Reinforcement-based therapy: 12-month evaluation of an outpatient drug-free treatment for heroin abusers.
نویسندگان
چکیده
This controlled study examined the efficacy of reinforcement-based therapy (RBT) for producing enhanced abstinence outcomes over 12 months in opioid-dependent patients exiting a brief residential detoxification. Patients were randomly assigned upon completing their medically managed taper (i.e., detoxification) to RBT (N=66) or usual care (N=64) referral to community treatment programs. The 6-month RBT program offered an array of abstinence-based incentives including rent payment for recovery housing, program-led recreational activities and skills training for procuring employment. RBT produced significantly higher self-report and urinalysis-confirmed rates of abstinence from opioids and cocaine relative to usual care at 1 (42% versus 15%) and 3 (38% versus 17%) months during treatment but not at 6 or 12 months after enrollment. The RBT but not the usual care group showed significant increases in the number of days worked and the amount of legal income earned at 3, 6 and 12 months. The results of this randomized study suggest that an intensive reinforcement-based therapy that includes abstinence-based recovery housing is a promising approach; however, further research is needed to determine the role of treatment intensity and the specific efficacy of RBT's component parts.
منابع مشابه
The effect of rapid detoxification method with Naltrexone on drug abuse quitting in drug abusers referred to Khorramabad Psychiatric hospital during the first half of the year 2005
Background: About 8 percent of Iranian adult population are illicit drug abusers. Affected persons grow more each day. Ominous consequences such as divorce, prostitution, murder and other crimes and infectious diseases such as AIDS and hepatitis take place following drug abuse, as well as a loss equall to 29% of national income for our country. Traditional treatment methods wasted too much ti...
متن کاملOpioid abstinence reinforcement delays heroin lapse during buprenorphine dose tapering.
A positive reinforcement contingency increased opioid abstinence during outpatient dose tapering (4, 2, then 0 mg/day during Weeks 1 through 3) in non-treatment-seeking heroin-dependent volunteers who had been maintained on buprenorphine (8 mg/day) during an inpatient research protocol. The control group (n=12) received $4.00 for completing assessments at each thrice-weekly visit during dose ta...
متن کاملChanges in Effective Connectivity Network Patterns in Drug Abusers, Treated With Different Methods
Introduction: Various treatment methods for drug abusers will result in different success rates. This is partly due to different neural assumptions and partly due to various rate of relapse in abusers because of different circumstances. Investigating the brain activation networks of treated subjects can reveal the hidden mechanisms of the therapeutic methods. Methods: We studied three groups o...
متن کاملبررسی علل ورود به درمان اقامتی پرهیزمدار یک ماهه در بین درمانجویان مرد مصرفکننده کراک: یک گزارش کوتاه
Background and Objective: One month abstinence-based residential treatment is one of the common drug dependance treatments in Iran but there is a paucity of research on the reasons associated with entring this treatment. To contribute to this understanding, the present preliminary study aimed to explore these reasons. Materials and Methods: This cross-sectional study was conducted on 81 her...
متن کاملساخت و بررسی کارآیی پنج آزمون تصویری ارزیابی ولع مصرف در معتادان مواد افیونی
Objectives: The aim of this study was to provide a visual task for the evaluation of craving in opiate abusers, by implementing visual cues inducing craving. Method: 175 opiate abusers who had presented to the National Center for Addiction Studies in Iran in eleven months of the years 1385 and 1386 participated in the study. The subjects were divided into five groups (heroin injecting, heroin s...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Drug and alcohol dependence
دوره 79 2 شماره
صفحات -
تاریخ انتشار 2005