Contingency Management to reduce substance use in individuals who are homeless with co-occurring psychiatric disorders

Am J Drug Alcohol Abuse. 2007;33(2):253-8. doi: 10.1080/00952990601174931.

Abstract

Homeless shelters provide a unique opportunity to intervene with occupants who have substance abuse problems, as not addressing these issues may lead to continuation of problems playing a contributing role in homelessness. Attempts to implement Contingency Management (CM) with this population have often been complex, costly, and not straightforward to replicate in community settings. We conducted a randomized trial evaluating a simple, low-cost 4-week CM program for 30 individuals seeking shelter in a community-based homeless shelter who had both current substance and psychiatric disorders. Behavioral assessments were performed at baseline, weekly, and termination of the study. Overall retention in the trial was high; participants assigned to CM reduced their cocaine and alcohol use more than those in assessment-only. This pilot trial suggests that application of low-cost CM procedures is feasible within this novel setting and may decrease substance use.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Alcoholism / rehabilitation*
  • Analysis of Variance
  • Behavior Therapy / methods*
  • Cocaine-Related Disorders / rehabilitation*
  • Connecticut
  • Diagnosis, Dual (Psychiatry)
  • Female
  • Humans
  • Ill-Housed Persons / psychology*
  • Male
  • Mental Disorders / rehabilitation*
  • Pilot Projects
  • Reward