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

Maxine Stitzer, George Bigelow, Charles Lawrence, James Cohen, Burton D'Lugoff, James Hawthorne

Research output: Contribution to journalArticlepeer-review

60 Scopus citations


The opportunity to take methadone doses home from the clinic can be used as a reinforcer in contingency management procedures to promote desirable behavior among a population of methadone maintenance clients. This was demonstrated by delivering take-home privileges contingent upon attendance at counseling sessions. Sixteen methadone maintenance clients were selected on the basis of their low attendance rates at individual counseling sessions. During five successive 2-month periods, weekend (2 days) medication take-home privileges were either contingent upon attendance at a weekly counseling session lasting at least 45 min or were given to clients non-contingently. During periods of contingent delivery of the take-home privilege, counseling attendance increased significantly above levels observed during period of non- contigent delivery.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalAddictive Behaviors
Issue number1
StatePublished - 1977

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health


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