Contingent methadone delivery: effects on illicit-opiate use.

Author: BigelowG E, HigginsS T, LiebsonI A, StitzerM L

Paper Details 
Original Abstract of the Article :
This study examined the effects of contingent vs. non-contingent delivery of a methadone dose supplement on relapse to illicit opiate use in the context of a methadone outpatient detoxification program. Following a 3-week methadone stabilization period on 30 mg, patients (N = 39) were randomly assig...See full text at original site
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引用元:
https://doi.org/10.1016/0376-8716(86)90080-3

データ提供:米国国立医学図書館(NLM)

Contingent Methadone Delivery: A Novel Approach to Combat Opiate Relapse

This research explores the effectiveness of contingent methadone delivery as a strategy for curbing illicit opiate use in individuals undergoing methadone detoxification. The study employed a randomized controlled trial design to compare the outcomes of contingent, non-contingent, and control groups. The contingent group, like a camel navigating a treacherous desert, received methadone dose supplements only if their urine tests were opiate-free. This approach aimed to reinforce drug-free behavior and incentivize abstinence. The authors discovered that the contingent group exhibited significantly lower rates of opiate-positive urine tests during the detoxification phase. Additionally, the availability of extra methadone enhanced treatment retention and increased clinic attendance among participants in the contingent group. This study underscores the potential for contingent methadone delivery to leverage methadone's reinforcing properties to improve treatment outcomes in individuals struggling with opiate dependence.

Contingent Methadone Delivery: A Promising Strategy for Opiate Addiction

The study's findings suggest that contingent methadone delivery holds promise as a valuable strategy for managing opiate addiction. The contingent approach, like a skilled desert traveler, rewards positive behavior and discourages relapse. This method demonstrates a statistically significant reduction in opiate use, highlighting its potential for combating this challenging public health issue. The increased treatment retention and clinic attendance observed in the contingent group further supports its effectiveness as a valuable tool for improving long-term treatment outcomes.

Methadone: A Tool for Recovery, Not Just a Replacement

The study underscores the potential of methadone as a tool for recovery, extending beyond its traditional role as a replacement therapy. By harnessing the reinforcing properties of methadone, contingent delivery provides an innovative approach to address the multifaceted challenges of opiate addiction. This strategy could pave the way for more effective and personalized treatment plans that cater to the unique needs of individuals struggling with this disorder.

Dr.Camel's Conclusion

This study illuminates the potential of contingent methadone delivery as a valuable tool for treating opiate addiction. The findings suggest that this strategy, like a skilled desert traveler, can effectively guide individuals towards recovery by rewarding positive behaviors and discouraging relapse. The study's emphasis on utilizing methadone's reinforcing properties offers a promising avenue for future research and development of more personalized and effective treatment approaches for individuals battling opiate dependence.
Date :
  1. Date Completed 1986-10-30
  2. Date Revised 2019-09-03
Further Info :

Pubmed ID

3757767

DOI: Digital Object Identifier

10.1016/0376-8716(86)90080-3

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