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Lapse, Relapse and Survival among Opiate Addicts after Treatment: A Prospective Follow-up Study

  • Michael Gossop (a1), Lynette Green (a1), Grania Phillips (a1) and Brendan Bradley (a2)

This paper presents data from the first British prospective study to investigate relapse among opiate addicts after treatment. Eighty subjects were followed up over the six-month period immediately after discharge from treatment and were interviewed on several occasions. Large numbers of subjects used opiates within a very short time after discharge; 71% used them within the first six weeks. However, this first lapse to opiate use did not herald a full-blown relapse to dependent use. There was a gradual increase in the number of abstinent subjects, with 45% abstinent and living in the community at the six-month point. The practical and theoretical implications may be regarded as broadly encouraging.

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Drug Dependence Unit, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent
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Banks, A. & Waller, T. A. N. (1983) Drug Addiction and Polydrug Abuse: the Role of the General Practitioner. London: Institute for the Study of Drug Dependence.
Callahan, E. J. (1980) Alternative strategies in the treatment of narcotic addiction. In The Addictive Behaviours (ed. Miller, W. R.). Oxford, New York: Pergamon.
Chaney, E. F., Roszell, D. K. & Cumminos, C. (1982) Relapse in opiate addicts: a behavioural analysis. Addictive Behaviour, 7, 291297.
Department of Health and Social Security, Medical Working Group on Drug Dependence (1984) Guidelines of Good Clinical Practice in the Treatment of Drug Misuse. London: DHSS.
Einstein, S. (1966) The narcotic's dilemma: who is listening to what? International Journal of the Addictions, 1, 16.
Gordon, A. M. (1983) Drugs and delinquency: a ten year follow-up of drug clinic patients. British Journal of Psychiatry, 142, 169173.
Gossop, M. (1987) Living with Drugs. Aldershot: Wildwood.
Gossop, M., Johns, A. & Green, L. (1986) Opiate withdrawal: in-patient versus outpatient programmes and preferred versus random assignment to treatment. British Medical Journal, 293, 103104.
Gossop, M., Green, L., Phillips, G., et al (1987) What happens to opiate addicts immediately after treatment: a prospective follow-up study. British Medical Journal, 294, 13771380.
Johns, A. & Gossop, M. (1985) Prescribing methadone for the opiate addict: a problem of dosage conversion. Drug & Alcohol Dependence, 16, 6166.
Litman, G. K. (1986) Alcoholism survival: the prevention of relapse. In Treating Addictive Behaviour (eds Miller, W. & Heather, N.). New York: Plenum.
Schur, E. (1963) Narcotic addiction in Britain and America. The Impact of Public Policy. London: Tavistock Publications.
Stimson, G. V., Oppenheimer, E., & Thorley, A. (1978) Seven-year follow-up of heroin addicts: drug use and outcome. British Medical Journal, i, 11901192.
Stimson, G. V. & Oppenheimer, E. (1982) Heroin Addiction: Treatment and Control in Britain. London: Tavistock Publications.
Strang, J., Heathcote, S. & Watson, P. (1987) Habit moderation in injecting drug addicts. Health Trends. 19, 1618.
Thorley, A., Oppenheimer, E. & Stimson, G. V. (1977) Clinic attendance and opiate prescription status of heroin addicts over a six year period. British Journal of Psychiatry, 130, 565569.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Lapse, Relapse and Survival among Opiate Addicts after Treatment: A Prospective Follow-up Study

  • Michael Gossop (a1), Lynette Green (a1), Grania Phillips (a1) and Brendan Bradley (a2)
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