Attitudes and beliefs of staff working in methadone maintenance clinics.

Two attitudinal scales measuring commitment to abstinence-oriented treatment policies and disapproval of illicit drug use were derived from a survey of 90 staff working in 10 public methadone maintenance clinics in Sydney, Australia. The two scales were shown to be valid constructs by confirmatory factor analysis and to be internally reliable and to have high test-retest reliability. The factors underlying the two scales were highly correlated (r = .77), indicating support for policies that enforce abstinence and limit the duration of maintenance is highly associated with personal disapproval of drug use. There was no significant correlation between staff's knowledge of the benefits of methadone maintenance and their support for abstinence-oriented policies.

[1]  J. Caplehorn,et al.  Methadone maintenance and addicts' risk of fatal heroin overdose. , 1996, Substance use & misuse.

[2]  P. Selwyn,et al.  Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use. , 1995, American journal of public health.

[3]  M. Ross,et al.  Methadone maintenance and the likelihood of risky needle-sharing. , 1995, The International journal of the addictions.

[4]  J. Caplehorn.  A comparison of abstinence-oriented and indefinite methadone maintenance treatment. , 1994, The International journal of the addictions.

[5]  J. Caplehorn,et al.  Retention in methadone maintenance and heroin addicts' risk of death. , 1994, Addiction.

[6]  A. Wodak,et al.  Detected heroin use in an Australian methadone maintenance program. , 1993, Journal of substance abuse treatment.

[7]  M. Stitzer,et al.  Dose-Response Effects of Methadone in the Treatment of Opioid Dependence , 1993, Annals of Internal Medicine.

[8]  Jimmy D Bell,et al.  Methadone dose and heroin use during maintenance treatment. , 1993, Addiction.

[9]  O. Cameron,et al.  Differences between smokers and never-smokers in sensitivity to nicotine: a preliminary report. , 1993, Addiction.

[10]  D. Kleinbaum,et al.  Clinic policy and retention in methadone maintenance. , 1993, The International journal of the addictions.

[11]  S. Magura.  Variations in methadone treatment practices. , 1992, JAMA.

[12]  R. Batey,et al.  Methadone Maintenance in Australia , 1992 .

[13]  J. Jaffe,et al.  A controlled trial of buprenorphine treatment for opioid dependence. , 1992, JAMA.

[14]  T. Vaughn,et al.  Variations in methadone treatment practices. Results from a national study. , 1992, JAMA.

[15]  R. Newman.  What's so special about methadone maintenance? , 1991, Drug and alcohol review.

[16]  Alan Ross,et al.  The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome , 1991 .

[17]  J. Bell,et al.  Methadone dosage and retention of patients maintenance treatment , 1991, The Medical journal of Australia.

[18]  R. Gerlach,et al.  Abstinence and acceptance? The problematic relationship between the German abstinence paradigm, low-threshold oriented drug work, and methadone. , 1991, Drug and alcohol review.

[19]  D. Gerstein,et al.  Treating drug problems. , 1990, The New England journal of medicine.

[20]  Gerstein Dr,et al.  Treating drug problems. Volume 1: a study of the evolution, effectiveness and financing of public and private drug treatment options , 1990 .

[21]  H. Stein.  In what systems do alcohol/chemical addictions make sense? Clinical ideologies and practices as cultural metaphors. , 1990, Social science & medicine.

[22]  R. P. McDonald,et al.  Structural Equations with Latent Variables , 1989 .

[23]  M. Kirton,et al.  Cognitive climate and organizations , 1988 .

[24]  J. Sorensen,et al.  Tapering from methadone maintenance: attitudes of clients and staff. , 1988, Journal of substance abuse treatment.

[25]  C Loehlin John,et al.  Latent variable models: an introduction to factor, path, and structural analysis , 1986 .

[26]  T. Veach,et al.  The substance abuse attitude survey: an instrument for measuring attitudes. , 1985, Journal of studies on alcohol.

[27]  M. Weissman,et al.  Short-term interpersonal psychotherapy in methadone-maintained opiate addicts. , 1983, Archives of general psychiatry.

[28]  Harrison G. Gough,et al.  The adjective check list manual , 1983 .

[29]  P. Sutker,et al.  Addict descriptions of therapeutic community, multimodality, and methadone maintenance treatment clients and staff. , 1978, Journal of consulting and clinical psychology.

[30]  J. F. Maddux,et al.  Driving records before and during methadone maintenance. , 1977, The American journal of drug and alcohol abuse.

[31]  C. Klett,et al.  Methadyl acetate and methadone as maintenance treatments for heroin addicts. A veterans administration cooperative study. , 1976, Archives of general psychiatry.

[32]  M. Schweitzer,et al.  An epidemiologic evaluation of long-term methadone maintenance treatment for heroin addiction. , 1974, American journal of epidemiology.

[33]  B. Brown,et al.  Staff attitudes and conflict regarding the use of methadone in the treatment of heroin addiction. , 1974, The American journal of psychiatry.

[34]  P. Sutker,et al.  Addict attitudes toward methadone maintenance: a preliminary report. , 1974, The International journal of the addictions.

[35]  C. Haertzen,et al.  Methadone--a reevaluation. , 1973, Archives of general psychiatry.

[36]  J. Bynner,et al.  Drug addicts as perceived by hospital staff. , 1972, The British journal of social and clinical psychology.

[37]  J. Bartko.  The Intraclass Correlation Coefficient as a Measure of Reliability , 1966, Psychological reports.

[38]  L. Cronbach.  Coefficient alpha and the internal structure of tests , 1951 .