Interdependent group contingency management for cocaine-dependent methadone maintenance patients.
Contingency management (CM) for drug abstinence has been applied to individuals independently even when delivered in groups. We developed a group CM intervention in which the behavior of a single, randomly selected, anonymous individual determined reinforcement delivery for the entire group. We also compared contingencies placed only on cocaine abstinence (CA) versus one of four behaviors (CA, treatment attendance, group CM attendance, and methadone compliance) selected randomly at each drawing. Two groups were formed with 22 cocaine-dependent community-based methadone patients and exposed to both CA and multiple behavior (MB) conditions in a reversal design counterbalanced across groups for exposure order. The group CM intervention proved feasible and safe. The MB condition improved group CM meeting attendance relative to the CA condition.
Kirby
Kimberly C
KC
Treatment Research Institute, 600 Public Ledger Building, 150 S. Independence Mall West, Philadelphia, Pennsylvania 19106, USA. kkirby@tresearch.org
Kerwin
Marylouise E
ME
Carpenedo
Carolyn M
CM
Rosenwasser
Beth J
BJ
Gardner
Robert S
RS
D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D002755:Choice Behavior; D019970:Cocaine-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D003156:Community Mental Health Services; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D009042:Motivation; D009294:Narcotics / Q000627:therapeutic use*; D010043:Outcome and Process Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology; D011615:Psychotherapy, Group / Q000379:methods*; D012055:Reinforcement Schedule; D015813:Substance Abuse Detection; D014040:Token Economy
D009294:Narcotics; D008691:Methadone