A repeated measures design was used to evaluate methadone maintenance (MM) treatment effects for 720 heroin addicts who entered MM in Southern California in 1971-1978. Compared to pretreatment measures, results show significant improvement for methadone users. Level of improvement was affected by sex, ethnicity, and treatment duration. (TJH)

Six potential problems with the use of randomized experiments to evaluate programs in the field are addressed. Problems include treatment dilution, treatment contamination or confounding, inaccurate case flow and power estimates, violations of the random assignment processes, changes in the environmental context, and changes in the treatment…

In New South Wales, Australia, a cost-effectiveness evaluation was conducted of an adult drug court (ADC) program as an alternative to jail for criminal offenders addicted to illicit drugs. This article describes the program, the cost-effectiveness analysis, and the results. The results of this study reveal that, for the 23-month period of the…

This article discusses the literature on drug treatment counselor practices and effectiveness and discusses relevant issues in a multilevel framework by considering client outcome in relation to varying characteristics of clients, counselors, and programs. A conceptual model is presented for understanding counselor effects on client outcomes. (SLD)