Paraprofessional versus professional drug counselors: The progress of clients in treatment

Leona S. Aiken, Leonard A. Losciuto, Mary Ann Ausetts, Barry S. Brown

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


The progress in treatment of 302 methadone maintenance and drug-free outpatient clients was examined as a function of the background of their 82 counselors. Counselors were either ex-addict paraprofessionals (EXAs), non-ex-addict paraprofessionals (NEAs), or degreed professional counselors (PROs). Client progress was assessed in five areas: drug use, criminality, educational activities, employment, and life quality. In the first four areas, status at treatment entry contrasted with that at two subsequent measurement points: the first interview and a 4-month follow-up. In no area of evaluation were outcomes substantially more favorable for clients of one counselor group over another. It was concluded that the three counselor groups were equally effective.

Original languageEnglish (US)
Pages (from-to)383-401
Number of pages19
JournalSubstance Use and Misuse
Issue number4
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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