Data from the nationwide Treatment Outcome Prospective Study were anal
yzed to develop strategies for increasing patient retention in methado
ne programs. The sample comprised 351 daily or weekly heroin users who
were admitted to 17 publicly funded methadone programs and completed
intake, one month in treatment, and one-year follow-up questionnaires.
The analysis suggests three strategies for increasing patient retenti
on providing more high-quality social services, making programs more e
asily accessible, and individualizing treatment. The analysis also ide
ntifies characteristics of patients and programs to which these strate
gies should be targeted to increase patient retention in methadone pro
grams.