Oct 4 12 10:53 PM

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Executive Summary
There are growing calls to shift the acute-care model of addiction treatment to a model of
sustained recovery support analogous to the long-term management of other chronic diseases.
The purpose of this series of papers is to explore what this shift means to the design and delivery
of methadone maintenance (MM) treatment and the status of MM treatment and MM patients in
the United States.
This series has two primary audiences. For addiction treatment professionals and
recovery support specialists who have not worked in methadone maintenance treatment, our
goals are to:

  • provide a primer on the historical evolution and scientific status of MM treatment,
  • explore the controversies surrounding recovery status and methadone maintenance, and
  • enlist readers’ support for a model of recovery-oriented methadone maintenance (ROMM).
For addiction treatment professionals, recovery support specialists, and patients and their
families directly involved with MM treatment, our goals are to:

  • document the dissipation of recovery orientation within the evolution of MM treatment,
  • engage readers’ support to revive and extend such a recovery orientation,
  • discuss MM in the context of recent efforts to define and measure addiction recovery,
  • describe core clinical practices within MM that would change in the shift toward a model of ROMM, and
  • outline strategies to address the professional and social stigma attached to methadone, MM treatment, and MM patients.

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