Measuring and comparing the attitudes and beliefs of staff working in New York methadone maintenance clinics.

Scales measuring commitment to abstinence-oriented policies, attitudes to drug addiction, and knowledge of methadone maintenance were refined and tested in a survey of staff working in 14 New York maintenance programs. Confirmatory factor analysis established the validity of a 9-item Abstinence Orientation Scale and a 6-item Disapproval of Drug Use Scale. Scores on the two scales and Knowledge scores were highly correlated. There were highly significant differences in the mean Abstinence Orientation scores of the administrative and better qualified clinical staff on the one hand and the less qualified staff on the other. Senior staff generally rejected abstinence-oriented policies while nurses and counselors tended to support them.

[1]  L. Irwig,et al.  Attitudes and beliefs of staff working in methadone maintenance clinics. , 1996, Substance use & misuse.

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

[3]  P. Stolley,et al.  Human immunodeficiency virus seroconversion among intravenous drug users in- and out-of-treatment: an 18-month prospective follow-up. , 1993, Journal of acquired immune deficiency syndromes.

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

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

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

[7]  L. Brown,et al.  Human immunodeficiency virus infection in a cohort of intravenous drug users in New York City. Demographic, behavioral, and clinical features. , 1989, New York state journal of medicine.

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

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

[10]  D. Kleinbaum,et al.  Applied Regression Analysis and Other Multivariate Methods , 1978 .

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

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

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

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

[15]  L. Irwig,et al.  Physicians' attitudes and retention of patients in their methadone maintenance programs. , 1996, Substance use & misuse.

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

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

[18]  W. Hall,et al.  Key issues in methadone maintenance treatment , 1992 .

[19]  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.

[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 .