A reinforcement-based therapeutic workplace for the treatment of drug abuse: Three-year abstinence outcomes

被引:100
作者
Silverman, K [1 ]
Svikis, D [1 ]
Wong, CJ [1 ]
Hampton, J [1 ]
Stitzer, ML [1 ]
Bigelow, GE [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Ctr Learning & Hlth, Baltimore, MD 21224 USA
关键词
D O I
10.1037//1064-1297.10.3.228
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Long-term Therapeutic Workplace effects were evaluated in heroin- and cocaine-dependent, unemployed, treatment-resistant young mothers. Participants were paid to work or to train in the Therapeutic Workplace but had to provide drug-free urine samples to gain daily access. Participants (N = 40) were randomly assigned to a Therapeutic Workplace or usual care control group. Therapeutic Workplace participants could work for 3 years. Relative to controls, Therapeutic Workplace participants increased cocaine (28% vs. 54% negative; p = .04) and opiate (37% vs. 60% negative; p = .05) abstinence on the basis of monthly urine samples collected until 3 years after intake. The Therapeutic Workplace can be an effective long-term treatment of cocaine and heroin addiction in poor and chronically unemployed young mothers.
引用
收藏
页码:228 / 240
页数:13
相关论文
共 37 条
[1]  
[Anonymous], 1999, Motivating Behavior change among illicit drug abusers
[2]  
Bigelow GE., 1999, MOTIVATING BEHAV CHA, P15, DOI [DOI 10.1037/10321-001, 10.1037/10321-001]
[3]  
*CDC, 1992, HIV AIDS SURV REP
[4]  
Cohen J., 1998, Statistical Power Analysis for the Behavioral Sciences, V2nd
[5]   Helping people with severe mental illness to obtain work: systematic review [J].
Crowther, RE ;
Marshall, M ;
Bond, GR ;
Huxley, P .
BMJ-BRITISH MEDICAL JOURNAL, 2001, 322 (7280) :204-208
[6]  
Engelmann S., 1982, Theory of instruction: Principles and applications
[7]   Treatment structure and program services in the Drug Abuse Treatment Outcome Study (DATOS) [J].
Etheridge, RM ;
Hubbard, RL ;
Anderson, J ;
Craddock, SG ;
Flynn, PM .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 1997, 11 (04) :244-260
[8]  
FAVELL JE, 1977, POWER POSITIVE REINF
[9]   Contingency management in outpatient methadone treatment: a meta-analysis [J].
Griffith, JD ;
Rowan-Szal, GA ;
Roark, RR ;
Simpson, DD .
DRUG AND ALCOHOL DEPENDENCE, 2000, 58 (1-2) :55-66
[10]   Contingent reinforcement increases cocaine abstinence during outpatient treatment and 1 year of follow-up [J].
Higgins, ST ;
Wong, CJ ;
Badger, GJ ;
Ogden, DEH ;
Dantona, DL .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2000, 68 (01) :64-72