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Evidence-Based Mental Health 2009;12:121; doi:10.1136/ebmh.12.4.121
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

OTHER

Therapeutics

Incentives increase enrolment in substance abuse treatment at community needle exchange site

The first 150 words of the full text of this article appear below.

Question

Question:

Do motivational interventions, with or without monetary incentive, increase uptake of substance abuse treatment compared with standard referral to a needle exchange programme?

Patients:

281 opioid dependent individuals (DSM-IV criteria), newly registered to the Baltimore Needle Exchange Program (BNEP). Exclusions: age >60 years; those currently receiving substance abuse treatment; major mental illness or severe cognitive impairment.

Setting:

Two community locations in Baltimore, USA; time period unclear.

Intervention:

Motivational referral condition (MRC) or MRC plus monetary incentive (MRC+1). MRC involved 1 h individual motivational enhancement therapy (MET) sessions (eight delivered twice weekly during the first 2 months of treatment) and 1 h treatment readiness groups (16 delivered twice weekly). Services are delivered through a mobile medical van. MET aims to facilitate behaviour change through building motivation, strengthening commitment and creating a plan; treatment readiness involved use of a manual guided protocol to promote an informed and positive view of the benefits of substance . . . [Full text of this article]

Catherine R Friedman, Samuel R Friedman

Western Psychiatric Institute and Clinics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
National Development and Research Institutes Inc, New York, New York, USA


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