Paraprofessional versus professional drug counselors: Diverse routes to the same role

Leona S. Aiken, Leonard A. Losciuto, Mary Annausetts, Barry S. Brown

Research output: Contribution to journalArticle

33 Scopus citations


The backgrounds and roles of ex-addict (EXA) and non-ex-addict (NEA) paraprofessional methadone maintenance and drug-free outpatient counselors were contrasted with those of degreed professional counselors (PRO). There was no evidence of differential assignment of clients to counselors based on drug use, drug treatment, criminal, educational, and employment histories. The three counselor groups were remarkably similar in their participation in 11 areas of job activities ranging from counseling duties per se through administrative support functions. The only reliable difference was the greater involvement of EXAs in counseling and community education activities which took them outside the program.

Original languageEnglish (US)
Pages (from-to)153-173
Number of pages21
JournalSubstance Use and Misuse
Issue number2
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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