The temporary agency industry has experienced substantial growth in the past two decades. Although there is research on the quality of Australian agency work, most studies have emphasized economic disparities in outcomes for workers. Representative quantitative research using large-scale Australian data on non-economic outcomes, such as job satisfaction, has been scant. Using a nationally representative sample of Australian workers, I examine the extent to which temporary agency workers are satisfied with their jobs and the differences in the satisfaction of agency and permanent workers. I find that agency workers report lower levels of job satisfaction and that job security, control over the duration of work and autonomy are important mediating mechanisms. They are also less satisfied with the work itself, hours worked and their job security. I also find that women are more satisfied with temporary work than men and explore why. I end with implications for organizations and future research.

Mismatches between the number of hours people actually work and the hours they prefer to work are common, but few studies have examined such hour mismatches from a longitudinal perspective. Using two waves of panel data from Australia, the authors offer a new, dynamic picture of hour mismatches. Their analysis shows a fluid labor market in which many mismatches are created and resolved. Nevertheless, their findings also highlight market imperfections. Many mismatches (especially the desire for fewer hours) appear to persist for more than a year, and although a change of employers can resolve mismatches, it can also create them. Moreover, as seen in the findings, processes that create and resolve mismatches are more closely tied to changes in preferred hours than to changes in actual hours.

This article helps integrate research on work hours and work—family issues by examining how work—family conflict is related to the desire for more and fewer hours of work. Using the first wave of the Household Income and Labor Dynamics in Australia survey, we find that work-to-family conflict is associated with a desire for fewer hours of work. Family-to-work conflict, however, is only weakly associated with desired work hour changes, and we find some evidence that it makes women want to increase the number of hours they work. We also find evidence of moderating effects: Work-to-family conflict is more likely to make women want fewer hours when they have preschool children. We conclude that many working parents see work hour reductions as a way to cope with work—family conflict but that people prefer different coping strategies depending on their gender and family situation.

While the implementation of evidence-based practices (EBPs) in the treatment of substance use disorders (SUD) has attracted substantial research attention, little consideration has been given to parallel implementation of complementary and alternative medical (CAM) practices. Using data from a nationally representative sample (N = 299) of U.S. substance abuse treatment programs, this study modeled organizational factors falling in the domains of patient characteristics, treatment ideologies, and structural characteristics, associated with the use of art therapy and music therapy. We found that 36.8% of treatment programs offered art therapy and 14.7% of programs offered music therapy. Programs with a greater proportion of women were more likely to use both therapies, and programs with larger proportions of adolescents were more likely to offer music therapy. In terms of other treatment ideologies, programs’ use of Motivational Enhancement Therapy (MET) was positively related to offering art therapy, while use of Contingency Management (CM) was positively associated with offering music therapy. Finally, our findings showed a significant relationship between requiring 12-step meetings and the use of both art therapy and music therapy. With increasing use of CAM in a diverse range of medical settings, and recent federal legislation likely to reduce barriers in accessing CAM, the inclusion of CAM in addiction treatment is growing in importance. Our findings suggest treatment programs may be utilizing art and music therapies to address unique patient needs of women and adolescents.

Background While previous research has added to the understanding of rural residents’ unique health challenges, much remains to be learned about the provision of substance use disorder (SUD) treatment in rural areas. A key question is difference in structural resources and quality of care between rural and urban treatment centers. Objective To examine differences in treatment quality in rural and urban centers and to determine if differences in treatment quality are contextualized by centers’ structural resources. Methods Utilizing combined data from two representative samples of SUD treatment centers (N=591), we used a series of multivariate regressions to analyze the association between center rurality and various indicators of structural characteristics and treatment quality. Interaction effects were further examined between structural characteristics and treatment quality indicators. Results We found that structural and quality differences between rural and urban treatment centers were present. Rural centers had reduced access to highly educated counselors, were more likely to be nonprofit, dependent on public funding, offered fewer wraparound services, and had less diverse specialized treatment options. Our results also indicated that rural centers were less likely to prescribe buprenorphine as part of their treatment but were more likely to employ nursing staff and offer specialized treatment for adolescents. Rural center access to a physician contextualized the association between center rurality and the more limited provision of wraparound services. Conclusion Our findings suggest that treatment quality differs between urban and rural centers in complex ways that are subject to resource availability.

Despite research demonstrating its effectiveness, use of contingency management (CM) in substance use disorder treatment has been limited. Given the vital role that counselors play as arbiters in the use of therapies, examination of their attitudes can provide insight into how further use of CM might be effectively promoted. In this paper, we examine 731 counselors' attitudes toward the effectiveness and acceptability of CM in treatment, as well as their specific attitudes toward both unspecified and tangible incentives for treatment attendance and abstinence. Compared to cognitive behavioral therapy, motivational interviewing, and community reinforcement approach, counselors rated CM as the least effective and least acceptable psychosocial intervention. Exposure through the use of CM in a counselor's employing organization was positively associated with perceptions of acceptability, agreement that incentives have a positive effect on the client–counselor relationship, and endorsement of tangible incentives for abstinence. Endorsement of tangible incentives for treatment attendance was significantly greater among counselors with more years in the treatment field, and counselors who held at least a master's degree. Counselors' adaptability or openness to innovations was also positively associated with attitudes toward CM. Further, female counselors and counsellors with a greater 12-step philosophy were less likely to endorse the use of incentives. A highlight of our study is that it offers the first specific assessment of the impact of “Promoting Awareness of Motivational Incentives” (PAMI), a Web-based tool based on findings of CM protocols tested within the Clinical Trials Network (CTN), on counselors employed outside the CTN. We found that 10% of counselors had accessed PAMI, and those who had accessed PAMI were more likely to report a higher degree of perceived effectiveness of CM than those who had not. This study lays the groundwork for vital research on the impact of multiple Web-based educational strategies. Given the barriers to CM adoption, identifying predictors of positive attitudes among counselors can help diffuse CM into routine clinical practice.

Background Methadone and buprenorphine have been demonstrated to be effective in the treatment of opioid use disorder (OUD), especially when combined with psychosocial treatment. Despite buprenorphine’s association with fewer withdrawal symptoms and lessened risk of abuse, compared to methadone, its adoption remains limited. Given the vital role that counselors may play in its successful implementation, their knowledge and perceptions of opioid agonist therapy may be facilitators or barriers to its acceptance. Methods Informed by diffusion theory, the current study examined perceptions of buprenorphine and methadone acceptability among 725 counselors employed in a nationally representative sample of substance use disorder treatment centers. First, we provided descriptive statistics about medication diffusion, extent of training received about the medications, and perceptions of acceptability of each medication. Then, we compared acceptability of opioid agonists with other treatment approaches for OUD. Finally, we conducted two ordinary least squares regressions to examine counselor acceptability of buprenorphine and of methadone. Results Descriptive statistics suggested that diffusion of information about buprenorphine and methadone was not complete, and training was not extensive for either medication. Counselors reported greater acceptability and training of buprenorphine compared to methadone. Methadone was rated as the least acceptable among all other treatment approaches. Multivariate analyses indicated regional differences, and that medication-specific training, adaptability, and educational attainment were positively related with perceptions of acceptability of either medication, even after controlling for organizational characteristics. Adherence to a 12-step orientation was negatively associated with acceptability. Conclusions Dissemination of information about opioid agonist therapy is occurring. Nevertheless, the fact that 20% of counselors admitted not knowing enough about either buprenorphine’s or methadone’s effectiveness is surprising in light of the extensive literature documenting their effectiveness. Future research should focus upon different types of training that can inform physicians, counselors and patients about the use of opioid agonist therapy.

Mismatches between Americans' actual and preferred hours of paid work are common, but the understanding of such mismatches is still limited. In this article, the authors provide the first large-scale, longitudinal study of hour mismatches in the United States. They found that the population of workers with hour mismatches is in constant flux. Nevertheless, hour mismatches seem to persist for long periods of time: The vast majority of respondents who wanted fewer hours when first interviewed still wanted fewer hours 5 years later. The authors also found inequalities in the methods through which people develop and resolve mismatches. Women who want fewer hours were less likely than men to resolve their mismatches by working less. Also, they found evidence suggesting that non-Whites who want fewer hours may be settling for the hours they can get rather than getting the hours they want.