Contingency Management for Substance Abuse

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Twin Falls Juvenile Probation, Twin Falls, ID
Substance Abuse+1 More
Contingency Management - Behavioral
Eligibility
< 18
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a type of behavioral therapy delivered by Juvenile Probation Officers may help reduce drug use in teens.

See full description

Eligible Conditions

  • Substance Abuse

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Contingency Management will improve 2 primary outcomes and 9 secondary outcomes in patients with Substance Abuse. Measurement will happen over the course of Baseline to 9 months..

Month 18
Changes in number and severity of criminal charges in official records in the 18 months pre-Baseline compared with 18 months post-Baseline.
Baseline to 31 months.
Changes from Baseline in Training Needs and Training Satisfaction scores compared to 31 months post-Baseline (measured at 0,16 and 31 months).
Changes from Baseline in attitudes towards Contingency Management (CM) compared to 31 months post-Baseline (measured at 0,16 and 31 months).
Changes from Baseline in attitudes towards using rewards in substance abuse treatment compared to 31 months post-Baseline (measured at 0,16 and 31 months).
Changes from Baseline scores compared to 31 months post-Baseline Contingency Management (CM) Adherence (measured monthly for 31 months).
Baseline to 9 months
Changes from Baseline scores compared to 9 months post-Baseline Substance Use and Problems (measured at 0, 3, 6 and 9 months).
Changes from Baseline scores compared to 9 months post-Baseline Urine Drug Screens (measured at 0, 3, 6 and 9 months).
Baseline to 9 months.
Changes from Baseline scores compared to 9 months post-Baseline Delinquent Behaviors (measured at 0, 3, 6 and 9 months).
Changes from Baseline scores compared to 9 months post-Baseline Internalizing and Externalizing Behaviors (measured at 0, 3, 6 and 9 months).
Changes from Baseline scores compared to 9 months post-Baseline Sexual Risk Behaviors (measured at 0, 3, 6 and 9 months).
Changes from Baseline scores compared to 9 months post-BaselineTreatment Usage (measured at 0, 3, 6 and 9 months).

Trial Safety

Trial Design

2 Treatment Groups

Probation as Usual
1 of 2
Contingency Management
1 of 2
Active Control
Experimental Treatment

This trial requires 540 total participants across 2 different treatment groups

This trial involves 2 different treatments. Contingency Management is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Contingency Management
Behavioral
This group will receive regular probation services but will also receive the Contingency Management program for substance abuse from their juvenile probation officer during regular meetings.
Probation as Usual
Behavioral
This group will receive regular services that are usually provided by juvenile probation officers.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Contingency Management
2003
Completed Phase 2
~3230

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 18 months pre-baseline to 18 months post-baseline.
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 18 months pre-baseline to 18 months post-baseline. for reporting.

Who is running the study

Principal Investigator
A. S.
Ashli Sheidow, Senior Research Scientist
Oregon Social Learning Center

Closest Location

Twin Falls Juvenile Probation - Twin Falls, ID

Eligibility Criteria

This trial is for patients born any sex aged 18 and younger. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The study consists of two groups: juvenile probation officers and youths. show original
12-17 years old
criteria The DSM-5 is a manual that is used by mental health professionals to diagnose mental disorders show original
The probation officer has recently opened a new case show original

Patient Q&A Section

Can drug abuse be cured?

"Though drugs of abuse may be able to be successfully eliminated through a combination of psychosurgery, psychotherapy, and medication, drug abuse cannot be cured. Despite a substantial reduction in the recreational use of some psychoactive agents over the last decade, the addiction persists without cure." - Anonymous Online Contributor

Unverified Answer

What are common treatments for drug abuse?

"Treatment for drug abuse is highly dependent on factors such as the severity of the dependency and the drug taken. Common solutions include counselling, medication, therapy, and individual and group psychotherapy. Treatment often involves counseling and guidance." - Anonymous Online Contributor

Unverified Answer

What are the signs of drug abuse?

"The signs of alcohol, non-prescribed and recreational drugs are often difficult to detect. Symptoms can fade rapidly. Often they can also be mistaken for signs of other problems." - Anonymous Online Contributor

Unverified Answer

How many people get drug abuse a year in the United States?

"Around 60 million American adults experience a dependence on illicit drugs each year. Alcohol addiction affects over 15 million adults each year, and nicotine addiction affects 7 to 10 million adults.\n" - Anonymous Online Contributor

Unverified Answer

What is drug abuse?

"Alcohol and illicit drug abuse have a major impact on social and public health. Preventive and therapeutic strategies based on accurate and accurate assessment of drug use should be developed." - Anonymous Online Contributor

Unverified Answer

What causes drug abuse?

"Drug abuse may have various determinants and consequences. The most widely accepted hypothesis holds that drug abuse represents a disorder in which the person's brain becomes abnormally controlled by a drug, and that this abnormal behavior is an adaptive strategy for coping with stress and deprivation." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of drug abuse?

"Among the participants, the prevalence of alcoholism in this cohort of methamphetamine abusers was much more than those with alcohol abuse alone. Methamphetamine abusers who had been diagnosed with other mental illnesses were more likely to have a family history of alcoholism or to have developed alcoholism before the onset of mental illness, suggesting a possible link between the development of alcoholism and other psychological disorders or drug use-related factors." - Anonymous Online Contributor

Unverified Answer

What is contingency management?

"It is important for the clinician to understand the components of CM and the role of motivational enhancement. CM components that we are willing to implement and measure are the use of rewards and contingency management activities related to drug treatment compliance." - Anonymous Online Contributor

Unverified Answer

Is contingency management typically used in combination with any other treatments?

"Although it is important to recognize the potential for CM to increase abstinence rates from alcohol and other drugs, it is also important to understand that it enhances the effectiveness of behavioral treatment such as cognitive behavioral therapy." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets drug abuse?

"[The most common drug abuse problems among adults aged 25-34] are stimulant (17%), cannabis (11%), drug using disorders (11%), inhalant (6%) and benzodiazepines (5.1%). answer: The most common drug abuse problem among adults aged 25-34 seemed to be stimulant (16%), inhalants (8%), and illicit drugs from cannabis (4%). Alcohol misuse is not commonly identified among adults." - Anonymous Online Contributor

Unverified Answer

How does contingency management work?

"The current results suggest that CM can lead to an improved ability to abstain from substance use. The effects are more robust for cocaine than alcohol." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of contingency management?

"Side effects of CM were rare, but some of them were serious including an increased risk of suicide. It is important that patients and caregivers are educated about CM to reduce potential complications." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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