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Interdependent Group Contingency Management for Cocaine-Dependent Methadone Maintenance Patients
Authors:Kimberly C Kirby  MaryLouise E Kerwin  Carolyn M Carpenedo  Beth J Rosenwasser  Robert S Gardner
Institution:TREATMENT RESEARCH INSTITUTE AND THE UNIVERSITY OF PENNSYLVANIA;ROWAN UNIVERSITY
Abstract:Contingency management (CM) for drug abstinence has been applied to individuals independently even when delivered in groups. We developed a group CM intervention in which the behavior of a single, randomly selected, anonymous individual determined reinforcement delivery for the entire group. We also compared contingencies placed only on cocaine abstinence (CA) versus one of four behaviors (CA, treatment attendance, group CM attendance, and methadone compliance) selected randomly at each drawing. Two groups were formed with 22 cocaine-dependent community-based methadone patients and exposed to both CA and multiple behavior (MB) conditions in a reversal design counterbalanced across groups for exposure order. The group CM intervention proved feasible and safe. The MB condition improved group CM meeting attendance relative to the CA condition.
Keywords:cocaine abstinence  cocaine abuse  contingency management  drug abuse  treatment attendance
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