Medication take-home as a reinforcer in a methadone maintenance program

Stitzer, Maxine L.; Bigelow, George E.; Lawrence, Charles; Cohen, Jonah; D'Lugoff, Burton C.; Hawthorne, James W.

doi:10.1016/0306-4603(77)90003-x

Cited by 74 publications

(30 citation statements)

References 6 publications

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“…Behavioral reinforcement procedures have been used with a variety of other drug abuse treatment strategies to improve attendance rates to prescribed counseling sessions and reduce drug use (Higgins, Stitzer, Bigelow, & Liebson, 1986;Iguchi et al, 1996;Kidorf & Stitzer, 1993Kidorf, Stitzer, Brooner, & Goldberg, 1994;Silverman, Wong, et al, 1996;Stitzer et al, 1977), and might be effective with more adaptive treatment approaches. The present study reports a controlled clinical trial that evaluates an adaptive stepped care treatment approach for drug dependence that includes a specific set of behavioral contingencies to motivate patient attendance to the varying amounts of prescribed counseling.…”

Section: Introductionmentioning

confidence: 99%

Behavioral contingencies improve counseling attendance in an adaptive treatment model

Brooner

Kidorf

King

et al. 2004

Journal of Substance Abuse Treatment

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Section: Introductionmentioning

confidence: 99%

Behavioral contingencies improve counseling attendance in an adaptive treatment model

Brooner

Kidorf

King

et al. 2004

Journal of Substance Abuse Treatment

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“…Incentives have been shown to enhance compliance with treatment goals and therapy attendance in a variety of settings (Carey & Carey, 1990;Jones, Haug, Silverman, Stitzer, & Svikis, 2001;Kidorf, Stitzer, Brooner, & Goldberg, 1994;Rhodes et al, 2003;Silverman, Chutuape, Bigelow, & Stitzer, 1996;Stitzer et al, 1977). A low-cost contingency management procedure, originally developed by Petry, Martin, Cooney, and Kranler (2000), was chosen for the present study because the aim of this project was to examine a type of intervention that would be feasible for community clinics with limited resources.…”

Section: Introductionmentioning

confidence: 99%

Use of a low-cost incentive intervention to improve counseling attendance among methadone-maintained patients

Sigmon¹,

Stitzer²

2005

Journal of Substance Abuse Treatment

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“…Historically, CM originated in methadone clinics as frequent clinic visitation allowed use of clinic privileges (e.g., take-home doses, preferred dosing times) to reinforce opiate abstinence, counseling attendance, and other adherence targets (Milby et al, 1978; Stitzer et al, 1977; Stitzer et al, 1980). Higgins and colleagues (1994; 1993) later applied CM in drug-free clinics by providing exchangeable vouchers to reinforce cocaine abstinence, an approach since widely-adapted with beneficial effects (Lussier et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Contingency management in substance abuse treatment: A structured review of the evidence for its transportability

Hartzler

Lash

Roll

2012

Drug and Alcohol Dependence

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Aims Extant literature on contingency management (CM) transportability, or its transition from academia to community practice, is reviewed. The Consolidated Framework for Implementation Research (CFIR; Damschroder et al., 2009) guides the examination of this material. Methods PsychInfo and Medline database searches identified 27 publications, with reviewed reference lists garnering 22 others. These 49 sources were examined according to CFIR domains of the intervention, outer setting, inner setting, clinicians, and implementation processes. Results Intervention characteristics were focal in 59% of the identified literature, with less frequent focus on clinicians (34%), inner setting (32%), implementation processes (18%), and outer setting (8%). As intervention characteristics, adaptability and trialability most facilitate transportability whereas non-clinical origin, perceived inefficacy or disadvantages, and costs are impediments. Clinicians with a managerial focus and greater clinic tenure and CM experience are candidates to curry organizational readiness for implementation, and combat staff disinterest or philosophical objection. A clinic’s technology comfort, staff continuity, and leadership advocacy are inner setting characteristics that prompt effective implementation. Implementation processes in successful demonstration projects include careful fiscal/logistical planning, role-specific staff engagement, practical adaptation in execution, and evaluation via fidelity-monitoring and cost-effectiveness analyses. Outer setting characteristics—like economic policies and inter-agency networking or competition—are salient, often unrecognized influences. Conclusions As most implementation constructs are still moving targets, CM transportability is in its infancy and warrants further scientific attention. More effective dissemination may necessitate that future research weight emphasis on external validity, and utilize models of implementation science.

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Medication take-home as a reinforcer in a methadone maintenance program

Cited by 74 publications

References 6 publications

Behavioral contingencies improve counseling attendance in an adaptive treatment model

Behavioral contingencies improve counseling attendance in an adaptive treatment model

Use of a low-cost incentive intervention to improve counseling attendance among methadone-maintained patients

Contingency management in substance abuse treatment: A structured review of the evidence for its transportability

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