Clinicians' impact on the quality of substance use disorder treatment
Abstract
Clinicians' impact on substance use disorder treatment has been much less studied than therapy and patient variables. Yet, in this selective review of literature, a growing body of empirical work on clinicians' impact highlights several key issues that have relevance both to clinical practice and future research. These issues include clinicians' effect on treatment retention and outcome, professional characteristics, recovery status, adherence to protocols, counter-transference, alliance, personality, beliefs about treatment, and professional practice issues. Specific recommendations are offered to help improve the quality of care clinicians provide. In particular, it is suggested that greater accountability for clinicians' performance be balanced with increased support for their very difficult role. Methodological issues in studying clinicians are also addressed.
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Research on therapist qualities has received little attention in the gambling field, despite promising results in the substance use literature.
“Additionally, research on therapist qualities has received little attention in the gambling field (Dowling & Cosic, 2011), despite promising results in the substance use literature (Najavits, Crits-Christoph, & Dierberger, 2000;Vuoristo-Myllys, 2014).”
From Predictors of outcomes of psychological treatments for disordered gambling: A systematic review (2016) · cites this paper as Najavits et al., 2000
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- Authors
- Najavits, L. M., Crits-Christoph, P., & Dierberger, A.
- Affiliations
- Harvard University (US)
- University of Pennsylvania (US)
- McLean Hospital (US)
- Corresponding author
- Najavits, Lisa M
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2000-01-01
- Volume
- 35
- Issue
- 12-14
- Pages
- 2161-2190
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- OpenAlex
- W2160061398
- Cited by
- 97
- References
- 102
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 5 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 1 · 2016: 6 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 10
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Falk Foundation
- National Institutes of Health (5u18da007693-03, 5k02da000400-02)
- National Institute on Alcohol Abuse and Alcoholism
- National Institute on Drug Abuse (K02-DA00400, U18-DA07693, R01DA008631)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- addiction treatment, treatment retention, treatment outcomes, countertransference, therapeutic relationship, medication adherence, clinician support, quality of care
- MeSH terms
- Humans, Outcome and Process Assessment, Health Care, Patient Dropouts, Professional-Patient Relations, Psychotherapy, Quality Assurance, Health Care, Substance-Related Disorders
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