Abstract
Luty (2005, this issue) performs a valuable service by directing attention to the new guidelines from the National Treatment Agency. He explains clearly why he thinks these guidelines are wrong. I was a member of the expert advisory group that produced the guidelines, and will therefore attempt to defend them (my arguments do not necessarily reflect the views of all members of the group).
Highlights
Luty (2005, this issue) performs a valuable service by directing attention to the new guidelines from the National Treatment Agency
The first priority for purchasers must be to ensure that standard treatments are delivered effectively, and with short waiting times
With the proportion reporting income from illicit sources reducing from 69% to 10%
Summary
Luty (2005, this issue) performs a valuable service by directing attention to the new guidelines from the National Treatment Agency. There is strong evidence for its effectiveness in retaining patients in treatment, reducing illicit opioid use and imprisonment, and preventing HIV infection (Ward et al, 1998). The Swiss health system already offered high-quality treatment for dependent heroin users but still many were not in contact with drug services or had tried them and failed.
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