Abstinence Incentive Effects in a Short-Term Outpatient Detoxification Program

Despite being widely available, outpatient detoxification has limited efficacy as a stand-alone treatment. This study examined whether abstinence-contingent incentives would improve outcomes for patients entering outpatient opiate detoxification. Participants ( N = 211) received a $100 voucher on th...

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Bibliographic Details
Published in:Experimental and clinical psychopharmacology 2004-11, Vol.12 (4), p.262-268
Main Authors: Katz, Elizabeth C, Chutuape, Mary Ann, Jones, Hendree, Jasinski, Donald, Fingerhood, Michael, Stitzer, Maxine
Format: Article
Language:English
Subjects:
Adult
Cocaine
Cocaine-Related Disorders - psychology
Cocaine-Related Disorders - therapy
Detoxification
Drug Abstinence
Female
Human
Humans
Incentives
Male
Motivation
Opiates
Opioid-Related Disorders - psychology
Opioid-Related Disorders - therapy
Outpatient
Outpatient Treatment
Treatment Outcomes
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Summary:Despite being widely available, outpatient detoxification has limited efficacy as a stand-alone treatment. This study examined whether abstinence-contingent incentives would improve outcomes for patients entering outpatient opiate detoxification. Participants ( N = 211) received a $100 voucher on the last day of detoxification either contingent on opiate and cocaine abstinence or noncontingently. Urine samples were collected at intake, on Wednesday, Friday (the last day of detoxification), and the following Monday. Among contingent-voucher participants, 31% were drug-free on Friday compared with 18% of noncontingent controls ( Z = 2.4, p
ISSN:1064-1297
1936-2293
DOI:10.1037/1064-1297.12.4.262