TIP 43 provides best-practice guidelines for medication-assisted treatment of opioid addiction in opioid treatment programs (OTPs). The primary intended audience for this volume is substance abuse treatment providers and administrators who work in OTPs. Recommendations in the TIP are based on both an analysis of current research and determinations of best treatment practices by an expert panel. Initial chapters present introductory and background information. Remaining chapters focus on the components and important considerations of a well-run OTP. Reference citations point readers to recommended resources for more specific information, including Internet sources. Exhibits and appendices summarize key information for quick reference. The book simultaneously develops several consistent themes reflecting the beliefs of the expert contributors: (1) opioid addiction is a medical disorder and should be treated as such, not as a failure of willpower or morals; (2) comprehensive maintenance treatment, including pharmacotherapy integrated with a wide range of support services, is the treatment modality with the best record of patient recovery; (3) patients should be fully involved and respected in planning and monitoring their own treatment; and (4) OTPs need to be fully engaged with their communities to overcome the pervasive stigma that can limit program effectiveness. Appended are: (1) Bibliography; (2) Abbreviations and Acronyms; (3) Glossary; (4) Ethical Considerations in MAT; (5) Resource Panel; and (6)Field Reviewers. (Contains 49 exhibits.) [This publication was produced by Johnson, Bassin & Shaw, Inc.]