The use of token economy to reduce illicit drug use among methadone maintenance clients.

Abstract:

:The effects of a token economy in modifying the illicit polydrug use of 97 methadone maintenance clients was investigated over a period of two and a half years. Subjects' drug-free urinalysis reports were reinforced with points which could be redeemed to obtain methadone. Each subject's daily dose level varied with the point balance. A multiple baseline analysis showed that when methadone acquisition was in part made contingent upon drug-free urinalyses, illicit drug use declined rapidly. After six months, the token economy group's urines were 14% positive for illicit drugs compared to 39% in the traditional treatment group. As time in treatment increased, illicit drug use further declined. These results suggest a more effective and practical strategy for the treatment of polydrug abusing methadone maintenance clients than has previously been available.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Glosser DS

doi

10.1016/0306-4603(83)90001-1

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

93-104

issue

2

eissn

0306-4603

issn

1873-6327

pii

0306-4603(83)90001-1

journal_volume

8

pub_type

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