Ward Management in a Research-Treatment Setting
For those who undertake the treatment of opiate-dependent individuals, continuing challenge and frustration are the rule. Retention of patients in meaningful treatment is challenged by the extreme impulsivity of this client population, their ambivalence about giving up drug use, and the ubiquity of stimuli that trigger drug-seeking behavior. Most drug treatment programs seek to gain some control over patient behavior. Inpatient therapeutic communities have increasingly shown a preference for clients entering treatment as a condition of probation or parole because the dropout rate of voluntary patients is unreasonably high. On the other hand, methadone maintenance programs boast an impressive retention rate because withdrawal from treatment is associated with a prolonged narcotic abstinence syndrome. The required daily dose of methadone serves as a powerful reinforcer in these programs and provides the treatment staff with some measure of control over client behavior.
KeywordsCounseling Session Contingency Contracting Group Contract Contract System Monetary Payment
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