The effectiveness of incentives in enhancing treatment attendance and drug abstinence in methadone-maintained pregnant women

Hendrée E. Jones, Nancy Haug, Kenneth Silverman, Maxine Stitzer, Dace Svikis

Research output: Contribution to journalArticle

Abstract

This study examined the effectiveness of short-term contingency management for eliminating cocaine use and increasing full day treatment attendance with pregnant methadone-maintained women randomly assigned to either an escalating voucher incentive schedule (n = 44) or non-incentive (n = 36) conditions. Full day treatment attendance and urine toxicology for cocaine and heroin were assessed and consequated for 14 days. The escalating voucher incentive schedule significantly increased full day treatment attendance and drug abstinence compared to the non-incentive schedule. These results suggest that reinforcing the co-occurrence of two required behaviors (treatment attendance and abstinence from illicit drug use) is effective, and may be an important adjunct to methadone pharmacotherapy for treating pregnant drug dependent women.

Original languageEnglish (US)
Pages (from-to)297-306
Number of pages10
JournalDrug and alcohol dependence
Volume61
Issue number3
DOIs
StatePublished - Feb 1 2001

Keywords

  • Behavioral incentives
  • Contingency management
  • Methadone maintenance
  • Perinatal addictions
  • Pregnancy

ASJC Scopus subject areas

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

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