A. Marudinaite. The evaluation of metadone maintenance treatment program process in Lithuania: Master Thesis // supervisor prof. Žilvinas Padaiga; Department of Social Medicine, Kaunas University of Medicine. – Kaunas, 2005 – 59 p. Objective: To evaluate methadone maintenance treatment program process in Lithuania. Methods: The analysis was based on instruments developed or adapted by the World Health Organization (WHO): Treatment services review, Checklist for Service Description, Checklist on service quality, Staff attitude and Satisfaction Questionnaire, Schedules for the Assessment of Standards of Care, and Treatment Perception Questionnaire. 50 patients from Vilnius, 20 from Kaunas and 30 from Klaipeda Centers for Addictive Disorders have been questioned, as well as focus groups, comprised of program personnel, patients, external experts, and community representatives. Results: the literature review revealed the factors influencing the process of methadone maintenance treatment (MMT) program: quantity and quality of services; consultations of psychologists to both patients, their relatives and social workers, as well as medical help; adequate methadone dose (it is usually 60 – 100 mg/day); take home privileges, which improve patients motivation; control urine tests, which deter patients from drug usage. The MMT in Lithuania review indicates that treatment accessibility for drug users is very limited geographically. MMT is run only in five largest Lithuanian cities:... [to full text]