Contingent Take-Home Incentive: Effects on Drug Use of Methadone Maintenance Patients

Maxine L. Stitzer, Martin Y. Iguchi, Linda J. Felch

Research output: Contribution to journalArticle

Abstract

This study examined contingent methadone take-home privileges for effectiveness in reducing on-going supplemental drug use of methadone maintenance patients. Fifty-three new intakes were randomly assigned to begin receiving take-home privileges after 2 consecutive weeks of drug-free urines or to a noncontingent procedure in which take-homes were delivered independently of urine test results. The contingent procedure produced more individuals with at least 4 consecutive weeks of abstinence (32% vs. 8%); 28% of noncontingent subjects also achieved abstinence after shifting to the contingent procedure. Lower baseline rate of drug-free urines was strongly associated with successful outcome, whereas the type of drug abused (cocaine vs. benzodiazepines) did not influence outcomes. Findings support a recommendation for using contingent take-home incentives to motivate abstinence during methadone maintenance treatment.

Original languageEnglish (US)
Pages (from-to)927-934
Number of pages8
JournalJournal of Consulting and Clinical Psychology
Volume60
Issue number6
DOIs
StatePublished - Dec 1992

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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