A national study of the substance abuse treatment workforce

Mulvey, Kevin P.; Hubbard, Susan M.; Hayashi, Susan

doi:10.1016/s0740-5472(02)00322-7

Cited by 69 publications

(63 citation statements)

References 4 publications

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“…Because only 13 out of 58 counties were included in the study, the experience of other counties may not be fully represented. National studies indicate a greater proportion of treatment providers have advanced degrees and are employed as physicians, nurses and social workers (Mulvey, Hubbard, & Hayashi, 2003;McLellan, Carise, & Kleber, 2003) than the providers in the present sample. Consequently, California provider perspectives and use of empirically supported treatments may differ from national samples.…”

Section: Discussionmentioning

confidence: 61%

Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices

Herbeck¹,

Hser²,

Teruya³

2008

Addictive Behaviors

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To better understand the extent that empirically supported and promising substance abuse treatment approaches are implemented in community settings, treatment providers were surveyed regarding their perceptions and use of several psychosocial and pharmacological treatment interventions. Program directors (n=30) and staff members (n=331) from diverse community settings rated the effectiveness and extent of use of various treatment interventions, and provided information on program and workforce characteristics via self-administered questionnaires. On average, program directors and staff rated the psychosocial treatment interventions as effective, with the exception of vouchers/motivational incentives. About half of the treatment providers did not know the effectiveness of certain pharmacological treatments, including buprenorphine and naltrexone. Respondents from the majority of programs (55%-80%) reported using Motivational Enhancement Therapy, Community Reinforcement Approach, and Supportive Expressive Psychotherapy. The extent that programs used several of the treatment interventions was related to organizational training and information resources. The study findings provide important information regarding training and research dissemination efforts.

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Section: Discussionmentioning

confidence: 61%

Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices

Herbeck¹,

Hser²,

Teruya³

2008

Addictive Behaviors

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“…Graduate degrees were more common among counselors and managers; 42% of the total counselor workforce and 53% of the outpatient counselors had a master's or doctoral degree. A national survey of outpatient counselors (13), the National Treatment Center Study (12), and the CSAT survey of counselors and program directors (15) reported similar rates of counselors with graduate degrees and of women in the workforce. The characteristics of the CTN workforce, therefore, seem to be consistent with data from previous assessments of the clinical workforce.…”

Section: Knowledge Attitudes and Beliefsmentioning

confidence: 99%

“…Reported response rates were good (78% of facilities and 81% of practitioners), but respondents were self-selected (14). CSAT also surveyed treatment program directors, clinical supervisors, program counselors, and state directors to assess use of the Treatment Improvement Protocol publications (15); the response rate was strong (80%). Half of the respondents were women (51%), and most (80%) had at least a bachelor's degree.…”

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confidence: 99%

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Direct Care Workers in the National Drug Abuse Treatment Clinical Trials Network: Characteristics, Opinions, and Beliefs

McCarty¹,

Fuller²,

Arfken³

et al. 2007

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Objective-Individuals with direct care responsibilities in 348 drug abuse treatment units were surveyed to obtain a description of the workforce and to assess support for evidence-based therapies.Methods-Surveys were distributed to 112 programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN). Descriptive analyses characterized the workforce. Analyses of covariance tested the effects of job category (counselors, medical staff, managersupervisors, and support staff) on opinions about evidence-based practices and controlled for the effects of education, modality (outpatient or residential), race, and gender.Results-Women made up two-thirds of the CTN workforce. One-third of the workforce had a master's or doctoral degree. Responses from 1,757 counselors, 908 support staff, 522 managerssupervisors, and 511 medical staff (71% of eligible participants) suggested that the variables that most consistently influenced responses were job category (19 of 22 items) and education (20 of 22 items). Managers-supervisors were the most supportive of evidence-based therapies, and support staff were the least supportive. Generally, individuals with graduate degrees had more positive opinions about evidence-based therapies. Support for using medications and contingency management was modest across job categories. Conclusions-The relatively traditional beliefs of support staff could inhibit the introduction of evidence-based practices. Programs initiating changes in therapeutic approaches may benefit from including all employees in change efforts.The National Drug Abuse Treatment Clinical Trials Network (CTN) began in 1999 with support from the National Institute on Drug Abuse. Research centers (currently 17) partner with five or more local alcohol and drug treatment centers (currently almost 150 distinct corporations) to conduct multisite clinical trials that test behavioral, pharmacological, and integrated behavioral and pharmacological treatment interventions in treatment programs with heterogeneous patient populations (1). Successful trials generate evidence of effectiveness and may promote the dissemination and adoption of science-based behavioral and pharmaceutical therapies. The first trials assessed buprenorphine detoxification (2,3), motivational interviewing and motivational enhancement therapy (4), and low-cost incentives for use with patients in methadone and outpatient programs (5,6). Initial results documented the feasibility of collaboration with community drug abuse treatment centers and provided a foundation for expansion and growth.Bridging the gap between practice and research, however, requires more than conducting clinical trials in community settings. Individuals who work in the treatment programs are essential to the introduction, adoption, and sustainability of science-based practices. Unfortunately, there is little current information on the workforce that provides treatment services for substance use disorders and on workers' opinions about the use of evidencebased therapies....

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“…15 An inability to recruit and retain staff in specialist treatment agencies compounds workplace pressures. 16 Recruitment and retention are significant workforce development issues for the AOD field and the broader public health sector. Retention of staff for extended periods of time contributes to stability and consistency in an agency and may lead to better treatment outcomes.…”

Section: Recruiting and Retaining Staffmentioning

confidence: 99%

Alcohol and other drug specialist treatment services and their managers: findings from a national survey

Roche

O’Neill

Wolinski

2004

Australian and New Zealand Journal of Public Health

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A national study of the substance abuse treatment workforce

Cited by 69 publications

References 4 publications

Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices

Empirically supported substance abuse treatment approaches: A survey of treatment providers' perspectives and practices

Direct Care Workers in the National Drug Abuse Treatment Clinical Trials Network: Characteristics, Opinions, and Beliefs

Alcohol and other drug specialist treatment services and their managers: findings from a national survey

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