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Review
. 2002 Jul;1(1):38-47.
doi: 10.1151/spp021138.

Using behavioral reinforcement to improve methadone treatment participation

Robert K Brooner  1 , Michael Kidorf
Affiliations
Review

Using behavioral reinforcement to improve methadone treatment participation

Robert K Brooner et al. Sci Pract Perspect. 2002 Jul.

Abstract

A new service delivery system for the treatment of opioid dependence, called motivational stepped care, matches the intensity of counseling services to each patient's clinical progress. Adherence to a counseling schedule is reinforced through the linking of counseling attendance with the patient's methadone dispensing schedule and, ultimately, his or her ability to continue receiving treatment services. The article describes the scientific evidence supporting the major elements of the model, the model in action, and evaluations that have been conducted to date.

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Figures

FIGURE 1
FIGURE 1. Motivational Stepped Care Approach*
* Programs can tailor counseling content and movement across steps to fit their resources and patient populations
See this image and copyright information in PMC

Comment in

References

    1. Azrin NH, et al. Behavior therapy for drug abuse: A controlled treatment outcome study. Behaviour Research and Therapy. 1994;32(8):857–866. - PubMed
    1. Bigelow GE, Brooner RK, Silverman K. Competing motivations: Drug reinforcement vs. non-drug reinforcement. Journal of Psychopharmacology. 1998;12(1):8–14. - PubMed
    1. Brooner RK, Kidorf M, King VL, Bigelow GE. Using behaviorally contingent pharmacotherapy in opioid abusers enhances treatment outcome. In: Harris LS, editor. Problems of Drug Dependence, 1996: Proceedings of the 58th Annual Scientific Meeting of the College on Problems of Drug Dependence, Inc; Rockville, MD: U.S. Department of Health and Human Services; 1996. p. 305. National Institute on Drug Abuse Research Monograph 174, NIH Publication No. 97–4236.
    1. Brooner RK, et al. Psychiatric and substance use comorbidity in treatment-seeking opioid abusers. Archives of General Psychiatry. 1997;54(1):71–80. - PubMed
    1. Carter J, et al. Effects of Behaviorally Contingent Pharmacotherapy on Treatment Outcome of Opioid Dependent Outpatients. Paper presented at the College on Problems of Drug Dependence Annual Meeting; San Juan, PR. June 2000.2000.

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