Contingency Management to Reduce Substance Use in Individuals Who are Homeless with Co-Occurring Psychiatric Disorders
Homeless shelters provide a unique opportunity to intervene with occupants who have substance abuse problems, as not addressing these issues may lead to continuation of problems playing a contributing role in homelessness. Attempts to implement Contingency Management (CM) with this population have o...
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| Veröffentlicht in: | The American journal of drug and alcohol abuse 2007-01, Vol.33 (2), p.253-258 |
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| container_title | The American journal of drug and alcohol abuse |
| container_volume | 33 |
| creator | Tracy, Kathlene Babuscio, Theresa Nich, Charla Kiluk, Brian Carroll, Kathleen M. Petry, Nancy M. Rounsaville, Bruce J. |
| description | Homeless shelters provide a unique opportunity to intervene with occupants who have substance abuse problems, as not addressing these issues may lead to continuation of problems playing a contributing role in homelessness. Attempts to implement Contingency Management (CM) with this population have often been complex, costly, and not straightforward to replicate in community settings. We conducted a randomized trial evaluating a simple, low-cost 4-week CM program for 30 individuals seeking shelter in a community-based homeless shelter who had both current substance and psychiatric disorders. Behavioral assessments were performed at baseline, weekly, and termination of the study. Overall retention in the trial was high; participants assigned to CM reduced their cocaine and alcohol use more than those in assessment-only. This pilot trial suggests that application of low-cost CM procedures is feasible within this novel setting and may decrease substance use. |
| doi_str_mv | 10.1080/00952990601174931 |
| format | Article |
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Attempts to implement Contingency Management (CM) with this population have often been complex, costly, and not straightforward to replicate in community settings. We conducted a randomized trial evaluating a simple, low-cost 4-week CM program for 30 individuals seeking shelter in a community-based homeless shelter who had both current substance and psychiatric disorders. Behavioral assessments were performed at baseline, weekly, and termination of the study. Overall retention in the trial was high; participants assigned to CM reduced their cocaine and alcohol use more than those in assessment-only. This pilot trial suggests that application of low-cost CM procedures is feasible within this novel setting and may decrease substance use.</description><identifier>ISSN: 0095-2990</identifier><identifier>EISSN: 1097-9891</identifier><identifier>DOI: 10.1080/00952990601174931</identifier><identifier>PMID: 17497548</identifier><identifier>CODEN: AJDABD</identifier><language>eng</language><publisher>Colchester: Informa UK Ltd</publisher><subject>Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Alcohol use disorders ; Alcoholism - rehabilitation ; Alcoholism and acute alcohol poisoning ; Analysis of Variance ; Behavior Therapy - methods ; Biological and medical sciences ; Cocaine ; cocaine use disorders ; Cocaine-Related Disorders - rehabilitation ; Comorbidity ; Connecticut ; contingency management ; Contingency planning ; Diagnosis, Dual (Psychiatry) ; Drug abuse ; Drug addiction ; Female ; Fundamental and applied biological sciences. Psychology ; Homeless people ; Homeless Persons - psychology ; Homelessness ; Humans ; Male ; Medical sciences ; Mental disorders ; Mental Disorders - rehabilitation ; Mental Illness ; Pilot Projects ; Psychiatric disorders ; Psychiatry ; Psychoanalysis ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Reward ; Sheltered housing ; Shelters ; Substance Abuse ; Substance abuse treatment ; Toxicology ; Treatment methods</subject><ispartof>The American journal of drug and alcohol abuse, 2007-01, Vol.33 (2), p.253-258</ispartof><rights>2007 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2007</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Marcel Dekker, Inc. 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Attempts to implement Contingency Management (CM) with this population have often been complex, costly, and not straightforward to replicate in community settings. We conducted a randomized trial evaluating a simple, low-cost 4-week CM program for 30 individuals seeking shelter in a community-based homeless shelter who had both current substance and psychiatric disorders. Behavioral assessments were performed at baseline, weekly, and termination of the study. Overall retention in the trial was high; participants assigned to CM reduced their cocaine and alcohol use more than those in assessment-only. This pilot trial suggests that application of low-cost CM procedures is feasible within this novel setting and may decrease substance use.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol use disorders</subject><subject>Alcoholism - rehabilitation</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Analysis of Variance</subject><subject>Behavior Therapy - methods</subject><subject>Biological and medical sciences</subject><subject>Cocaine</subject><subject>cocaine use disorders</subject><subject>Cocaine-Related Disorders - rehabilitation</subject><subject>Comorbidity</subject><subject>Connecticut</subject><subject>contingency management</subject><subject>Contingency planning</subject><subject>Diagnosis, Dual (Psychiatry)</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Homeless people</subject><subject>Homeless Persons - psychology</subject><subject>Homelessness</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - rehabilitation</subject><subject>Mental Illness</subject><subject>Pilot Projects</subject><subject>Psychiatric disorders</subject><subject>Psychiatry</subject><subject>Psychoanalysis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Reward</subject><subject>Sheltered housing</subject><subject>Shelters</subject><subject>Substance Abuse</subject><subject>Substance abuse treatment</subject><subject>Toxicology</subject><subject>Treatment methods</subject><issn>0095-2990</issn><issn>1097-9891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkl1v0zAYhS0EYqXwA7hBFhLchdmxncQCIaHC2KShIWDi0nKcN42nxB520qn_HnctKwPxcWVLfs7x-3EQekzJC0oqckiIFLmUpCCUllwyegfNKJFlJitJ76LZ5j3bAAfoQYwXhBBalfw-OtjQpeDVDK0W3o3WLcGZNf6gnV7CAG7Eo8efoJkM4M9THUft0u08ArYOn7jGrmwz6T7ir53HOgA-9gP0ECO-smOHFz47M2YKIRnjj3FtOqvHYA1-a6MPDYT4EN1rkx4e7c45Oj9692VxnJ2evT9ZvDnNTCHyMROspaTgAJrlhkMluKxJDgxKEK3IhWa0qmvDedPqptQVN6zWVIvaNKSQLWdz9HrreznVAzQmtRZ0ry6DHXRYK6-tuv3ibKeWfqUYk4TkLBk83xkE_22COKrBRgN9rx34KaqCFkUuiv8BOWE8LelfoChzWpZcJPDpL-CFn4JL41I5lSztOf07R3QLmeBjDNDe9EaJ2oRE_RaSpHny81D2il0qEvBsB-hodN-GtH4b91xVMkGuK3y15axrfRj0lQ99o0a97n34IWJ_q-PlLXkHuh87k_K07_TP6u-pdOtU</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Tracy, Kathlene</creator><creator>Babuscio, Theresa</creator><creator>Nich, Charla</creator><creator>Kiluk, Brian</creator><creator>Carroll, Kathleen M.</creator><creator>Petry, Nancy M.</creator><creator>Rounsaville, Bruce J.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>K7.</scope><scope>K9.</scope><scope>7U4</scope><scope>DWI</scope><scope>WZK</scope><scope>5PM</scope></search><sort><creationdate>20070101</creationdate><title>Contingency Management to Reduce Substance Use in Individuals Who are Homeless with Co-Occurring Psychiatric Disorders</title><author>Tracy, Kathlene ; Babuscio, Theresa ; Nich, Charla ; Kiluk, Brian ; Carroll, Kathleen M. ; Petry, Nancy M. ; Rounsaville, Bruce J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c652t-53f1064eea32c4e8549b02e3e7e5f525a318bbc44dfad7a84c3ba1a5bcd069f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol use disorders</topic><topic>Alcoholism - rehabilitation</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Analysis of Variance</topic><topic>Behavior Therapy - methods</topic><topic>Biological and medical sciences</topic><topic>Cocaine</topic><topic>cocaine use disorders</topic><topic>Cocaine-Related Disorders - rehabilitation</topic><topic>Comorbidity</topic><topic>Connecticut</topic><topic>contingency management</topic><topic>Contingency planning</topic><topic>Diagnosis, Dual (Psychiatry)</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Homeless people</topic><topic>Homeless Persons - psychology</topic><topic>Homelessness</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mental Disorders - rehabilitation</topic><topic>Mental Illness</topic><topic>Pilot Projects</topic><topic>Psychiatric disorders</topic><topic>Psychiatry</topic><topic>Psychoanalysis</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Attempts to implement Contingency Management (CM) with this population have often been complex, costly, and not straightforward to replicate in community settings. We conducted a randomized trial evaluating a simple, low-cost 4-week CM program for 30 individuals seeking shelter in a community-based homeless shelter who had both current substance and psychiatric disorders. Behavioral assessments were performed at baseline, weekly, and termination of the study. Overall retention in the trial was high; participants assigned to CM reduced their cocaine and alcohol use more than those in assessment-only. This pilot trial suggests that application of low-cost CM procedures is feasible within this novel setting and may decrease substance use.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>17497548</pmid><doi>10.1080/00952990601174931</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0095-2990 |
| ispartof | The American journal of drug and alcohol abuse, 2007-01, Vol.33 (2), p.253-258 |
| issn | 0095-2990 1097-9891 |
| language | eng |
| recordid | cdi_pubmed_primary_17497548 |
| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Addictive behaviors Adult Adult and adolescent clinical studies Alcohol use disorders Alcoholism - rehabilitation Alcoholism and acute alcohol poisoning Analysis of Variance Behavior Therapy - methods Biological and medical sciences Cocaine cocaine use disorders Cocaine-Related Disorders - rehabilitation Comorbidity Connecticut contingency management Contingency planning Diagnosis, Dual (Psychiatry) Drug abuse Drug addiction Female Fundamental and applied biological sciences. Psychology Homeless people Homeless Persons - psychology Homelessness Humans Male Medical sciences Mental disorders Mental Disorders - rehabilitation Mental Illness Pilot Projects Psychiatric disorders Psychiatry Psychoanalysis Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Reward Sheltered housing Shelters Substance Abuse Substance abuse treatment Toxicology Treatment methods |
| title | Contingency Management to Reduce Substance Use in Individuals Who are Homeless with Co-Occurring Psychiatric Disorders |
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