Top manager effects on buprenorphine adoption in outpatient substance abuse treatment programs.
To examine the influence of top managers' characteristics on the adoption of buprenorphine for opioid dependence among U.S. outpatient substance abuse treatment units, this investigation analyzed a cross-sectional national study of 547 such units in the 2004-2005 wave of the Drug Abuse Treatment Sys...
| Publicado en: | Journal of Behavioral Health Services & Research Vol. 37; no. 3; pp. 322 - 338 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jul2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105036783&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105036783 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10943412 2WS jtl: Journal of Behavioral Health Services & Research issn: 10943412 maglogo: N pubinfo: dt: Jul2010 vid: 37 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105036783 NLM19296223 2010694568 10.1007/s11414-009-9169-z NLM19296223 PMC3682405 105036783 ppf: 322 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Top manager effects on buprenorphine adoption in outpatient substance abuse treatment programs. aug: au: Friedmann PD Jiang L Alexander JA Friedmann, Peter D Jiang, Lan Alexander, Jeffrey A affil: Center on Systems, Outcomes & Quality in Chronic Disease & Rehabilitation (SOQCR), Research Service, Providence Veterans Affairs Medical Center and Alpert Medical School of Brown University, Providence, RI, USA sug: subj: Buprenorphine Therapeutic Use Leadership Substance Use Disorders Drug Therapy Substance Use Rehabilitation Programs Administration Adult Age Factors Cross Sectional Studies Female Human Prospective Studies Male Narcotic Antagonists Therapeutic Use Program Evaluation Sex Factors United States Adult: 19-44 years Female Male ab: To examine the influence of top managers' characteristics on the adoption of buprenorphine for opioid dependence among U.S. outpatient substance abuse treatment units, this investigation analyzed a cross-sectional national study of 547 such units in the 2004-2005 wave of the Drug Abuse Treatment System Survey. Administrators reported their demographics, training, and treatment orientation, as well as features of the unit and its pattern of use of buprenorphine. Nationally, 15.8% of programs offered any buprenorphine services. Greater adoption of buprenorphine correlated with directors' younger age, longer tenure, male gender, and weaker endorsement of abstinence as the most important treatment goal. Availability of naltrexone and medical services also correlated positively with buprenorphine adoption. The authors conclude that leaders' characteristics are related to the adoption of innovative practices in addiction treatment programs. Future work should examine whether leadership development for community addiction programs might speed up the diffusion of buprenorphine and other innovative, evidence-based practices. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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