Stimulants MiniDeck 13 Psychosocial Interventions for Cocaine and Psychostimulant AmphetamineRelated Disorders Twentyseven randomized controlled studies 3663 participants fulfilled inclusion criteria and had data that could be used for at least one of the main comparisons ID: 1034855
Download Presentation The PPT/PDF document "Contingency Management, Part I" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. Contingency Management, Part IStimulants Mini-Deck #13
2. Psychosocial Interventions for Cocaine and Psychostimulant Amphetamine-Related DisordersTwenty-seven randomized controlled studies (3,663 participants) fulfilled inclusion criteria and had data that could be used for at least one of the main comparisons.Compared different behavioral interventions for retention in treatment and reducing stimulant use.Results showed using some form of contingency management showed better results both for reducing dropouts and lowering stimulant use.2SOURCES: Haidich, 2010; Knapp et al., 2007.
3. Psychosocial Interventions for Individuals with Cocaine and Amphetamine Use DisorderMeta-analysis of 50 clinical studies (6,943 participants) on 12 different psychosocial interventions for cocaine and/or amphetamine addiction.The combination of contingency management and community reinforcement approach was the most efficacious and most acceptable treatment both in the short and long term.3SOURCE: De Crescenzo et al., 2018.
4. More (Recent) Evidence for Contingency Management as a Response to Simulant Use (1)A 2020 systemic review of 27 studies found that contingency management has broad benefits in:Greater drug adherenceHigher utilization of other treatments and medical servicesReductions in risky sexual behaviorRecommendation: Outpatient programs that offer treatment to people with a methamphetamine use disorder should prioritize adoption and implementation of contingency management.4SOURCE: Brown & DeFulio, 2020.
5. More (Recent) Evidence for Contingency Management as a Response to Simulant Use (2)Results: A total of 157 studies comprising 402 treatment groups and 15,842 participants were included.Only contingency management programs were significantly associated with an increased likelihood of having a negative test result for the presence of cocaine (OR, 2.13; 95%)Conclusions: In this meta-analysis, contingency management programs were associated with reductions in cocaine use among adults.5SOURCE: Bentzley, et al., 2021.
6. Responding to Global Stimulant Use: Challenges and OpportunitiesPsychosocial interventions other than contingency management have weak and non-specific effects on stimulant-related problemsNo effective pharmacotherapies have been approved by the FDASubstantial research investment is needed to develop more effective, innovative, and impactful prevention and treatment6SOURCE: Farrell et al, 2019.