Journal of Substance Abuse Treatment
Volume 28, Issue 3 , Pages 273-280, April 2005

Adoption of naltrexone to treat alcohol dependence☆

  • Bret E. Fuller, Ph.D.

      Affiliations

    • Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 503 494 6553; fax: +1 503 494 4981.
    • ,
  • Traci Rieckmann, Ph.D.

      Affiliations

    • Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    • ,
  • Dennis McCarty, Ph.D.

      Affiliations

    • Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    • ,
  • Kevin W. Smith, M.A.

      Affiliations

    • Survey Research Center, New England Research Institutes, Watertown, MA 02472, USA
    • ,
  • Helen Levine, Ph.D.

      Affiliations

    • Levine and Associates, Boston, MA, USA

Received 26 March 2004; received in revised form 9 January 2005; accepted 23 February 2005.

Abstract 

Three surveys (1997, 1999, and 2001) of outpatient substance abuse treatment centers in Connecticut, Massachusetts, Rhode Island, Maine, Vermont, and New Hampshire examined organizational characteristics that influenced the adoption of naltrexone. Structural equation modeling with manifest variables assessed predictors related to the use of naltrexone. Use of naltrexone increased over time from 14% in 1997 to 25% in 2001. In 1997, programs funded by managed care were more likely, and clinics that provided only substance abuse services were less likely to use psychiatric medication and naltrexone. In subsequent years, counselor education level and organization size also influenced use of naltrexone.

Keywords: Naltrexone, Alcohol, Evidence-based practices, Innovation

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☆ This research was made possible by a grant from NIAAA (RO1-AA11363).

PII: S0740-5472(05)00043-7

doi:10.1016/j.jsat.2005.02.003

Journal of Substance Abuse Treatment
Volume 28, Issue 3 , Pages 273-280, April 2005

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