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Titolo:
Reinforcement-based intensive outpatient treatment for inner city opiate abusers: a short-term evaluation
Autore:
Gruber, K; Chutuape, MA; Stitzer, ML;
Indirizzi:
Johns Hopkins Univ, Sch Med, Baltimore, MD 21224 USA Johns Hopkins Univ Baltimore MD USA 21224 ch Med, Baltimore, MD 21224 USA
Titolo Testata:
DRUG AND ALCOHOL DEPENDENCE
fascicolo: 3, volume: 57, anno: 2000,
pagine: 211 - 223
SICI:
0376-8716(20000101)57:3<211:RIOTFI>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADDICTION SEVERITY INDEX; COCAINE ABSTINENCE; BEHAVIORAL-APPROACH; DRUG-ABUSE; ALCOHOLISM; IDENTIFICATION; RETENTION; VALIDITY; AUDIT;
Keywords:
drug abuse treatment; outpatient treatment; aftercare; heroin; cocaine; contingency management; housing; employment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Stitzer, ML Johns Hopkins Univ, Sch Med, Baltimore, MD 21224 USA Johns Hopkins Univ Baltimore MD USA 21224 imore, MD 21224 USA
Citazione:
K. Gruber et al., "Reinforcement-based intensive outpatient treatment for inner city opiate abusers: a short-term evaluation", DRUG AL DEP, 57(3), 2000, pp. 211-223

Abstract

We evaluated 3-month outcomes for reinforcement-based intensive outpatienttreatment (RBT), a new relapse prevention behavior therapy for inner city opiate abusers. The therapy provides abstinence-contingent partial support of housing, food and recreational activities, abstinence-contingent access to social skills and job finding group therapy and non-contingent individual counseling all in the context of a day treatment program. Heroin abusers (n = 52), contacted at a 3-day detoxification unit, were randomly assigned to RBT (n = 28) or referred to community treatment resources (n = 24) aftera staff escort from the detoxification unit. For RBT patients, treatment began on the day of discharge; 61% received partial rent support in a recovery house based on the need for drug-free housing; the remainder were eligible for partial support of utility payments where they lived. Abstinence-based contingencies were in effect for 1 month with three times per week counseling available for an additional 2 months. One month after detoxification,61% of RBT versus 17% of referral patients were enrolled in outpatient treatment (P < 0.01); RBT patients were significantly less likely than controls to have returned to any drug use; and 50% of RBT versus 21% of controls reported 30 days of abstinence from heroin and cocaine with confirmatory negative urine (P < 0.05). RBT patients had significantly lower scores on the Beck Depression Inventory at 1 month (M = 9.0 versus 17.6 for controls; P <0.05) and showed evidence of less alcohol use and higher rates of employment. These results establish the short-term efficacy for RBT and support continued development and evaluation of this new outpatient behavioral treatment. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

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Documento generato il 29/03/20 alle ore 09:05:24