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Day treatment for cocaine dependence:Incremental utility over outpatient counseling and voucher incentives

Authors
Journal
Addictive Behaviors
0306-4603
Publisher
Elsevier
Publication Date
Volume
28
Issue
2
Identifiers
DOI: 10.1016/s0306-4603(01)00248-9
Keywords
  • Cocaine
  • Day Treatment
  • Contingency Management Vouchers
Disciplines
  • Education

Abstract

Abstract Urban, poor, crack cocaine-dependent clients were randomly assigned to outpatient addiction counseling ( n=39) or day treatment ( n=40). Participants in both conditions received equivalent individual cognitive–behavioral counseling and earned equivalent payment vouchers for providing cocaine-negative urine samples. However, day treatment participants attended significantly more psychoeducational and recreational groups and received two meals per day. Prior to random assignment, more participants expressed a preference for day treatment and participants were more likely to return for an initial appointment following assignment to day treatment. However, no significant between-groups differences in tenure or abstinence were detected during the 3-month course of treatment. These null findings were attributable to an absence of a dose-response effect for the group interventions in the day treatment condition. In addition, there may have been a ceiling effect from the vouchers, which masked the influence of the additional day treatment components.

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