Physicians' Attitudes and Retention of Patients in Their Methadone Maintenance Programs
A study was undertaken to investigate the influence of methadone prescribes' commitment to abstinence-oriented policies on retention in their maintenance programs. Two hundred and eighty patients recently enrolled in single-person, private methadone programs were interviewed and followed for 8...
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| Veröffentlicht in: | Substance use & misuse 1996-01, Vol.31 (6), p.663-677 |
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| container_issue | 6 |
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| container_title | Substance use & misuse |
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| creator | Caplehorn, John R. M. Irwig, Les Saunders, John B. |
| description | A study was undertaken to investigate the influence of methadone prescribes' commitment to abstinence-oriented policies on retention in their maintenance programs. Two hundred and eighty patients recently enrolled in single-person, private methadone programs were interviewed and followed for 8 years. The prescribing physicians' scores on an Abstinence Orientation Scale, derived from an independent sample of methadone program staff, were significantly associated with their patients' risk of premature discharge. The influence of program orientation on retention was greater the higher the maximum dose of methadone. More attention should be paid to the effect of staff attitudes and beliefs on the effectiveness of maintenance treatment. |
| doi_str_mv | 10.3109/10826089609045833 |
| format | Article |
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More attention should be paid to the effect of staff attitudes and beliefs on the effectiveness of maintenance treatment.</description><identifier>ISSN: 1082-6084</identifier><identifier>EISSN: 1532-2491</identifier><identifier>DOI: 10.3109/10826089609045833</identifier><identifier>PMID: 8816115</identifier><identifier>CODEN: SUMIFL</identifier><language>eng</language><publisher>Colchester: Informa UK Ltd</publisher><subject>Adult ; Attitude of Health Personnel ; Attitudes ; Australia ; Biological and medical sciences ; Doctors ; Factors ; Health Knowledge, Attitudes, Practice ; Health staff related problems. Vocational training ; Heroin Dependence - drug therapy ; Heroin dependence/therapy/rehabilitation ; Humans ; Intravenous drug addicts ; Medical sciences ; Methadone ; Methadone - therapeutic use ; Methadone maintenance ; New South Wales ; Patient Dropouts - psychology ; Physician-Patient Relations ; Private Practice ; Program orientation ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Regression Analysis ; Reproducibility of Results ; Retention ; Social psychiatry. 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M.</creatorcontrib><creatorcontrib>Irwig, Les</creatorcontrib><creatorcontrib>Saunders, John B.</creatorcontrib><title>Physicians' Attitudes and Retention of Patients in Their Methadone Maintenance Programs</title><title>Substance use & misuse</title><addtitle>Subst Use Misuse</addtitle><description>A study was undertaken to investigate the influence of methadone prescribes' commitment to abstinence-oriented policies on retention in their maintenance programs. Two hundred and eighty patients recently enrolled in single-person, private methadone programs were interviewed and followed for 8 years. The prescribing physicians' scores on an Abstinence Orientation Scale, derived from an independent sample of methadone program staff, were significantly associated with their patients' risk of premature discharge. The influence of program orientation on retention was greater the higher the maximum dose of methadone. More attention should be paid to the effect of staff attitudes and beliefs on the effectiveness of maintenance treatment.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Doctors</subject><subject>Factors</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health staff related problems. Vocational training</subject><subject>Heroin Dependence - drug therapy</subject><subject>Heroin dependence/therapy/rehabilitation</subject><subject>Humans</subject><subject>Intravenous drug addicts</subject><subject>Medical sciences</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Methadone maintenance</subject><subject>New South Wales</subject><subject>Patient Dropouts - psychology</subject><subject>Physician-Patient Relations</subject><subject>Private Practice</subject><subject>Program orientation</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>Retention</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Staff attitudes</subject><subject>Surveys and Questionnaires</subject><subject>Survival analysis</subject><subject>Treatment</subject><issn>1082-6084</issn><issn>1532-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kE9rFTEUxYNYav_4AVwIWYiuxiaTTJJBN6VYFVr6kIrL4c7kjpMyk9Qkg7xvb8p7FkTo6uZyfueScwh5xdl7wVl7xpmpFTOtYi2TjRHiGTnijairWrb8eXkXvSqAfEGOU7pjjBsu-CE5NIYrzpsj8mMzbZMbHPj0jp7n7PJqMVHwln7DjD674GkY6QayK1uiztPbCV2k15gnsMEjvQbnCwp-QLqJ4WeEJZ2SgxHmhC_384R8v_x0e_Glurr5_PXi_KoapOK5siAEb7TWOPTM9NL2XNoWR8N7xZTQlmkrjUJtJFgGdS-FLjl7HNVolLbihLzd3b2P4deKKXeLSwPOM3gMa-oaLUXdNKKAfAcOMaQUcezuo1sgbjvOuocyu__KLJ7X--Nrv6B9dOzbK_qbvQ5pgHmMpQKXHrGSrObyAfu4w5wfQ1zgd4iz7TJs5xD_esRTv_jwj31CmPM0QMTuLqzRl3qfyPAHef-hDw</recordid><startdate>19960101</startdate><enddate>19960101</enddate><creator>Caplehorn, John R. M.</creator><creator>Irwig, Les</creator><creator>Saunders, John B.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</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>19960101</creationdate><title>Physicians' Attitudes and Retention of Patients in Their Methadone Maintenance Programs</title><author>Caplehorn, John R. M. ; Irwig, Les ; Saunders, John B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-da3315777ecb08b4db14d9ef81b60637d07d486e784ad0a2b437583bef6f867d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Australia</topic><topic>Biological and medical sciences</topic><topic>Doctors</topic><topic>Factors</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health staff related problems. Vocational training</topic><topic>Heroin Dependence - drug therapy</topic><topic>Heroin dependence/therapy/rehabilitation</topic><topic>Humans</topic><topic>Intravenous drug addicts</topic><topic>Medical sciences</topic><topic>Methadone</topic><topic>Methadone - therapeutic use</topic><topic>Methadone maintenance</topic><topic>New South Wales</topic><topic>Patient Dropouts - psychology</topic><topic>Physician-Patient Relations</topic><topic>Private Practice</topic><topic>Program orientation</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Reproducibility of Results</topic><topic>Retention</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Staff attitudes</topic><topic>Surveys and Questionnaires</topic><topic>Survival analysis</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caplehorn, John R. M.</creatorcontrib><creatorcontrib>Irwig, Les</creatorcontrib><creatorcontrib>Saunders, John B.</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>Substance use & misuse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caplehorn, John R. M.</au><au>Irwig, Les</au><au>Saunders, John B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physicians' Attitudes and Retention of Patients in Their Methadone Maintenance Programs</atitle><jtitle>Substance use & misuse</jtitle><addtitle>Subst Use Misuse</addtitle><date>1996-01-01</date><risdate>1996</risdate><volume>31</volume><issue>6</issue><spage>663</spage><epage>677</epage><pages>663-677</pages><issn>1082-6084</issn><eissn>1532-2491</eissn><coden>SUMIFL</coden><abstract>A study was undertaken to investigate the influence of methadone prescribes' commitment to abstinence-oriented policies on retention in their maintenance programs. Two hundred and eighty patients recently enrolled in single-person, private methadone programs were interviewed and followed for 8 years. The prescribing physicians' scores on an Abstinence Orientation Scale, derived from an independent sample of methadone program staff, were significantly associated with their patients' risk of premature discharge. The influence of program orientation on retention was greater the higher the maximum dose of methadone. More attention should be paid to the effect of staff attitudes and beliefs on the effectiveness of maintenance treatment.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>8816115</pmid><doi>10.3109/10826089609045833</doi><tpages>15</tpages></addata></record> |
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| ispartof | Substance use & misuse, 1996-01, Vol.31 (6), p.663-677 |
| issn | 1082-6084 1532-2491 |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
| subjects | Adult Attitude of Health Personnel Attitudes Australia Biological and medical sciences Doctors Factors Health Knowledge, Attitudes, Practice Health staff related problems. Vocational training Heroin Dependence - drug therapy Heroin dependence/therapy/rehabilitation Humans Intravenous drug addicts Medical sciences Methadone Methadone - therapeutic use Methadone maintenance New South Wales Patient Dropouts - psychology Physician-Patient Relations Private Practice Program orientation Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Reproducibility of Results Retention Social psychiatry. Ethnopsychiatry Staff attitudes Surveys and Questionnaires Survival analysis Treatment |
| title | Physicians' Attitudes and Retention of Patients in Their Methadone Maintenance Programs |
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