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Research ArticleRegular Article

Contingency Management Treatment in Substance Abusers With and Without Legal Problems

Nancy M. Petry, Carla J. Rash and Caroline J. Easton
Journal of the American Academy of Psychiatry and the Law Online September 2011, 39 (3) 370-378;
Nancy M. Petry
PhD
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Carla J. Rash
PhD
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Caroline J. Easton
PhD
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    Table 1

    Baseline and Demographic Characteristics by Legal Status

    VariablesNo Current Legal ProblemsCurrent Legal ProblemsStatisticdfp
    N245148——
    Treatment condition, n (%)χ21 = 2.35.13
        Standard care65 (26.5)50 (33.8)
        Standard care + CM180 (73.5)98 (66.2)
    Study, n (%)χ22 = 7.30.03
        Petry et al.1863 (25.7)57 (38.5)
        Petry et al.1993 (38.0)49 (33.1)
        Petry et al.2289 (36.3)42 (28.4)
    Age36.6 (7.6)35.3 (8.8)t275 = 1.49.14
    Earned Income$10,137 ($16,017)$8,811 ($23,748)t391 = 0.86.39
    Years of education11.6 (1.7)11.6 (1.8)t391 = 0.30.78
    Male gender, n (%)114 (46.5)83 (56.1)χ21 = 3.37.07
    Race, n (%)χ22 = 3.58.17
        African American136 (56.9)70 (47.6)
        Caucasian76 (31.8)60 (40.8)
        Other27 (11.3)17 (11.6)
    Marital Status, n (%)χ22 = 3.17.21
        Never married131 (53.5)79 (53.4)
        Married37 (15.1)14 (9.5)
        Other77 (31.4)55 (37.2)
    Employment status, n (%)χ23 = 5.46.14
        Full-time120 (49.0)59 (39.9)
        Part-time50 (20.4)33 (22.3)
        Unemployed55 (22.4)47 (31.8)
        Not in labor force20 (8.2)9 (6.1)
    Cocaine dependence diagnosis, n (%)209 (85.3)127 (85.8)χ22 = 0.02.89
    Alcohol dependence diagnosis, n (%)125 (51.0)83 (56.1)χ21 = 0.95.33
    Opioid dependence diagnosis, n (%)49 (20.0)28 (18.9)χ21 = 0.07.79
    Sample negative for alcohol, cocaine and opioids at baseline, n (%)196 (80.3)123 (83.1)χ21 = 0.47.49
    Addiction severity index scores
        Alcohol0.21 (.22)0.25 (.22)t391 = −1.58.12
        Drug0.16 (.09)0.16 (.09)t391 = −0.07.94
        Medical0.21 (.32)0.25 (.35)t391 = −0.33.75
        Employment0.73 (.30)0.74 (.28)t391 = −0.43.67
        Legal0.00 (.00)0.35 (.19)t147 = −21.95<.001
        Family/social0.18 (.23)0.20 (.22)t391 = −0.72.47
        Psychiatric0.28 (.23)0.28 (.24)t391 = −0.01.99
    • Values are means (standard deviations) unless otherwise indicated. CM, contingency management.

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    Table 2

    Past and Present Legal Difficulties

    VariablesNo Current Legal ProblemsCurrent Legal ProblemsStatisticdfp
    n245148
    Days of illegal activity in past month0.0 (0.0)1.4 (3.9)t391 = 5.53<.001
    Awaiting charges or sentencing, n (%)0 (0.0)81 (54.7)χ21 = 168.90<.001
    Current severity of perceived problems*0.0 (0.0)2.2 (1.4)t391 = 24.77<.001
    Current desire for legal referral*0.0 (0.0)2.0 (1.7)t391 = 18.44<.001
    Arrests in lifetime6.7 (11.6)10.7 (15.6)t391 = 2.87<.01
    Convictions in lifetime3.1 (6.3)4.3 (7.2)t391 = 1.72<.09
    Arrests with charges
        Drug charges, n (%)86 (35.1)80 (54.1)χ21 = 13.58<.001
        Shoplifting, n (%)45 (18.4)45 (30.4)χ21 = 7.57<.01
        Burglary, n (%)53 (21.6)51 (34.5)χ21 = 7.80<.01
        Assault, n (%)58 (23.7)58 (39.2)χ21 = 10.68<.001
        Disorderly conduct, n (%)54 (22.0)48 (32.4)χ21 = 5.18<.05
        Major driving violations, n (%)47 (19.2)43 (29.1)χ21 = 5.09<.05
    Ever incarcerated, n (%)103 (42.0)98 (66.2)χ21 = 21.58<.001
    • * Item rated on a 0–4 scale. Values are the mean (standard deviation), unless otherwise noted.

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    Table 3

    Treatment Outcomes by Current Legal Problem Status and Treatment Condition

    No Current Legal ProblemsCurrent Legal Problems
    Standard Care (n = 65)CM (n = 180)Standard Care (n = 50)CM (n = 98)
    Primary treatment outcomes
        Retention in treatment, wk5.3 (3.5)7.9 (4.0)5.9 (3.7)6.5 (3.7)
        Longest duration of abstinence, wk3.4 (2.6)6.2 (4.5)3.6 (3.4)4.9 (4.1)
        Proportion of negative samples0.83 (0.31)0.85 (0.26)0.84 (0.31)0.84 (0.29)
    Nine-month follow-up
        Negative samples, % (available data)71.2 (n = 31 of 43)70.4 (n = 88 of 125)82.8 (n = 24 of 29)72.3 (n = 34 of 47)
        Negative samples, % (missing coded positive)47.7 (n = 31 of 65)48.9 (n = 88 of 180)48.0 (n = 24 of 50)34.7 (n = 34 of 98)
    • Data are the unadjusted mean (standard deviation). CM, contingency management + standard care.

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Journal of the American Academy of Psychiatry and the Law Online: 39 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 39, Issue 3
1 Sep 2011
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Contingency Management Treatment in Substance Abusers With and Without Legal Problems
Nancy M. Petry, Carla J. Rash, Caroline J. Easton
Journal of the American Academy of Psychiatry and the Law Online Sep 2011, 39 (3) 370-378;

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Contingency Management Treatment in Substance Abusers With and Without Legal Problems
Nancy M. Petry, Carla J. Rash, Caroline J. Easton
Journal of the American Academy of Psychiatry and the Law Online Sep 2011, 39 (3) 370-378;
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