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

来源：

EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY | 2002年 / 10卷 / 03期

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

页码：228 / 240

页数：13

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
Crowther, RE
Marshall, M
Bond, GR
Huxley, P
[J]. 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)
Etheridge, RM
Hubbard, RL
Anderson, J
Craddock, SG
Flynn, PM
[J]. 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
Griffith, JD
Rowan-Szal, GA
Roark, RR
Simpson, DD
[J]. 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
Higgins, ST
Wong, CJ
Badger, GJ
Ogden, DEH
Dantona, DL
[J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2000, 68 (01) : 64 - 72

← 1 2 3 4 →