ArticleSubstance use : research and treatment
Trauma-Related Stress and Resilience in a Multistate Sample of Methadone Treatment Staff.
Article in Substance use : research and treatment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
3 citing papers in PubMed.
- Toward a resilient opioid treatment workforce: Clinical supervision, training, and trauma-related functioning in a multistate study.Journal of social work practice in the addictions · 2026Article
- "How are we going to be able to pull that off?": staff perspectives on the early implementation of mobile medication units in New York State.Addiction science & clinical practice · 2026Article
- Multilevel Work Environment Factors and Occupational Well-Being Among APRNs Delivering Opioid Use Disorder Treatment: A Multistate Cross-Sectional Study.Substance use : research and treatmentArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Background: The quality of methadone treatment for opioid use disorder varies across the U.S., affecting patient retention and overdose. Staff stress, trauma exposure, vicarious trauma (VT), burnout, and empowerment are important yet understudied factors that influence workforce well-being and performance. Objectives: This study aimed to characterize trauma-related well-being among staff in a national sample of opioid treatment programs (OTPs) and to explore potential correlates of resilience. Design: A cross-sectional survey was conducted from June to August 2024 with OTP staff from clinics participating in a parent national study. Methods: The survey combined validated instruments and tailored questions to assess work experience, lifetime trauma exposure, trauma and stress-related symptoms, VT, burnout, and multiple dimensions of empowerment. Exploratory factor analysis was used to identify domains of staff well-being. Results: The sample (N = 86) included medical staff, counselors, and non-medical/counseling staff from OTPs across 16 states. Thirteen percent of staff met preliminary criteria for posttraumatic stress disorder, 89.2% reported VT exposure at work, and 63.8% reported moderate to severe VT symptoms. Medical staff reported the highest VT and stress scores. Overall, 19.8% of staff met criteria for burnout, with counselors reporting the highest rates (30%). VT symptoms were positively correlated with burnout among counselors, medical, and other staff ( Conclusion: Staff of OTPs experience high levels of trauma exposure and symptomatology, VT, and burnout, with notable differences by clinic role. Resilience and empowerment domains suggest opportunities to improve staff wellness.
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Registered trials
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