Journal
JOURNAL OF SUBSTANCE ABUSE TREATMENT
Volume 39, Issue 3, Pages 255-263Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.jsat.2010.06.007
Keywords
Contingency management; Out-of-treatment; Methamphetamine; Homeless; Men who have sex with men (MSM)
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Funding
- NIDA NIH HHS [R01 DA015990] Funding Source: Medline
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Homeless men who have sex with men are a particularly vulnerable population with high rates of substance dependence, psychiatric disorders, and HIV prevalence. Most need strong incentives to engage with community-based prevention and treatment programs. Contingency management (CM) was implemented in a community HIV prevention setting and targeted reduced substance use and increased health-promoting behaviors over a 24-week intervention period. Participants in the CM condition achieved greater reductions in stimulant and alcohol use (chi(2) = 27.36, p < .01) and, in particular, methamphetamine use (chi(2) = 21.78, p < .01) and greater increases in health-promoting behaviors (chi(2) = 37.83, p < .01) during the intervention period than those in the control group. Reductions in substance use were maintained to 9- and 12-month follow-up evaluations. Findings indicate the utility of CM for this high-risk population and the feasibility of implementing the intervention in a community-based HIV prevention program. (C) 2010 Elsevier Inc. All rights reserved.
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