Day treatment for cocaine dependence: Incremental utility over outpatient counseling and voucher incentives

Douglas B. Marlowe, Kimberly C. Kirby, David S. Festinger, Elizabeth P. Merikle, Giao Q. Tran, Jerome J. Platt

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Urban, poor, crack cocaine-dependent clients were randomly assigned to outpatient addiction counseling (n=39) or day treatment (n=40). Participants in both conditions received equivalent individual cognitive-behavioral counseling and earned equivalent payment vouchers for providing cocaine-negative urine samples. However, day treatment participants attended significantly more psychoeducational and recreational groups and received two meals per day. Prior to random assignment, more participants expressed a preference for day treatment and participants were more likely to return for an initial appointment following assignment to day treatment. However, no significant between-groups differences in tenure or abstinence were detected during the 3-month course of treatment. These null findings were attributable to an absence of a dose-response effect for the group interventions in the day treatment condition. In addition, there may have been a ceiling effect from the vouchers, which masked the influence of the additional day treatment components.

Original languageEnglish (US)
Pages (from-to)387-398
Number of pages12
JournalAddictive Behaviors
Volume28
Issue number2
DOIs
StatePublished - Mar 1 2003

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

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