The Value of Clinical Case Management in a Methadone Maintenance Treatment Program
Bibliographic record
Abstract
BACKGROUND/OBJECTIVE: This study sought to determine whether case management was positively associated with improved outcomes and treatment compliance in those enrolled in a methadone maintenance treatment (MMT) program. METHODS: An intervention group (n = 396) received case management while the other group (n = 1308) did not. Total N = 1704. RESULTS: Statistically significant reductions were seen in the intervention group, in the proportion of urine samples positive for drugs of abuse (relative risk reduction = -15.4% (95% confidence interval (CI): -17.7, -13.1)), missed daily methadone doses (-1.9% (95% CI: -2.4, -1.4)), and missed physician appointments (-40.1% (95% CI: -43.7, -36.3)). CONCLUSIONS/SCIENTIFIC SIGNIFICANCE: Case management appears to be a very valuable tool in MMT programs.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".