Details for 17-28

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Name:17-28
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Manejo de contingencias para el tratamiento de la adicción a la cocaína en un contexto sanitario público


Emilio Sánchez-Hervás, Francisco Zacarés, Roberto Secades-Villa, Olaya García-Rodríguez, Gloria Garcia-Fernández, y Francisco José Santonja


Abstract: The demand for treatment for cocaine dependence increased significantly in recent years, therefore, the development and dissemination of effective treatments for cocaine dependence is an important public health priority in Spain and in the rest of Europe. The aim of the present study was to explore the effectiveness of one of the programs that has obtained the best results in the United States: The Community Reinforcement Approach (CRA) plus vouchers for the treatment of cocaine addiction. Eighty-six patients seeking treatment at a public healthcare clinic were randomly assigned to one of three treatment conditions: CRA, CRA plus vouchers, or standard care. Retention rate at three months was 57.9% in the CRA group, 66.7% in the CRA plus vouchers group, and 53.3% in the standard treatment group. In the CRA group, 21.1% of the patients maintained continuous abstinence, compared to 44.4% of the CRA plus vouchers group and 16,7% of the standard group. These results support the effectiveness and the adaptability of CRA plus vouchers in a public setting in Spain. Further follow-up will be required to confirm the long-term maintenance of the results.


Keywords: cocaine dependence; CRA; contingency management; vouchers.


 

 

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