Clinic-based treatment for opioid dependence: A qualitative inquiry

Suzanne McMurphy, Judy Shea, Julia Switzer, Barbara J. Turner

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


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: Stigmatising 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.

Original languageEnglish (US)
Pages (from-to)544-554
Number of pages11
JournalAmerican Journal of Health Behavior
Issue number5
StatePublished - Jan 1 2006


  • Buprenorphine
  • Drug users
  • Opioid dependence
  • Primary care
  • Substance abuse treatment

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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