Strained patient-provider relationship, unmotivated workforce, financial constraints, and stigma
Multiple challenges in integrating mental health care within Vietnam’s methadone clinics
Bibliographic Data
| ID | 15414573 |
|---|---|
| Authors | Nguyễn Thu Trang (0000-0002-6164-6329, Hanoi Medical University, corresponding author), Nguyen Huu Anh (Hanoi Medical University), Han Dinh Hoe (Hanoi Medical University), Dinh Thi Thanh Thuy (Hanoi Medical University), Le Minh Giang (0000-0003-2385-5362), Giang Minh Le (0000-0003-3370-4453, Hanoi Medical University), Lê Sao (Hai Phong University), Duong Thi Huong (0009-0006-8894-4437, Faculty of Public Health), Hoang Thi Giang (0000-0003-1448-669X, Faculty of Public Health), Philippe Trouiller (0000-0002-4068-8351, Université Paris-Saclay), Laura Michel (0000-0002-2000-7838, Université Paris-Saclay) |
| Year | 2025 |
| Pages | 1-21 |
| Publication date | 2025-06-18 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Ethnicity in Substance Abuse (JOURNAL) |
| Journal identifiers | ISSN: 1533-2640 • E-ISSN: 1533-2659 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/15332640.2025.2513484 |
| PMID | 40528699 |
| OpenAlex | W4411429645 |
| Language | EN |
| Citations received | 2 |
| References cited | 63 |
This study examined current mental health practices in methadone treatment in Vietnam. We conducted 23 interviews with participants with methadone experiences ( n = 12), methadone physicians ( n = 6), counselors ( n = 5), and one focus group with family members. Mental health issues were primarily identified through casual observation, on-site support was limited, and referrals to psychiatric care were rarely pursued. Four factors shaped this situation: (1) a strained patient-provider relationship; (2) an inadequately trained, unstable, unmotivated workforce; (3) participants' financial constraints; and (4) mental health stigma and misconception. Addressing system-level factors to enforce treatment guidelines and improve provider working conditions is critical to improving care quality
Business · Casual · Family medicine · Focus group · Mental health · Methadone · Political science · Psychiatry · Stigma (botany · Workforce · HIV, Drug Use, Sexual Risk · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Substance Abuse Treatment and Outcomes
The Lancet Commission on ending stigma and discrimination in mental health
Global patterns of opioid use and dependence
Fostering implementation of health services research findings into practice
Barriers to Healthcare for People Who Inject Drugs
Challenges of methadone maintenance treatment decentralisation from Vietnamese primary care providers' perspectives
Stigma as a barrier to integrated substance use and HIV care in Vietnam
Mental health stigma and health-seeking behaviors amongst pregnant women in Vietnam
Psychological Distress Among Methadone Maintenance Patients in Vietnamese Mountainous Areas
Struggling to achieve a ‘normal life’
The chronotope of the queue
Mental Illness Stigma, Help Seeking, and Public Health Programs
Methadone as Social Control
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |