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Methadone Maintenance Therapy: A Case Study

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Methadone maintenance therapy (MMT) or Methadone Replacement Therapy (MRT) is one of the “Harm Reduction” programme established by the Ministry of Health Malaysia in October 2005 for opioid abusers or patients who developed opioid dependence. Methadone can be administrated on an outpatient programme at numerous government hospitals and clinics. Methadone is prescribed by a qualified and well-trained physician when the patient presented himself at the clinic, and the dosage of methadone will be determined and hence dispensed by a pharmacist. The patient has to strictly follow and adhere to the treatment regime. A few places where MMT is accessible include tertiary government hospital, health clinic, general practitioners, national anti-drug agency (AADK) and prisons.

Methadone has been included on the World …show more content…

Firstly, physicians are needed to prescribe methadone. Before the prescription, assessment should be conducted by a medical doctor to ensure that the patient is eligible to undergo MMT. Treatment outline and treatment reviews should also be part of a doctor’s job. Besides, nurses are needed to in charge of the methadone dispensing and look after its consumption. Nurses also involved in treatment reviews and preparing reports to the physician. Moreover, counsellors are also essential in assisting medical staff of the treatment programme. They provide general counselling on the matter of contention of patients and responsible for inspirational interviewing with patients to encourage them to reduce illegal drug use. They also administer pre- and post-test counselling for patients pursuing HIV test or other infectious diseases test. Despite not crucial, psychologists and social workers also assist patients in MMT. Psychologists aid patients experiencing co-morbid mental disorder and psychiatric complications such as anxiety, depression or post-traumatic stress

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