An enhanced positive reinforcement model for the severely impaired cocaine abuser

摘要: This article describes a cognitive-behavioral treatment approach that has been extensively modified to work with inner-city methadone-maintained cocaine users. Modifications were deemed essential address the problems of engagement and retention in are typically encountered this population. While relies on such basic tenets as relapse prevention, cognitive restructuring, psychoeducation, an understanding particular psychological vulnerabilities population incorporated into model. The utilizes positive reinforcement extensively. includes use concrete reinforcers facilitate initial engagement, interpersonal (therapist regard, attention, respect) increase program sustain posttreatment change. Preliminary results indicate 63% patients can complete intensive 6-month program, considerable reductions significant change drug injection behavior.