scholarly journals Meta-Analysis on the Effect of Contingency Management for Patients with Both Psychotic Disorders and Substance Use Disorders

2021 ◽  
Vol 10 (4) ◽  
pp. 616
Author(s):  
Marianne Destoop ◽  
Lise Docx ◽  
Manuel Morrens ◽  
Geert Dom
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychotic Disorders ◽  
Meta Analysis ◽  
Contingency Management ◽  
Potential Effect ◽  
Clinical Population ◽  
Clinical Implementation ◽  
Effective Interventions ◽  
Evidence Based Treatments

Background: Substance use disorders (SUD) are highly prevalent among psychotic patients and are associated with poorer clinical and functional outcomes. Effective interventions for this clinical population are scarce and challenging. Contingency management (CM) is one of the most evidence-based treatments for SUD’s, however, a meta-analysis of the effect of CM in patients with a dual diagnosis of psychotic disorder and SUD has not been performed. Methods: We searched PubMed and PsycINFO databases up to December 2020. Results: Five controlled trials involving 892 patients were included. CM is effective on abstinence rates, measured by the number of self-reported days of using after intervention (95% CI −0.98 to −0.06) and by the number of negative breath or urine samples after intervention (OR 2.13; 95% CI 0.97 to 4.69) and follow-up (OR 1.47; 95% CI 1.04 to 2.08). Conclusions: Our meta-analysis shows a potential effect of CM on abstinence for patients with SUD and (severe) psychotic disorders, although the number of studies is limited. Additional longitudinal studies are needed to confirm the sustained effectivity of CM and give support for a larger clinical implementation of CM within services targeting these vulnerable co-morbid patients.

Psychosocial Treatment Approaches for Substance Use

2018 ◽  
Author(s):  
Lynn McFarr ◽  
Julie Snyder ◽  
Lisa Benson ◽  
Rachel Higier
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Meta Analysis ◽  
Contingency Management ◽  
Psychosocial Interventions ◽  
Psychosocial Treatment ◽  
Community Based ◽  
Theoretical Orientations ◽  
Psychosocial Treatments ◽  
Community Based Programs

Multiple psychosocial treatments for substance-use disorders have been studied for efficacy. A recent meta-analysis indicates that psychosocial interventions are effective across multiple types of substances used. In the case of opiates, psychosocial interventions combined with medication appear to be the most effective. Many studies further agree that psychosocial interventions are an integral and necessary part of treating substance-use disorders. Although theoretical orientations may differ across psychosocial treatments, they have several principles and practices in common. All involve talk therapy or talk in communities as a way to clarify triggers, build commitment, and improve accountability. Many also target addiction behaviors and work to develop alternative contingencies to reduce or eliminate use. Finally, targeting repeated performance (or building “chains of committed behavior”) decreases the likelihood of relapse. This chapter discusses the most frequently studied and employed psychosocial treatments for substance use including CBT, motivational interviewing, contingency management, mindfulness, and community-based programs.

Contingency management for treatment of substance use disorders: a meta-analysis

Addiction ◽  
2006 ◽  
Vol 101 (11) ◽  
pp. 1546-1560 ◽  
Author(s):  
Michael Prendergast ◽  
Deborah Podus ◽  
John Finney ◽  
Lisa Greenwell ◽  
John Roll
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Meta Analysis ◽  
Contingency Management

Co-occurring Substance Use Disorders

2017 ◽  
Author(s):  
Michael Soule ◽  
Hilary S. Connery
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Psychotic Disorders ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Integrated Treatment ◽  
Mental Health Clinics ◽  
Medication Assisted Treatment ◽  
Community Mental Health Clinics

Substance use disorders are frequently comorbid with mood, anxiety, and psychotic disorders, and they commonly present in tandem in both primary care and psychiatric settings. Unfortunately, in the past, individuals with co-occurring substance use and mental health disorders would receive treatment in community mental health clinics only after their substance use disorder was “stabilized.” There has been increasing recognition that integrated treatment is necessary for these individuals to fully succeed and achieve recovery. This chapter uses a common presentation to illustrate up-to-date screening and treatment recommendations. Motivational interviewing, contingency management, cognitive–behavioral therapy, and medication-assisted treatment are explored. A discussion of the continuum of community-based services and systems challenges follows.

scholarly journals The Profound Heterogeneity of Substance Use Disorders: Implications for Treatment Development

2021 ◽  
pp. 096372142110269
Author(s):  
Kathleen M. Carroll
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Behavioral Therapy ◽  
Full Range ◽  
Treatment Development ◽  
Computer Based Training ◽  
Tailored Interventions ◽  
Effective Interventions ◽  
Computer Based ◽  
Disorder Type

A single treatment approach will never be sufficient to address the diversity of individuals with substance use disorders (SUDs). SUDs have historically defied definition through simple characterizations or models, and no single characterization has led to the development of broadly effective interventions. The range of dimensions of heterogeneity among individuals with SUDs, including severity of the disorder, type of substance, and issues that frequently co-occur, underscores the need for highly tailored approaches. Personalized medicine for individuals with SUDs will require two major developments. First, given the diversity of individuals with SUDs, multivariate phenotyping is needed to identify the particular features driving addictive processes in a given individual. Second, a wider range of interventions that directly target core mechanisms of addiction and the problems that co-occur with them is needed. As clinicians cannot be expected to master the full range of interventions that may target these core processes, developing interventions that can be delivered easily, flexibly, and systematically via technology will facilitate the ability to truly tailor them to this highly complex and challenging population. One such technology-delivered intervention, Computer-Based Training for Cognitive Behavioral Therapy (CBT4CBT), is used as an example to illustrate a vision for the future of highly tailored interventions for individuals with SUDs.

Contingency management for smoking cessation among individuals with substance use disorders: In-treatment and post-treatment effects

2021 ◽  
Vol 119 ◽  
pp. 106920
Author(s):  
G. Aonso-Diego ◽  
A. González-Roz ◽  
A. Krotter ◽  
A. García-Pérez ◽  
R. Secades-Villa
Keyword(s):  
Smoking Cessation ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Treatment Effects ◽  
Contingency Management ◽  
Post Treatment

Psychotic Disorders and Substance Use Disorders

2020 ◽  
pp. 1341-1355
Author(s):  
Daniele Carretta ◽  
Francesco Bartoli ◽  
Giuseppe Carrà
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychotic Disorders

Brain-derived neurotrophic factor in substance use disorders: A systematic review and meta-analysis

2018 ◽  
Vol 193 ◽  
pp. 91-103 ◽  
Author(s):  
Felipe Ornell ◽  
Fernanda Hansen ◽  
Felipe Barreto Schuch ◽  
Fernando Pezzini Rebelatto ◽  
Ana Laura Tavares ◽  
...  
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Neurotrophic Factor ◽  
Meta Analysis ◽  
Brain Derived Neurotrophic Factor
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