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Public Health - Publications

Reduction in crime by drug users on a methadone maintenance therapy programme in New Zealand.

Ian Sheerin, Terri Green, Douglas Sellman, Simon Adamson, and Daryle Deering
New Zealand Medical Journal 117 (1190) 492-501, 2004.

Abstract:

Aim:
The study aimed to estimate changes in drug use, crime, imprisonment and societal costs among a sample of Maori and non-Maori injecting drug users (IDUs) on a methadone maintenance therapy (MMT) programme in Christchurch, New Zealand.

Methods:
Fifty-one non-Maori and 34 Maori IDUs were interviewed to obtain a self-reported history of drug use, crime, imprisonment, and effects on personal health. Information was obtained on drug use and crime before starting MMT and also after stabilisation on MMT. Follow-up interviews were conducted 18 months (mean) after the first interview.

Results:
Considerable reductions in the frequency of crime occurred—with 60% of participants reporting they committed crimes every day before MMT, compared with only 1% at interview. Large reductions were reported in both expenditure on illicit drugs and income from illegal activities. Reductions in opioid use and crime were similar for both Maori and non-Maori. A significant minority of participants reported continuing some form of crime while on MMT; 29% reported committing at least one offence during the week prior to interview.

Conclusions:
MMT is associated with a large reduction in the costs of crime and imprisonment among IDUs. This reduction in crime is similar for both Maori and non-Maori.

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