OBJECTIVES: To identify barriers and facilitators to treatment of opioid dependence in primary care clinics. METHODS: In-depth interviews with 27 New York State clinic directors. RESULTS: Stigmatizing attitudes emerged as a major barrier. Respondents often viewed opioid-dependent persons as manipulative, demanding, and disruptive. Commonly cited facilitators were physician training, increased office staffing, and greater mental health, social services, and addictions support. CONCLUSIONS: Our study reveals attitudinal barriers to address and supportive factors to promote in order to increase the limited availability of office-based treatment of opioid dependence in the United States compared with other countries.
OBJECTIVES: To identify barriers and facilitators to treatment of opioid dependence in primary care clinics. METHODS: In-depth interviews with 27 New York State clinic directors. RESULTS: Stigmatizing attitudes emerged as a major barrier. Respondents often viewed opioid-dependent persons as manipulative, demanding, and disruptive. Commonly cited facilitators were physician training, increased office staffing, and greater mental health, social services, and addictions support. CONCLUSIONS: Our study reveals attitudinal barriers to address and supportive factors to promote in order to increase the limited availability of office-based treatment of opioid dependence in the United States compared with other countries.
Authors: Declan T Barry; Kevin S Irwin; Emlyn S Jones; William C Becker; Jeanette M Tetrault; Lynn E Sullivan; Helena Hansen; Patrick G O'Connor; Richard S Schottenfeld; David A Fiellin Journal: J Gen Intern Med Date: 2008-12-17 Impact factor: 5.128
Authors: Alexander C Tsai; Mathew V Kiang; Michael L Barnett; Leo Beletsky; Katherine M Keyes; Emma E McGinty; Laramie R Smith; Steffanie A Strathdee; Sarah E Wakeman; Atheendar S Venkataramani Journal: PLoS Med Date: 2019-11-26 Impact factor: 11.069
Authors: Nicola R Jones; Suzanne Nielsen; Michael Farrell; Robert Ali; Anthony Gill; Sarah Larney; Louisa Degenhardt Journal: Drug Alcohol Depend Date: 2020-12-19 Impact factor: 4.492