"The use of token economy to reduce illicit drug use among methadone ma" by David Glosser ScD
 

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

Publication/Presentation Date

1-1-1983

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.

Volume

8

Issue

2

First Page

93

Last Page

104

ISSN

0306-4603

Disciplines

Psychiatry

PubMedID

6613720

Department(s)

Department of Psychiatry

Document Type

Article

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