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Published on: June 26, 2014
Alcohol use reduction program in methadone maintained individuals with hepatitis C virus infection
Adeline Nyamathi1, Viviane de Castro, Donna McNeese-Smith
1University of California, Los Angeles, School of Nursing, Los Angeles, California, USA. anyamath@sonnet.ucla.edu
Methadone-maintained clients face barriers to alcohol abuse treatment, including provider insensitivity. Engaging them requires motivational strategies and support to reduce alcohol use.
Area of Science:
- Addiction Medicine
- Behavioral Health
- Public Health
Background:
- Methadone maintenance is a key treatment for opioid use disorder.
- Co-occurring alcohol abuse presents significant challenges for this population.
- Effective engagement strategies are crucial for successful treatment outcomes.
Purpose of the Study:
- To identify personal and social barriers faced by methadone-maintained clients seeking alcohol abuse treatment.
- To explore strategies for engaging these clients in treatment programs.
- To understand factors facilitating or hindering treatment seeking and adherence.
Main Methods:
- Qualitative research design.
- Semi-structured focus groups conducted with 41 methadone-maintained clients in Los Angeles.
- Content analysis of recorded and transcribed sessions.
Main Results:
- Healthcare provider attitudes, knowledge, and sensitivity are critical for client engagement.
- Facilitators include incentives and various forms of support (emotional, financial, material).
- Barriers include lack of provider knowledge and insensitivity regarding resource acquisition.
- Personal motivation is a key attribute for successful behavioral change.
Conclusions:
- Motivational enhancement strategies by healthcare providers can improve engagement.
- Comprehensive support systems are vital for successful alcohol reduction in methadone-maintained clients.
- Addressing provider knowledge gaps and insensitivity is essential for effective treatment.
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