{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T19:45:50Z","timestamp":1776973550432,"version":"3.51.4"},"reference-count":73,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Research Council Discovery Early Career Researcher Award","award":["DE140101097"],"award-info":[{"award-number":["DE140101097"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issues<\/jats:title><jats:p>Addiction treatment providers\u2019 views about the disease model of addiction (DMA), and their contemporary views about the brain disease model of addiction (BDMA), remain an understudied area. We systematically reviewed treatment providers\u2019 attitudes about the DMA\/BDMA, examined factors associated with positive or negative attitudes and assessed their views on the potential clinical impact of both models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Approach<\/jats:title><jats:p>Pubmed, EMBASE, PsycINFO, CINAHL Plus and Sociological Abstracts were systematically searched. Original papers on treatment providers\u2019 views about the DMA\/BDMA and its clinical impact were included. Studies focussing on tobacco, behavioural addictions or non\u2010Western populations were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Findings<\/jats:title><jats:p>The 34 included studies were predominantly quantitative and conducted in the USA. Among mixed findings of treatment providers\u2019 support for the DMA, strong validity studies indicated treatment providers supported the disease concept and moral, free\u2010will or social models simultaneously. Support for the DMA was positively associated with treatment providers\u2019 age, year of qualification, certification status, religious beliefs, being in recovery and Alcoholics Anonymous attendance. Greater education was negatively associated with DMA support. Treatment providers identified potential positive (e.g. reduced stigma) and negative (e.g. increased sense of helplessness) impacts of the DMA on client behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications\/Conclusion<\/jats:title><jats:p>The review suggests treatment providers may endorse disease and other models while strategically deploying the DMA for presumed therapeutic benefits. Varying DMA support across workforces indicated service users may experience multiple and potentially contradictory explanations of addiction. Future policy development will benefit by considering how treatment providers adopt disease concepts in practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12632","type":"journal-article","created":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T07:38:42Z","timestamp":1513237122000},"page":"697-720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":79,"title":["Drug and alcohol treatment providers\u2019 views about the disease model of addiction and its impact on clinical practice: A systematic review"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2804-4585","authenticated-orcid":false,"given":"Anthony I.","family":"Barnett","sequence":"first","affiliation":[{"name":"Brain and Mental Health Laboratory, School of Psychological Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne","family":"Hall","sequence":"additional","affiliation":[{"name":"Centre for Youth Substance Abuse Research The University of Queensland  Brisbane Australia"},{"name":"National Addiction Centre, Institute of Psychiatry Psychology and Neuroscience, Kings College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig L.","family":"Fry","sequence":"additional","affiliation":[{"name":"Centre for Cultural Diversity and Wellbeing, College of Arts Victoria University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ella","family":"Dilkes\u2010Frayne","sequence":"additional","affiliation":[{"name":"Brain and Mental Health Laboratory, School of Psychological Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Carter","sequence":"additional","affiliation":[{"name":"Brain and Mental Health Laboratory, School of Psychological Sciences Monash University  Melbourne Australia"},{"name":"University of Queensland Centre of Clinical Research, University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.278.5335.45"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.8.1401"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1511480"},{"key":"e_1_2_8_5_1","unstructured":"American Society of Addiction Medicine. 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