Contingency contracting with monetary reinforcers for abstinence from multiple drugs in a methadone program

Positive monetary contingencies for treating opioid dependence complicated by other drug use were examined. Participants (N = 102) entered 6-month methadone transition treatment (MTT) and were randomized into experimental conditions: 51 entered MTT with contingency contracts using monetary reinforce...

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Bibliographic Details
Published inExperimental and clinical psychopharmacology Vol. 7; no. 4; p. 399
Main Authors Piotrowski, N A, Tusel, D J, Sees, K L, Reilly, P M, Banys, P, Meek, P, Hall, S M
Format Journal Article
LanguageEnglish
Published United States 01.11.1999
Subjects
Adolescent
Adult
Aged
Analgesics, Opioid - therapeutic use
Female
Humans
Interviews as Topic
Male
Methadone - therapeutic use
Middle Aged
Reward
Social Support
Substance Abuse Detection
Substance-Related Disorders - economics
Substance-Related Disorders - rehabilitation
Time Factors
Treatment Outcome
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Summary:Positive monetary contingencies for treating opioid dependence complicated by other drug use were examined. Participants (N = 102) entered 6-month methadone transition treatment (MTT) and were randomized into experimental conditions: 51 entered MTT with contingency contracts using monetary reinforcers and targeting abstinence from illicit drug and alcohol use, and 51 entered MTT without contingency contracts targeting abstinence. Outcomes were evaluated by random urinalysis and breath analysis. After 4 months of treatment, individuals in the contingency condition had longer periods of continuous abstinence (p<.005) and more drug-free tests overall (p<.04). Effects were limited, however, to the contracting period. The authors conclude that contingency contracting using monetary reinforcers may be a useful adjunct for achieving abstinence from multiple drugs of abuse during MTT.
ISSN:1064-1297
DOI:10.1037/1064-1297.7.4.399