TY - JOUR
T1 - Direct care workers in the National Drug Abuse Treatment Clinical Trials Network
T2 - Characteristics, opinions, and beliefs
AU - McCarty, Dennis
AU - Fuller, Bret E.
AU - Arfken, Cynthia
AU - Miller, Michael
AU - Nunes, Edward V.
AU - Edmundson, Eldon
AU - Copersino, Marc
AU - Floyd, Anthony
AU - Forman, Robert
AU - Laws, Reesa
AU - Magruder, Kathy M.
AU - Oyama, Mark
AU - Prather, Kristi
AU - Sindelar, Jody
AU - Wendt, William W.
PY - 2007/2
Y1 - 2007/2
N2 - 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 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 managers-supervisors, and 511 medical staff (71% of eligible participants) suggested that the variables that most were most consistently associated with 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.
AB - 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 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 managers-supervisors, and 511 medical staff (71% of eligible participants) suggested that the variables that most were most consistently associated with 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.
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U2 - 10.1176/ps.2007.58.2.181
DO - 10.1176/ps.2007.58.2.181
M3 - Article
C2 - 17287373
AN - SCOPUS:33847408768
SN - 1075-2730
VL - 58
SP - 181
EP - 190
JO - Psychiatric Services
JF - Psychiatric Services
IS - 2
ER -