Table 1. Comparison of topics covered by the National Methadone Maintenance Treatment Training Centre for the training of methadone maintenance treatment (MMT) providers and their trainers, before and since 2008.
Topic | Before 2008 | Since 2008 |
---|---|---|
For MMT providers | ||
An overview of MMT | Yes | Yes |
Diagnosis of heroin dependence | Yes | Yes |
Treatment of heroin dependence | Yes | Yes |
Behavioural and psychological characteristics of people dependent on heroin | Yes | Yes |
Overdose prevention | Yes | Yes |
Policy support for and administration of MMT programme | Yes | Yes |
Pathology of opioid dependence | Yes | Yes |
Pharmacology of methadone | Yes | Yes |
Key points for MMT education and skills needed | Yes | Yes |
Prevention of HIV infection | Yes | Yes |
Counselling skills | No | Yes |
Motivational interviewing skills | No | Yes |
Management of poly-drug abuse | No | Yes |
Management of common mental health problems | No | Yes |
Reproductive health needs among female patients | No | Yes |
Methadone dosage, compliance and retention | No | Yes |
Meaning of a positive urine test in an MMT patient | No | Yes |
Prevention of hepatitis C virus infection | No | Yes |
For trainers of MMT providers | ||
Role and responsibility of substance abuse counsellor | No | Yes |
Drug dependence counselling procedure | No | Yes |
Substance abuse assessment and counselling | No | Yes |
Motivational interviewing | No | Yes |
High-risk situation management | No | Yes |
Goal-setting | No | Yes |
Refusal skills | No | Yes |
Coping with craving for drug | No | Yes |
Lapse and relapse prevention and therapy | No | Yes |
Management of overdose and poisoning | No | Yes |
Time, stress and anger management | No | Yes |
Conflict resolution | No | Yes |
Strengthening familial support | No | Yes |
Prevention of HIV and hepatitis C virus infection | No | Yes |
Working with young people and with women | No | Yes |
Harm reduction | No | Yes |
Supervision and support | No | Yes |
Burnout prevention | No | Yes |
HIV, human immunodeficiency virus.