Methadone and the Shared Care Programme

What is methadone?

It is a synthetic painkiller drug about the same strength as morphine and is most widely used as a treatment substitute for opiate addiction e.g. heroin addiction.

Why use methadone?

The choice of methadone is mostly made because of its long lasting effect, which means it only has to be taken once a day to maintain stability.

What is the Shared Care Programme?

This used to be called the methadone programme. The new name indicates the increased acceptance that working with drug users is a joint venture between medical, social and pharmaceutical services.

How does the programme work?

Research indicates that the two most important factors in a successful methadone programme are that the dose of methadone is adequate and that there is provision of social care. Ideally, social care is provided in GP surgeries by staff from the Social Work Addiction Service.

How long do people stay on methadone?

This can vary, but will usually be not less than two years if real benefits are to be gained - it could be a lot longer. It is important to know that people do not have to come off methadone before they start to improve their lives. People on methadone (even high doses of methadone) can take advantage of the stability and safety provided by the Shared Care Programme and can also attend community rehabilitation services, go to college or enter employment training. They can even have full time jobs.

How do I get on the Shared Care Programme?

Anyone with an opiate drug problem, e.g. using heroin or dihydrocodeine can ask to be assessed for the programme. All Social Work Addiction Services can carry out assessments.

What kind of support does the programme provide?

A wide range of support is available to people on the shared care programme. As well as advice on drug use and harm reduction, support is also available on housing, education and training and employment. For those with dependant children there are dedicated family support workers and for young people on the programme there are dedicated young persons’ workers. Families and carers can also get support from their local Community Addiction Team. 

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