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The Psychological Record

, Volume 67, Issue 2, pp 273–283 | Cite as

Earning, Spending, and Drug Use in a Therapeutic Workplace

  • Shrinidhi Subramaniam
  • Anthony DeFulio
  • Brantley P. Jarvis
  • August F. Holtyn
  • Kenneth SilvermanEmail author
Original Article
  • 196 Downloads

Abstract

Drug addiction is a chronic, relapsing health problem that is associated with the degree to which individuals choose small, immediate monetary outcomes over larger, delayed outcomes. This study was a secondary analysis exploring the relation between financial choices and drug use in opioid-dependent adults in a therapeutic workplace intervention. Sixty-seven participants were randomly assigned to a condition in which access to paid job training was contingent upon naltrexone adherence (N = 35) or independent of naltrexone adherence (N = 32). Participants could earn approximately $10 per hour for 4 hours every weekday and could exchange earnings for gift cards or bill payments each weekday. Urine was collected and tested for opiates and cocaine thrice weekly. Participants’ earning, spending, and drug use were not related to measures of delay discounting obtained prior to the intervention. When financial choices were categorized based on drug use during the intervention, however, those with less frequent drug use or frequent use of one drug spent a smaller proportion of their daily earnings and maintained a higher daily balance than those who frequently tested positive for both drugs (i.e., opiates and cocaine). Several patterns described the relation between cumulative earning and spending including no saving, periods of saving, and sustained saving. One destructive effect of drug use may be that it creates a perpetual zero-balance situation in the lives of users, which in turn prevents them from gaining materials that could help to break the cycle of addiction.

Keywords

Delay discountingᅟ Impulsivity Money management Drug dependence 

Notes

Acknowledgements

This research was supported by Grants R01DA019386, R01DA23864, and T32DA07209 from the National Institute on Drug Abuse. The authors wish to thank Peter Causey for assistance with collecting the data.

Compliance with Ethical Standards

Conflict of Interest Statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Association for Behavior Analysis International 2017

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Western Michigan UniversityKalamazooUSA

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