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Contingency Management for Persons With Severe Mental Illness

U

UConn Health

Status

Completed

Conditions

Substance Abuse

Treatments

Other: Standard Care
Behavioral: contingency management

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT01478815
12-070-3
P30DA023918 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Contingency management is efficacious for treating cocaine abuse, but contingency management interventions have rarely been applied to patients with severe and persistent mental health problems. This pilot project will estimate effect sizes of contingency management for reducing cocaine use in patients receiving psychiatric care at a large community based mental health program. In total, 30 cocaine abusing patients will be randomized to one of two 8-week treatment conditions: standard care or standard care with contingency management. Patients in both conditions will provide breath and urine samples for toxicology testing twice per week. In the contingency management condition, patients will receive the opportunity to win prizes for submitting cocaine negative urine samples. The investigators expect that patients receiving contingency management will evidence reductions in cocaine use and may show improvements in psychiatric symptoms and psychosocial functioning relative to patients in standard care. Effect size estimates obtained from this study will be used to guide larger scale and longer duration evaluations of contingency management for dually diagnosed patients.

Enrollment

19 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • age 18 years or older
  • meet DSM-IV criteria for cocaine abuse or dependence
  • English speaking
  • pass a brief quiz regarding study procedures to ensure understanding of the informed consent process.

Exclusion criteria

  • dementia
  • in recovery from pathological gambling

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

19 participants in 2 patient groups, including a placebo group

Standard Care
Placebo Comparator group
Treatment:
Other: Standard Care
Contingency management for abstinence from drugs
Experimental group
Treatment:
Behavioral: contingency management

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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