| Contingency management treatment in substance abusers with and without legal problems. | |
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MedLine Citation:
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PMID: 21908754 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Drug and alcohol abusers frequently have legal difficulties, and the legal system often provides negative reinforcement for substance abuse treatment. In contrast, contingency management (CM) treatments utilize positive reinforcement procedures to improve patient outcomes. This study evaluated whether substance-abusing patients with legal problems at treatment entry had differential outcomes, in general and in response to CM, compared with those without legal problems. Data from three randomized CM trials (n = 393) were used in an evaluation of main and interactive effects of legal status and treatment condition, with respect to retention and abstinence. Compared with patients without legal difficulties, those with legal problems remained in treatment for shorter durations and achieved shorter periods of abstinence. CM was positively and significantly associated with longer durations of abstinence, regardless of legal status. Results suggest that substance abusers with legal problems have generally poor outcomes, but that CM is effective regardless of the patient's legal status. |
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Authors:
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Nancy M Petry; Carla J Rash; Caroline J Easton |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: The journal of the American Academy of Psychiatry and the Law Volume: 39 ISSN: 1943-3662 ISO Abbreviation: J. Am. Acad. Psychiatry Law Publication Date: 2011 |
Date Detail:
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Created Date: 2011-09-12 Completed Date: 2012-01-23 Revised Date: 2012-03-09 |
Medline Journal Info:
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Nlm Unique ID: 9708963 Medline TA: J Am Acad Psychiatry Law Country: United States |
Other Details:
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Languages: eng Pagination: 370-8 Citation Subset: IM |
Affiliation:
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Calhoun Cardiology Center, Department of Medicine, University of Connecticut Health Center, Farmington, CT 06030-3944, USA. npetry@uchc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Drug Users / legislation & jurisprudence* Female Humans Male New England Outcome Assessment (Health Care)* Substance-Related Disorders / therapy* |
| Grant Support | |
ID/Acronym/Agency:
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01-DA022739/DA/NIDA NIH HHS; AA-T3207290/AA/NIAAA NIH HHS; M01-RR06192/RR/NCRR NIH HHS; P30-DA023918/DA/NIDA NIH HHS; P50-DA09241/DA/NIDA NIH HHS; P60-AA03510/AA/NIAAA NIH HHS; R01 DA013444-10A1/DA/NIDA NIH HHS; R01 DA013444-11/DA/NIDA NIH HHS; R01-DA016855/DA/NIDA NIH HHS; R01-DA018883/DA/NIDA NIH HHS; R01-DA027615/DA/NIDA NIH HHS; R01-DA13444/DA/NIDA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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