Staff attitudes and retention of patients in methadone maintenance programs
A study was made of the effect of staff commitment to abstinence-oriented policies on retention of patients in methadone maintenance. Staff working in six public methadone programs in Sydney, Australia, were surveyed in 1989 and 1992 using the Abstinence Orientation Scale. The association of the cli...
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Veröffentlicht in: | Drug and alcohol dependence 1998-09, Vol.52 (1), p.57-61 |
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creator | Caplehorn, John R.M Lumley, Thomas S Irwig, Les |
description | A study was made of the effect of staff commitment to abstinence-oriented policies on retention of patients in methadone maintenance. Staff working in six public methadone programs in Sydney, Australia, were surveyed in 1989 and 1992 using the Abstinence Orientation Scale. The association of the clinics' median Abstinence Orientation scores with the time in treatment of a random sample of their 1988–1989 admissions was summarised using Cox regression. Patients' risk of discharge increased by a factor of three with every one unit increase in the clinics' median Abstinence Orientation scores, (RR 3.4, 95% CI 2.3–5.0). Abstinence-oriented policies were shown to disadvantage ex-prisoners. |
doi_str_mv | 10.1016/S0376-8716(98)00047-7 |
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Staff working in six public methadone programs in Sydney, Australia, were surveyed in 1989 and 1992 using the Abstinence Orientation Scale. The association of the clinics' median Abstinence Orientation scores with the time in treatment of a random sample of their 1988–1989 admissions was summarised using Cox regression. Patients' risk of discharge increased by a factor of three with every one unit increase in the clinics' median Abstinence Orientation scores, (RR 3.4, 95% CI 2.3–5.0). 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Staff working in six public methadone programs in Sydney, Australia, were surveyed in 1989 and 1992 using the Abstinence Orientation Scale. The association of the clinics' median Abstinence Orientation scores with the time in treatment of a random sample of their 1988–1989 admissions was summarised using Cox regression. Patients' risk of discharge increased by a factor of three with every one unit increase in the clinics' median Abstinence Orientation scores, (RR 3.4, 95% CI 2.3–5.0). Abstinence-oriented policies were shown to disadvantage ex-prisoners.</description><subject>Adult</subject><subject>Attitudes</subject><subject>Attitudinal scales</subject><subject>Biological and medical sciences</subject><subject>Drug addiction</subject><subject>Drug addictions</subject><subject>Female</subject><subject>Heroin</subject><subject>Heroin addicts</subject><subject>Heroin Dependence - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Methadone maintenance</subject><subject>Narcotics - therapeutic use</subject><subject>Opiates</subject><subject>Patient Compliance</subject><subject>Prisoners - psychology</subject><subject>Retention</subject><subject>Staff</subject><subject>Survival analysis</subject><subject>Time Factors</subject><subject>Toxicology</subject><subject>Treatment</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkEtLLDEQRoMo3vHxE4QsLqKL1ko_kvRKRHyh4EJdh-qk2pvLdPeYZAT_vdEZZuuqKOpU1cdh7EjAmQAhz5-hUrLQSsiTVp8CQK0KtcVmQqu2yJ3cZrMN8oftxfg_QyBb2GW7rdIaQM3Yw3PCvueYkk9LR5Hj6HigRGPy08inni8w-dxF7kc-UPqHbhqJD-jHDOFoiS_C9BZwiAdsp8d5pMN13WevN9cvV3fF49Pt_dXlY2HrElLRKCQBJKq6FD12jqwkW7WVbDrbdNqhq6AmQW2ppXMAGsqmLiV2fQ5fC6j22fHqbn78vqSYzOCjpfkcR5qW0TSqrspGtxlsVqANU4yBerMIfsDwaQSYb4nmR6L5NmRabX4kGpX3jtYPlt1AbrO1tpbnf9dzjBbnfcgafNxgZQ0gRJWxixVGWcaHp2CizSotOR_IJuMm_0uQL3OCjj8</recordid><startdate>19980901</startdate><enddate>19980901</enddate><creator>Caplehorn, John R.M</creator><creator>Lumley, Thomas S</creator><creator>Irwig, Les</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope></search><sort><creationdate>19980901</creationdate><title>Staff attitudes and retention of patients in methadone maintenance programs</title><author>Caplehorn, John R.M ; Lumley, Thomas S ; Irwig, Les</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-57ae10e13421fabdec6ec39365bc5b8dad304e1e9286dd008025426abf0694103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Attitudes</topic><topic>Attitudinal scales</topic><topic>Biological and medical sciences</topic><topic>Drug addiction</topic><topic>Drug addictions</topic><topic>Female</topic><topic>Heroin</topic><topic>Heroin addicts</topic><topic>Heroin Dependence - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methadone</topic><topic>Methadone - therapeutic use</topic><topic>Methadone maintenance</topic><topic>Narcotics - therapeutic use</topic><topic>Opiates</topic><topic>Patient Compliance</topic><topic>Prisoners - psychology</topic><topic>Retention</topic><topic>Staff</topic><topic>Survival analysis</topic><topic>Time Factors</topic><topic>Toxicology</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caplehorn, John R.M</creatorcontrib><creatorcontrib>Lumley, Thomas S</creatorcontrib><creatorcontrib>Irwig, Les</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caplehorn, John R.M</au><au>Lumley, Thomas S</au><au>Irwig, Les</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Staff attitudes and retention of patients in methadone maintenance programs</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>1998-09-01</date><risdate>1998</risdate><volume>52</volume><issue>1</issue><spage>57</spage><epage>61</epage><pages>57-61</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><coden>DADEDV</coden><abstract>A study was made of the effect of staff commitment to abstinence-oriented policies on retention of patients in methadone maintenance. Staff working in six public methadone programs in Sydney, Australia, were surveyed in 1989 and 1992 using the Abstinence Orientation Scale. The association of the clinics' median Abstinence Orientation scores with the time in treatment of a random sample of their 1988–1989 admissions was summarised using Cox regression. Patients' risk of discharge increased by a factor of three with every one unit increase in the clinics' median Abstinence Orientation scores, (RR 3.4, 95% CI 2.3–5.0). Abstinence-oriented policies were shown to disadvantage ex-prisoners.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>9788007</pmid><doi>10.1016/S0376-8716(98)00047-7</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Attitudes Attitudinal scales Biological and medical sciences Drug addiction Drug addictions Female Heroin Heroin addicts Heroin Dependence - rehabilitation Humans Male Medical sciences Methadone Methadone - therapeutic use Methadone maintenance Narcotics - therapeutic use Opiates Patient Compliance Prisoners - psychology Retention Staff Survival analysis Time Factors Toxicology Treatment |
title | Staff attitudes and retention of patients in methadone maintenance programs |
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