This paper critically examines methadone treatment from the perspective of adult and community education and questions the absence of rehabilitation. It identifies biomedicine and the methodology of evidence based medicine as the discourses that determine our understanding of addiction and treatment. It is especially critical of psychiatry for the…

Explored drug overdose mortality and its economic consequences through examination of Texas mortality data from 1980-86. Compared crude mortality rates across 10 drug categories. Found drug overdose mortality costs had more than doubled over 6-year period. Found men had greater illicit drug overdose risk than women; women had greater prescribed…

Whether methadone maintenance treatment demonstrates cumulative (rehabilitative) or stabilizing effects on behavior of narcotics addicts over multiple treatment episodes was studied involving 993 addicts in a quasi-experimental design. Observed behavioral changes and longitudinal self-reports indicate stabilizing, but not cumulative, effects. (SLD)