ABSTRACT

To find Connie, you had to be an early bird. Her day actually started around 3 a.m. When the methadone would begin to wear off and she would awaken, restless, uncomfortable, and yearning for relief. She bounced back and forth between methadone maintenance programs, unable to keep up with the policies of any one for very long. When Connie was not seen for several days, we knew she had once again succumbed to a binge and could be found either in a local emergency unit or a jail. Occasionally she would call in response to a note left on her door or with a neighbor, but usually she waited in her apartment for one of us to find her. Not once did she call to complain or request crisis intervention. However, she knew we would come.