Journal of Substance Abuse Treatment
Volume 34, Issue 2 , Pages 202-207, March 2008

Community reinforcement approach plus vouchers for cocaine dependence in a community setting in Spain: Six-month outcomes

  • Roberto Secades-Villa, Ph.D.

      Affiliations

    • Department of Psychology, University of Oviedo, Oviedo, Spain
    • Corresponding Author InformationCorresponding author. Roberto Secades-Villa, Facultad de Psicología, Universidad de Oviedo, Plaza Feijoo s/n 33003, Oviedo, Spain. Tel.: +34 98 5104139; fax: +34 98 5104144.
    • ,
  • Olaya García-Rodríguez, Ph.D.

      Affiliations

    • Department of Psychology, University of Oviedo, Oviedo, Spain
    • ,
  • Stephen T. Higgins, Ph.D.

      Affiliations

    • Department of Psychiatry, University of Vermont, Burlington, VT, USA
    • Department of Psychology, University of Vermont, Burlington, VT, USA
    • ,
  • José R. Fernández-Hermida, Ph.D.

      Affiliations

    • Department of Psychology, University of Oviedo, Oviedo, Spain
    • ,
  • José L. Carballo, Ph.D.

      Affiliations

    • Department of Psychology, University of Oviedo, Oviedo, Spain

Received 30 October 2006; received in revised form 5 March 2007; accepted 19 March 2007. published online 21 May 2007.

Abstract 

The aim of this study was to assess the efficacy of the community reinforcement approach (CRA) plus vouchers treatment in achieving cocaine abstinence and treatment retention among patients enrolled in an outpatient program for cocaine dependence in Spain. Forty-three patients were randomly assigned to one of two treatment conditions in a community setting: CRA plus vouchers or standard care. Of the patients who received the CRA plus vouchers program, 73% completed 24 weeks of treatment, as compared with 42% of the patients who received standard care who did. In the CRA plus vouchers group, 40% of the patients achieved 24 weeks of continuous cocaine abstinence, as compared with 21% of the patients in the standard care group who did. These results support the effectiveness and generalizability of the CRA plus vouchers treatment in a community setting outside of the United States. Further follow-up is required to confirm the long-term maintenance of the results.

Keywords: CRA, Vouchers, Cocaine dependence, Community setting

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 Institution where the work was conducted: Facultad de Psicología, Universidad de Oviedo, Oviedo, Spain.

PII: S0740-5472(07)00089-X

doi:10.1016/j.jsat.2007.03.006

Journal of Substance Abuse Treatment
Volume 34, Issue 2 , Pages 202-207, March 2008

Article Tools

* Image Usage & Resolution