Abstract
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 language | English (US) |
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Pages (from-to) | 544-554 |
Number of pages | 11 |
Journal | American Journal of Health Behavior |
Volume | 30 |
Issue number | 5 |
DOIs | |
State | Published - Jan 1 2006 |
Keywords
- 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