OUTCOME OF CONTINGENCY CONTRACTING FOR ILLICIT DRUG-USE IN A METHADONE-MAINTENANCE PROGRAM

被引：19
作者：
SAXON, AJ [1 ]
CALSYN, DA [1 ]
KIVLAHAN, DR [1 ]
ROSZELL, DK [1 ]
机构：
[1] VET AFFAIRS MED CTR 116 DDTP,SEATTLE,WA 98108
来源：
DRUG AND ALCOHOL DEPENDENCE | 1993年 / 31卷 / 03期
关键词：
CONTINGENCY CONTRACTS; METHADONE MAINTENANCE; ILLICIT DRUG USE; URINE SCREENING;
D O I：
10.1016/0376-8716(93)90002-8
中图分类号：
R194 [卫生标准、卫生检查、医药管理];
学科分类号：
摘要：
This study evaluates the outcome of a mandatory, clinic wide, structured contingency contracting system in a methadone maintenance program. The system involved weekly urine screening and placement on written individualized contracts for any of 106 male patients who displayed illicit drug use. Methadone dose decreases were the penultimate and detoxification and discharge the ultimate contingencies for unremitting drug use. Sixty subjects (56.6%) received contracts and 36 (35%) eventually left treatment. The contracts did not decrease the overall number of positive urines for the contract subjects, but opiate use did decrease significantly for subjects on more stringent contracts.
引用
收藏
页码：205 / 214
页数：10
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