; March. 2005;p. 20–24
  28. Wu Z, Sullivan S, Wang Y, Rotheram-Bonus MJ, Detels R. Evolution of China's response to HIV/AIDS. Lancet. 2007;369:679–690
  29. Yunnan e-government. (2006). China methadone maintenance therapy training centre has been established in our province for two years. Retrieved 31.01.09 http://www.yn.gov.cn/yunnan,china/75436393270083584/20060711/1084185.html.

PII: S0955-3959(09)00119-4

doi: 10.1016/j.drugpo.2009.09.002

International Journal of Drug Policy
Volume 21, Issue 3 , Pages 173-178 , May 2010

Article Tools