Heroin addicts in Baltimore who still used drugs heavily despite being on methadone were sent to a special clinic for intensified care reinforced by sanctions and incentives and eventual discharge if still they failed to comply. Tough love perhaps, but does it really make sense to intensify compliance requirements on patients already not complying? Using enhanced and integrated services to improve response to standard methadone treatment: changing the clinical infrastructure of treatment networks.
Neufeld K., Kidorf M., King V. et al.
Journal of Substance Abuse Treatment: 2010, 38, p. 170–177.
Low threshold harm reduction services work – why make it difficult for people who need help? Hard to reach people who are struggling rarely respond positively to intensive monitoring, demands and sanctions
See on findings.org.uk