Increasing retention of African-American women on welfare in outpatient substance user treatment using low-magnitude incentives.
Contingency management (CM) has been found to be effective in increasing treatment retention in various outpatient substance user treatment populations; however, the costs of established CM protocols often exceed the financial resources of community-based, nonprofit treatment programs. The results of the present study provide initial evidence that a low-magnitude contingency management protocol can be effective in increasing both treatment attendance and completion rates in a sample of 54 urban, African-American, substance-using women on welfare, without creating undue financial or logistical burden on the treatment agency. The study's limitations and future research are noted.
Bride
Brian E
BE
University of Georgia, School of Social Work, Athens, Georgia 30606, USA. bbride@uga.edu
Humble
Michael N
MN
D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D000553:Ambulatory Care / Q000379:methods* / Q000706:statistics & numerical data; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D009042:Motivation; D010352:Patient Dropouts; D011632:Public Assistance / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D012946:Social Welfare / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers / Q000191:economics / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000191:economics / Q000523:psychology / Q000628:therapy*; D014040:Token Economy; D016896:Treatment Outcome; D014481:United States; D014505:Urban Population; D016387:Women's Health