Reinforcement-based therapy: 12-Month evaluation of an outpatient drug-free treatment for heroin abusers

Hendree E. Jones, Conrad J. Wong, Michelle Tuten, Maxine L Stitzer

Research output: Contribution to journalArticle

Abstract

This controlled study examined the efficacy of reinforcement-based therapy (RBT) for producing enhanced abstinence outcomes over 12 months in opioid-dependent patients exiting a brief residential detoxification. Patients were randomly assigned upon completing their medically managed taper (i.e., detoxification) to RBT (N = 66) or usual care (N = 64) referral to community treatment programs. The 6-month RBT program offered an array of abstinence-based incentives including rent payment for recovery housing, program-led recreational activities and skills training for procuring employment. RBT produced significantly higher self-report and urinalysis-confirmed rates of abstinence from opioids and cocaine relative to usual care at 1 (42% versus 15%) and 3 (38% versus 17%) months during treatment but not at 6 or 12 months after enrollment. The RBT but not the usual care group showed significant increases in the number of days worked and the amount of legal income earned at 3, 6 and 12 months. The results of this randomized study suggest that an intensive reinforcement-based therapy that includes abstinence-based recovery housing is a promising approach; however, further research is needed to determine the role of treatment intensity and the specific efficacy of RBT's component parts.

Original languageEnglish (US)
Pages (from-to)119-128
Number of pages10
JournalDrug and Alcohol Dependence
Volume79
Issue number2
DOIs
StatePublished - Aug 1 2005

Fingerprint

Drug Evaluation
Heroin
reinforcement
Reinforcement
Outpatients
drug
evaluation
Pharmaceutical Preparations
Detoxification
Opioid Analgesics
Therapeutics
housing
earned income
Recovery
recreational activity
Cocaine
rent
Reinforcement (Psychology)
Urinalysis
Lead

Keywords

  • Detoxification
  • Drug abuse
  • Opioid, Cocaine, Aftercare
  • Treatment

ASJC Scopus subject areas

  • Medicine(all)
  • Behavioral Neuroscience
  • Toxicology
  • Health(social science)

Cite this

Reinforcement-based therapy : 12-Month evaluation of an outpatient drug-free treatment for heroin abusers. / Jones, Hendree E.; Wong, Conrad J.; Tuten, Michelle; Stitzer, Maxine L.

In: Drug and Alcohol Dependence, Vol. 79, No. 2, 01.08.2005, p. 119-128.

Research output: Contribution to journalArticle

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