Omid Massah - Substance Abuse and Dependence Research Center, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran
Mohammad Effatpanah - Department of Medicine, School of Medicine, Ziaeian Hospital, International Campus, Tehran University of Medical Sciences, Tehran, Iran.
Sara Shishehgar - Faculty of Health, University of Technology Sydney, Sydney, Australia.

Objectives: Methamphetamine (MA) dependence is a new health problem among Iranian female methadone patients. In recent years, the Matrix Model (a sixteen-week psychosocial treatment) has been provided for treating MA dependence. However, the problems associated with this treatment in methadone services are not clear. Methods: A qualitative study was conducted to explore the problems associated with providing the Matrix Model in methadone clinics. Overall, ۴۲ women were individually interviewed in ۱۲ methadone clinics in Tehran in October ۲۰۱۵. All clinics provided the Matrix Model for MA dependence. Ten health professionals were also interviewed in three roundtable meetings. Data were analyzed using Atlas-ti software (version ۹) based on the Grounded Theory of Strauss and Corbin. Results: The mean age of the women was ۳۴ years old. All of them were MA-dependent on the methadone programme. The most important theme was that the Matrix Model was able to manage MA craving and relapse among women in methadone treatment services. However, the Matrix Model was long, expensive and needed intensive staff training. Furthermore, the coverage of the treatment was inadequate. Conducting brief psychosocial treatments was suggested to reduce these problems. Discussion: The results indicated that the Matrix Model is effective for treating MA dependence. However, the long length of the treatment, lack of cost-effectiveness, and intensive staff training are significant problems associated with providing MA treatment. Further studies are suggested to evaluate the role of brief interventions in reducing these problems in methadone treatment services.

Methamphetamine, Methadone, Matrix Model, Treatment