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                  <text>7:101

r.r-

[I'm-ran

T3SB~618

April 12th. 1913
Alan Bunny.

91.13.

,

Modicnl Consultant.
Clinic-.1 Drug Studies

Center for Studies of

Rational Institute
5600

timers um.

Rockdllc,

at

Section.

and Drug Abuse,
WileHaiti),
mm

Maryland 20852.
gag

ﬁlm-124;:

Dar Doctor Runny.
Enclosed

is the quarterly report

tin Joint {annuity-VA

due Max-ah 31w.

for

drug dependant» treatment facility.
We have been heartcned by the pram-en 1n the
acuity than
months and the hupm advice of visitors from
put few
in
local and national syncing. I trait this

hapm.

awry

Sincerely yours ,

ﬂak.
m
Profusor of

H.129.

159/13
Em: 0

thiutry

�STATE UNIVERSITY OF NEW YORK AT STONY BROOK

HEALTH SCIENCES CENTER
_

School of Medicine
Stony Brook, N. Y. 11790
Phone: 516-444-2413

Department of Psychiatry

w.

u*wu~—"

#7.,

,..,,.E...,.

Quart erlLRenor-t - 'DDTC

V-oam.

Department of Psychigizry,

§UNY

_ ,,____._

atiS’ico‘ny Brook»
_

and

Vétéfans AdminiStration Hospital, Northpdrt, N.Y.

January 1, 1973 to March 31, 1973

h Prepared

by

Max

Fink,,M.D.

_

-a-

V‘

- _..,. 7,-

�l.

Program
Admission of drug dependent patients to the inpatient unit

remains at 19 during the quarter; with an outpatient census increasing

fron.6 to

11

in

March.

Of

these patients, 19-21 have been sustained

on methadone and h on cyclazocine.
The

introduction of cyclazocine in

hesitation by the staff

and new

December was met by some

were inducted slowly.

patients

We

introduced heroin challenges in January, and defined blockade to
25 mg heroin at 2h hours in subjects at h.0 and h.5 mg cyclazocine.
Late in 1972

"

disorders of thought
opiate dependence.

we

that

became concerned

some

and mood which complicated

During the quarter,

these patients and found that

we

patients exhibited

the problem of

paid Special attention to

combined drug therapy was
necessary

in five inpatients receiving methadone,

who were

given antipsychotic (3)

and antidepressant (2) adjuvants.
The

rehabilitation

was improved with continued

efforts at

assisting the veteran_adjust to the problems of a declining industrial

activity in Suffolk
welfare programs.

County, and inadeouate local housing and social
We

introduced a model

home

living unit in which the

veterans are encouraged to solve the daily problems of self—maintenance
and home care.
From a

methadone

technical point of view,

tablets ("biscuits")

we

discontinued the use of

and introduced

liquid formulations of

methadone (and cyclazocine). Drugs are prepared by the pharmacy in

individual, patient-labelled, dated bottles.

�.2. Administration
The program was
Don

established in July, 1972, with Dr. Alexander

as the unit director. For personal reasons, he reduced his

attendance to two half sessions a week in September. Early in March,
Donald Swanson, M.B.B.Ch. was appointed as unit leader (see curriculum

vitae).
~w~rs¢~
—--—.~..

....w-———.—

‘

Institutional approval

Z-alpha—acetylmethadol

stabilized
we

we

was Obtained

(LAAM).

on methadone and who

plan to_transfer

DDTC

“”“M”

‘

"“'

'

,

them

have been

facility

LAAM

for the introductionmof_mw~‘~~

outpatients

who have
“a"-4..

been

-

attend the clinic three times
in lateﬂﬁpril.

'

'

M

a week,
'

””w”;

notified that the renovation contract of the

approved

3. Staffing of the

to

For

““““v-_*~”*

last

summer

willphe undertaken in

May.

DDTC

With the appointment of Dr. Swanson, the unit now

is served

by: Phisiciané’-”1T?WFTE;WNu£éé§“Z”6.7'FTE;“Nursing“Assiétaﬁ£"L~7.o
FTE;‘Recreational and Occupational Therapy - 5.3 FTE; Social Worker and Secretary

- 1. Consultant staffing is

h

half days each

week.

_"“”"‘”

l;

�E
E

-3—

b

For the period January 1

E

E

.
E

V

E -_

_

E

\

E

~

’

E

March 31, 1973:
9313;.

_

E

-

'

"lib.-

Admissions

SE

7

Detoxified

1

5

-—-

Inpatients

20

19

we

Outpatients

5

6

s“---

Methadone

Cyclazocine

.

\

1_9

22

“3

h

1

O

E

Drug

E

E

A

E

E

E

L"

.

,_.A,_

__

.-..........._._..

.

free

’1

�</text>
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              <text>Correspondence to: Crook, Thomas </text>
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              <text>mfp-05-00-027-1-105</text>
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              <text>1973 </text>
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              <text>&lt;a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank"&gt;Fink, Max, 1923-&lt;/a&gt;</text>
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            <elementText elementTextId="56213">
              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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