ChinaChao Rong 1,2, *, Hai-Feng Jiang three , Rui-Wen Zhang 4 , Li-Juan Zhang four , Jian-Chen Zhang five , Jing

Conclusions: Using the detoxification drugs combined with proper psychological counseling and social support measures will aid increase the effectiveness of relapse prevention, which is a type of option neighborhood detoxification pattern. Suitable and normal title= rstb.2014.0252 psychological counseling is very important for anti-drug therapy. Public Overall health 2016, 13, 177; doi:ten.3390/ijerph13020177 www.mdpi.com/journal/ijerphInt.ChinaChao Rong 1,2, *, Hai-Feng Jiang three , Rui-Wen Zhang 4 , Li-Juan Zhang four , Jian-Chen Zhang 5 , Jing Zhang six and Xue-Shan Feng 1,1 two three four 5 6*School of Public Well being, Fudan University, Shanghai 200032, China; xsfeng@shmu.edu.cn School of Humanities and Social Sciences, Zhejiang Chinese Healthcare University, Hangzhou 310053, China Shanghai Mental Well being Center, Shanghai 200030, China; rcnj2008@163.com Technological and Industrial Promotion Center of Regular Chinese Medicine, Shanghai 201203, China; guanlishui@126.com (R.-W.Z.); zhanglj@biopham.sh.cn (L.-J.Z.) Drug Control Office, Shanghai 200129, China; zhangjc88@sina.com The Council of Shanghai Ziqiang Social Solutions, Shanghai 200030, China; isurevictory@163.com Key Laboratory of Public Overall health Security, Ministry title= journal.pone.0073519 of Education, Shanghai 200032, China Correspondence: 12111020023@fudan.edu.cn; Tel.: +86-571-8661-Academic Editors: Amie Hayley and Joris Cornelis Verster Received: 30 November 2015; Accepted: 25 January 2016; Published: 28 JanuaryAbstract: Background: Several countries such as China are facing a critical opiate dependence problem. Anti-drug operate effectiveness was impacted by the high relapse rate around the globe. This study aims to analyze the elements influencing heroin addict relapse, and to provide proof for producing relapse prevention strategies. Strategies: A community-based follow-up study was carried out in China involving October 2010 and September 2012. A total of 554 heroin addicts in accordance using the inclusion criteria from 81 streets in 12 districts of Shanghai, China had been divided into four groups: group 1--daily dosage taken orally of 60 mL of methadone or below combined with psychological counseling and social supports (n = 130); group 2--daily dosage taken orally of more than 60 mL of methadone combined with psychological counseling and social supports (n = 50); group 3--JTT (Jitai tablets) combined with psychological counseling and social supports (n = 206); group 4--JTT combined with social supports (n = 168). Outcomes: Log-rank test benefits showed that the cumulative relapse rate variations among four groups during the two-year follow-up period weren't statistically substantial (two = 5.889, p = 0.117). Multivariate Cox regression evaluation benefits showed that only 3 independent variables have been still statistically considerable, which includes compliance with participation in psychological counseling (OR = three.563, p = 0.000), the years of drug use (OR = 1.078, p = 0.001)and intervention model. Conclusions: Applying the detoxification medicines combined with appropriate psychological counseling and social help measures will assistance boost the effectiveness of relapse prevention, that is a sort of alternative neighborhood detoxification pattern. Proper and normal title= rstb.2014.0252 psychological counseling is extremely crucial for anti-drug therapy. The longer the drug addiction lasts, the longer the anti-drug treatment takes. Keywords and phrases: community-based drug remedy; methadone; Jitai tablets; psychological counseling; follow-up study1. Introduction Numerous countries are facing a critical difficulty with opiate dependence. In accordance with a report title= 2750858.2807526 by the United Nations Office on Drugs and Crime (UNODC) in the Chinese Ministry of Public Live kidney donation. A plea for the laparoscopic approach (PhD Thesis Security in 2014, worldwide drug trafficking has involved greater than 170 nations and regions with an annual drugInt. J. Environ. Res. Public Well being 2016, 13, 177; doi:ten.3390/ijerph13020177 www.mdpi.com/journal/ijerphInt. J. Environ. Res.