Development of a program of behavior modification directed to the rehabilitation of drug-dependent patients: treatment and follow-up of 223 cases.
The study reports treatment and follow-up of compulsive drug-consuming patients (mainly of coca paste). The program used was based on a behavioral cognitive and instructional model. The traditional functional analysis was modified to include the therapeutical work in seven behavioral areas: (1) drug use; (2) behavior during free time; (3) behavior at work; (4) social behavior; (5) self- and environmental management behaviors; (6) problem solving and decision-making behaviors; (7) recognition, evaluation, and modification of irrational beliefs. For each area objectives, therapeutical procedures, control and evaluation methods, and termination criteria were determined. Patients engaged in a multiple activity program and received individual and group therapy. Out of 223 male patients, 130 were discharged (that is, they fulfilled all the conditions stated by the program) and 93 patients abandoned treatment. For evaluation purposes a test was used to determine the accomplishment of the behavioral objectives. Follow-up interviews after 6 to 72 months showed that although 24 patients relapsed to drug use, 106 (81.48%) of the patients who had finished the program restrained from using drugs and obtained high scores in all seven behavioral areas.
Navarro
R
R
Drug Dependency Rehabilitation Center, Naña, Peru.
Yupanqui
M
M
Geng
J
J
Valdivia
G
G
Girón
M
M
Rojas
M
M
Rodríguez
E
E
Beletti
A
A
D000293:Adolescent; D000328:Adult; D001348:Aversive Therapy / Q000379:methods; D001521:Behavior Therapy; D003657:Decision Making; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011615:Psychotherapy, Group; D012919:Social Behavior; D019966:Substance-Related Disorders / Q000534:rehabilitation* / Q000628:therapy