Reinforcing integrated psychiatric service attendance in an opioid-agonist program: A randomized and controlled trial

Michael Kidorf, Robert Brooner, Neeraj Gandotra, Denis Godwin Antoine, Van L. King, Jessica M Peirce, Sharon Ghazarian

Research output: Contribution to journalArticle

Abstract

Background: The benefits of integrating substance abuse and psychiatric care may be limited by poor service utilization. This randomized clinical trial evaluated the efficacy of using contingency management to improve utilization of psychiatric services co-located and integrated within a community-based methadone maintenance treatment program. Methods: Opioid-dependent outpatients (n= 125) with any current psychiatric disorder were randomly assigned to: (1) reinforced on-site integrated care (ROIC), with vouchers (worth $25.00) contingent on full adherence to each week of scheduled psychiatric services; or (2) standard on-site integrated care (SOIC). All participants received access to the same schedule of psychiatrist and mental health counseling sessions for 12-weeks. Results: ROIC participants attended more overall psychiatric sessions at month 1 (M= 7.53 vs. 3.97, p<.001), month 2 (M= 6.31 vs. 2.81, p

Original languageEnglish (US)
Pages (from-to)30-36
Number of pages7
JournalDrug and Alcohol Dependence
Volume133
Issue number1
DOIs
StatePublished - Nov 1 2013

Fingerprint

Opioid Analgesics
Psychiatry
Randomized Controlled Trials
Methadone
Substance-Related Disorders
Counseling
Appointments and Schedules
Mental Health
Outpatients
Health

Keywords

  • Contingency management
  • Methadone maintenance
  • Psychiatric comorbidity
  • Treatment adherence

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Toxicology
  • Pharmacology
  • Pharmacology (medical)

Cite this

Reinforcing integrated psychiatric service attendance in an opioid-agonist program : A randomized and controlled trial. / Kidorf, Michael; Brooner, Robert; Gandotra, Neeraj; Antoine, Denis Godwin; King, Van L.; Peirce, Jessica M; Ghazarian, Sharon.

In: Drug and Alcohol Dependence, Vol. 133, No. 1, 01.11.2013, p. 30-36.

Research output: Contribution to journalArticle

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