Motivating methadone patients to include drug-free significant others in treatment: A behavioral intervention

被引:29
作者
Kidorf, M [1 ]
Brooner, RK [1 ]
King, VL [1 ]
机构
[1] JOHNS HOPKINS UNIV,SCH MED,JOHNS HOPKINS BAYVIEW MED CTR,BALTIMORE,MD
关键词
social support; significant others; methadone treatment; contingency management; opioid abuse;
D O I
10.1016/S0740-5472(96)00121-3
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The present study introduced a novel behavioral approach for encouraging methadone-treated patients to bring drug-free significant other support into treatment. Seventy-five patients referred to high-intensity psychosocial treatment due to chronic drug use were given 3 weeks to identify a drug-free significant other Patients noncompliant with this intervention were started on a methadone dose taper that was stopped when significant other support was identified. Patients and their significant others were required to attend a significant other group one time per week for a minimum of 6 weeks. Eighty-five percent of the patients brought a drug-free significant other into treatment. Significant others included family members, partners, and friends. Patients who identified significant other support complied with 77% of their scheduled sessions. The results demonstrated that most methadone patients have drug-free support people who are willing to participate in their treatment. These individuals can be utilized to help patients initiate the process of building new drug;free social support networks. (C) 1997 Elsevier Science Inc.
引用
收藏
页码:23 / 28
页数:6
相关论文
共 32 条
[11]  
HIGGINS ST, 1993, AM J PSYCHIAT, V150, P763
[12]   COMMUNITY-REINFORCEMENT APPROACH TO ALCOHOLISM [J].
HUNT, GM ;
AZRIN, NH .
BEHAVIOUR RESEARCH AND THERAPY, 1973, 11 (01) :91-104
[13]   CONTINGENCY MANAGEMENT IN METHADONE-MAINTENANCE - EFFECTS OF REINFORCING AND AVERSIVE CONSEQUENCES ON ILLICIT POLYDRUG USE [J].
IGUCHI, MY ;
STITZER, ML ;
BIGELOW, GE ;
LIEBSON, IA .
DRUG AND ALCOHOL DEPENDENCE, 1988, 22 (1-2) :1-7
[14]   FAMILY SYSTEMS AND FAMILY-THERAPY OF SUBSTANCE ABUSE - AN OVERVIEW OF 2 DECADES OF RESEARCH AND CLINICAL-EXPERIENCE [J].
KAUFMAN, E .
INTERNATIONAL JOURNAL OF THE ADDICTIONS, 1985, 20 (6-7) :897-916
[15]   CONTINGENT METHADONE TAKE-HOME DOSES REINFORCE ADJUNCT THERAPY ATTENDANCE OF METHADONE-MAINTENANCE PATIENTS [J].
KIDORF, M ;
STITZER, ML ;
BROONER, RK ;
GOLDBERG, J .
DRUG AND ALCOHOL DEPENDENCE, 1994, 36 (03) :221-226
[16]   EVALUATING THE REINFORCEMENT VALUE OF CLINIC-BASED PRIVILEGES THROUGH A MULTIPLE-CHOICE PROCEDURE [J].
KIDORF, M ;
STITZER, ML ;
GRIFFITHS, RR .
DRUG AND ALCOHOL DEPENDENCE, 1995, 39 (03) :167-172
[17]  
KIDORF M, 1995, NATL I DRUG ABUSE RE, V162, P162
[18]   Contingent Access to Methadone Maintenance Treatment: Effects on Cocaine Use of Mixed Opiate-Cocaine Abusers [J].
Kidorf, Michael ;
Stitzer, Maxine L. .
EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY, 1993, 1 (1-4) :200-206
[19]   USING SOCIAL NETWORK ANALYSIS TO STUDY PATTERNS OF DRUG-USE AMONG URBAN DRUG-USERS AT HIGH-RISK FOR HIV AIDS [J].
LATKIN, C ;
MANDELL, W ;
OZIEMKOWSKA, M ;
CELENTANO, D ;
VLAHOV, D ;
ENSMINGER, M ;
KNOWLTON, A .
DRUG AND ALCOHOL DEPENDENCE, 1995, 38 (01) :1-9
[20]   CONTINGENCY CONTRACTING WITH POLYDRUG-ABUSING METHADONE PATIENTS [J].
MAGURA, S ;
CASRIEL, C ;
GOLDSMITH, DS ;
STRUG, DL ;
LIPTON, DS .
ADDICTIVE BEHAVIORS, 1988, 13 (01) :113-118