Prize reinforcement contingency management for cocaine dependence: integration with group therapy in a methadone clinic.
In this study, the authors evaluated a low-cost contingency management (CM) procedure for reducing cocaine use and enhancing group therapy attendance in 77 cocaine-dependent methadone patients. Patients were randomly assigned to 12 weeks of standard treatment or standard treatment with CM, in which patients earned the opportunity to win prizes ranging from $1 to $100 for submitting cocainenegative samples and attending therapy. Patients in the CM condition submitted more cocaine-negative samples and attended more groups than patients in standard treatment. The best predictor of cocaine abstinence at follow-up was duration of abstinence during treatment. On average, patients in the CM condition earned $117 in prizes. Data from this study suggest that some aspects of reinforcement can be implemented in group therapy in community-based clinics.
Petry
Nancy M
NM
Department of Psychiatry, University of Connecticut Health Center, Farmington, CT 06030-3944, USA. petry@psychiatry.uchc.edu
Martin
Bonnie
B
Simcic
Francis
F
D000328:Adult; D000553:Ambulatory Care; D001363:Awards and Prizes; D019970:Cocaine-Related Disorders / Q000534:rehabilitation* / Q000628:therapy; D003131:Combined Modality Therapy; D019033:Delivery of Health Care, Integrated; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D009294:Narcotics / Q000627:therapeutic use*; D011615:Psychotherapy, Group / Q000379:methods*; D012054:Reinforcement, Psychology
D009294:Narcotics; D008691:Methadone