Client and counselor attitudes toward the use of medications for treatment of opioid dependence.
Journal of substance abuse treatment March 1, 2007 Traci Rieckmann, Marilyn Daley, Bret E Fuller et al. 75 citations
In a survey of 376 counselors and 1,083 clients from outpatient, methadone, and residential drug treatment programs, attitudes, perceived social norms, and intentions regarding four medications for opiate dependence—methadone, buprenorphine, clonidine, and ibogaine—varied by treatment setting. Methadone clients and counselors held more positive attitudes toward methadone, while those in residential and outpatient settings rated it neutrally or negatively. Buprenorphine received relatively neutral assessments across all settings. Clonidine and ibogaine were viewed negatively by both groups everywhere. Perceived social norms, particularly beliefs about peers' views, strongly influenced intentions to use medications, suggesting peer perceptions play a critical role in medication adoption for opiate dependence.