According to an article in the November 14th edition of the Los Angeles Times, a San Francisco-based treatment program for methadone users is attracting a lot of attention. This program, which is currently geared towards gay and bi-sexual men
who are meth users, involves the use of the reward system for those who
stay clean. During the past year, San Francisco’s innovative
public health department has been offering rewards with values of up to
$40 a week for addicts who stay off the drug, according to the article
penned by staff writer, Charles Ornstein.
Meth users only need show up at the clinic three times a week, undergo
a urinalysis test, and – if they test negative for the drug – they
receive a voucher (not cash) for their reward.
The program has
been a great success, notes Ornstein, pointing out that other public
service agencies throughout the country now have their eye on the San
Francisco program, gauging the results as the program grows.
The author also points out that the success of this program is yet
another example of how addicts positively respond to material rewards,
an issue that’s been studied over the last decade or so.
Some therapists liken it to a reward system used with children by their
parents, calling it behavior modification or behavior shaping.
Some think the reward is the most important aspect of the program while
others believe that the drug abusers just want to be noticed for their
positive accomplishments.
UCLA researchers took the results one step further by noting that such
voucher programs may even result in more success than conventional
treatments such as cognitive behavioral therapy, citing a 16-week study
during which 83% of voucher recipients stayed clean compared with only
75% of those who were undergoing conventional therapy alone
Whatever the reason, Ornstein stresses, other large cities with big
drug problems, like New York and Seattle, are starting to sit up and
take notice, providing yet another alternative to the growing
challenges of drug abuse treatment.
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