Contingency management for attendance to group substance abuse treatment administered by clinicians in community clinics.
Contingency management (CM) is effective in enhancing retention in therapy. After an 8-week baseline, four community-based substance abuse treatment clinics were exposed in random order to 16 weeks of standard care with CM followed by 16 weeks of standard care without CM or vice versa. In total, 75 outpatients participated. Patients who were enrolled in the clinics when the CM treatment phase was in effect attended a significantly greater percentage of therapy sessions than patients who were enrolled in treatment when CM was not in effect. This study is one of the first to investigate CM in community settings implemented entirely by community clinicians, and results suggest that CM is effective in improving therapy attendance.
Ledgerwood
David M
DM
University of Connecticut Health Center, 263 Farmington Avenue, Farmington, Connecticut 06030, USA.
Alessi
Sheila M
SM
Hanson
Tressa
T
Godley
Mark D
MD
Petry
Nancy M
NM
D000328:Adult; D000437:Alcoholism / Q000534:rehabilitation*; D003156:Community Mental Health Services; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology*; D010352:Patient Dropouts / Q000523:psychology; D011615:Psychotherapy, Group; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D014040:Token Economy