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

Sigmon, Stacey C.; Stitzer, Maxine L.

doi:10.1016/j.jsat.2005.08.004

Cited by 33 publications

(25 citation statements)

References 15 publications

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“…Kropp, Lewis, and Winhusen (2017) provide an example of an implementation effort to integrate CM with 12-step treatment, and voices from non-research perspectives may be more convincing to clinicians than technical research reports. Other examples of implementation efforts provide valuable information on how CM can be tailored to unique needs of a clinic and population (Fitzsimons, Tuten, Borsuk, Lookatch, & Hanks 2015; Hartzler 2015; Kellogg et al, 2005; Lott & Jencius 2009; Petry et al, 2014; Sigmon & Stitzer 2005; Squires et al, 2008; Walker et al, 2010). In implementation science more generally, Damschroder and Hagedorn (2011) likewise note the need to adapt evidence-based practices to the broader context, distinguishing the core from the adaptable components.…”

Section: Next Stepsmentioning

confidence: 99%

Contingency management treatment for substance use disorders: How far has it come, and where does it need to go?

Petry

Alessi

Olmstead

et al. 2017

Psychology of Addictive Behaviors

147

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Contingency management (CM) interventions consistently improve substance abuse treatment outcomes, yet CM remains a highly controversial intervention and is rarely implemented in practice settings. This paper briefly outlines the evidence base of CM and then describes four of the most often cited concerns about it: philosophical, motivational, durability, and economic. Data supporting and refuting each of these issues are reviewed. The paper concludes with suggestions to address these matters and other important areas for CM research and implementation, with the aims of improving uptake of this efficacious intervention in practice settings and outcomes of patients with substance use disorders.

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Section: Next Stepsmentioning

confidence: 99%

Contingency management treatment for substance use disorders: How far has it come, and where does it need to go?

Petry

Alessi

Olmstead

et al. 2017

Psychology of Addictive Behaviors

147

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“…Contingency management is associated with the largest reductions in drug and alcohol use compared to all other psychosocial treatments (19). Contingency management has also demonstrated improved treatment retention and/or attendance(20, 21) and long-term efficacy (22, 23) in non-seriously mentally ill populations. Initial evidence suggests similar improvements in treatment retention and abstinence for persons with serious mental illness (24, 25).…”

mentioning

confidence: 99%

Randomized Controlled Trial of Contingency Management for Stimulant Use in Community Mental Health Patients With Serious Mental Illness

McDonell

Srebnik²,

Angelo³

et al. 2013

AJP

109

113

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Objective The primary objective of this study was to determine if contingency management was associated with increased stimulant drug abstinence in community mental health outpatients with serious mental illness and stimulant dependence. Secondary objectives were to determine if contingency management was associated with reductions in use of other substances, psychiatric symptoms, HIV-risk behavior, and inpatient service utilization. Method A randomized controlled design compared outcomes of 176 outpatients with serious mental illness and stimulant dependence. Participants were randomized to three months of contingency management for stimulant abstinence plus treatment-as-usual or treatment-as-usual with reinforcement for study participation only. Urine drug tests, self-report, clinician-report, and service utilization outcomes were assessed during three-month treatment and three-month follow-up periods. Results While participants in the contingency management condition were less likely to complete the treatment period (n=38; 42%) than those assigned to the control condition (n=55; 65%), X2(1)=9.8, p=0.02; those assigned to the contingency management condition were 2.4 (CI=1.9-3.0) times more likely to submit a stimulant-negative urine test during treatment. Participants assigned to contingency management experienced significantly lower levels of alcohol use, injection drug use, psychiatric symptoms, and were five times less likely than those assigned to the control condition to be admitted for psychiatric hospitalization, X2(1)=5.4, p=0.02. Contingency management participants reported significantly fewer days of stimulant drug use, relative to controls during the three-month follow-up. Conclusions When added to treatment-as-usual, contingency management is associated with large reductions in stimulant, injection drug, and alcohol use. Reductions in psychiatric symptoms and hospitalizations were important secondary benefits.

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“…CM is making some progress in terms of clinical implementation (Hartzler, 2015; Kellogg et al, 2005; Lott & Jencius, 2009; Petry, Dephilippis, Rash, Drapkin, & McKay, 2014; Sigmon & Stitzer, 2005; Squires, Gumbley, & Storti, 2008; Walker et al, 2010). However, continued studies of implementation strategies are vital to the progress of CM as a clinical tool and could speed such efforts.…”

Section: 0 Real-world Clinical Implementationmentioning

confidence: 99%

Contingency Management: New Directions and Remaining Challenges for An Evidence-Based Intervention

Rash

Stitzer

Weinstock

2017

Journal of Substance Abuse Treatment

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This article introduces the special issue on contingency management (CM), an efficacious intervention for the treatment of substance use disorders with low uptake in clinical settings that is not commensurate with evidence for efficacy. In this special issue of the Journal of Substance Abuse Treatment, we present 16 articles representing the latest research in efficacy, implementation, and technological advances related to CM. Combined, this collection of articles highlights the diverse populations, settings, and applications of CM in the treatment of substance use disorders. We conclude by highlighting directions for future research, particularly those that may increase CM’s appeal and uptake in routine clinical care.

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

Cited by 33 publications

References 15 publications

Contingency management treatment for substance use disorders: How far has it come, and where does it need to go?

Contingency management treatment for substance use disorders: How far has it come, and where does it need to go?

Randomized Controlled Trial of Contingency Management for Stimulant Use in Community Mental Health Patients With Serious Mental Illness

Contingency Management: New Directions and Remaining Challenges for An Evidence-Based Intervention

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