http://exhibits.library.stonybrook.edu/mfp/files/original/be14ff306c58093bf5920e6b62fcc522.pdf b9281d5107e308d2a6d46b259bc31463 PDF Text Text To: Alfred 980%: Max SUBJECT: Description of the The M. Fink, Frocdman, M.D. DATE: Gctober 17, 1969 H.D. York Hodlcal Colloge-Mbtropolltan Hospital Addiction Pregrams. as requested by Mr. C. a. King, 10/14/69. Now addiction treatmmnt and rosuarch programs at Metropolitan Hospital have teen in operation since 1966. Many modcs of therapy have been assassad, and the most successful has been the “pharmacologlc rehabilitation“ approach. substances that In thtse, the subjects art treated with telltva opiate hunger or prevent opiate dependence, and are concurrantly continutd in an intensivc aftercare system to assist the davelopment of thair educational, family and job potentials. The engagement of the subjoct by the gharmacologic. approach has lmprcved the success of the rehabilitation tachnlqua alone. Qua problem has bean and this is to dav310p morn a goal of our programs. we affective antagonists have studied mtthadone, tybasatc, cyclazocine and naloxone - and now contraphenaxina - to datarnine the best method ané turatlon of action. To of administration, their safety, assess their efficacy, we havc JaveIOpad and are the principal proponents of 'hcroin challengas' as a tool of research and of therapy. The present emphasis delivery of naloxono and is of have shown tho most promise. on the devalopmont of improved methadone - tho two compounds which �7 r. “WV—w n.q,.... "L..._._w,...._.,».~.—. ,1 Wyn -m»—._w.n~,wm-m—uw ,,V. W The work was dono for many but since January 1969 has boon up . . M... fl... _ out’pationt facilities linitntions, no have your: .V—mm"- w; , v— ','r'n~wwwmw‘iww floor. 15A Bocausc of restricteé the in-pntiont staff program 20-22 beds; but expanded the outwpationt progrsm subjects. The duration of may-w and the ”.mw’nwvmvmnv 60~80 v—v on words 123 and 15A restricted to on the 15th -.— to to includo in-pntiont care is 1-3 months; szv w—u "tw out-patient, indefinito. We are now trying to wean a fow qt” Jamar-"m?“ ”v.- pationts we who have boon with u: morn than 3 years. To do so are dovoloping a special combinod drug therapy which toquires some nursing cooperation as well as medical supervision. our program admit: approximately one patient each day, and has a waiting The list principal l. of 60-100 at any time. forms of therapy and a comoon sequence is: withdrawal and detoxification using decreasing amounts of methadone; 2. Social service evaluation; group therapy; 3. Educational evaluation and introduction to v retraining; -,- r "rur‘ -— Wm n < wresaswv" 4. Medical evaluation and therapy of medical conditions; 5. Induction on antagonists (metfiaéono, cyclazocine, naloxono); navy-tau- 6. Heroin challenges; 7. Aftorcaro, with the appropriate thoropy: rehabilitation, group therapy, social casework, and phornacological monitoring. �1 ml “7".“ ,__ ,y-uv— m-w my"- vuwwl'fl-ivrrwvwx _‘ "u:r.v'T“'!‘--v-errl" -—:——mw~;—-_ ——-m‘ - ._————- 1.....— Wflvw—mu— In response to suggestions for the immediate future, I would emphasize that no therapy has been tested to warrant general and sufficiently indiscriminate application. despite the severity of the problem. The dengere of each approach are poorly understood and any mandatory program (especially if carrieé out lalty) will provide by untrained the basis for more harm than good. Efforts at developing better pfiermeeologic agents, the trial of storefront. non-hoepitalcentered units for delivery of antagonists, special oducetionel unite in the especlally 1n the schools and the health centers to involve the users in the treatmont programs, and better community, general medical care of the addicted are that are logical now. A of the steps broad scale methadone-rehabilitation program should be available to project some all who volunteer. One would be the development of a long-acting neloxone. ee potentially the most useful pharmacologic tool at From the point of View of the report, we would be labelled as: Experimental-research: 60% Care and therepy: 40% Fink, M.D. Professor of Psychiatry Mex MP:kp specific this time. best � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Freedman, Alfred M. Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-023-5-470 Date A point or period of time associated with an event in the lifecycle of the resource 1969 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence