Anthropological Perspectives on Money Management: Considerations for the Design and Implementation of Interventions for Substance Abuse

Carpenter‐Song, Elizabeth

doi:10.3109/00952990.2011.643980

Cited by 11 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This observed relationship is consistent with the practice of contingency management treatment, i.e., enabling patients to obtain non-drug reinforcers more readily by engaging in low-cost behaviors (brief drug abstinence) can initiate longer-term decreases in cocaine consumption (e.g., Rothfleisch et al, 1999; Schumacher et al, 2000). Another implication of these findings is that it may be valuable to conduct behavioral economic assessments at treatment intake among cocaine-dependent individuals (e.g., to identify expenditures on cocaine and other goods), and is consistent with the emerging use of practical money management strategies to promote recovery from substance use disorders (Carpenter-Song, 2012; Chivers and Higgins, 2012; Rosen, 2012; Rosen et al, 2003, 2009). A noteworthy finding from this interview process is that many participants are unaware of, and often surprised by, the proportion of income they spend on their primary drug.…”

Section: Discussionsupporting

confidence: 53%

Cocaine behavioral economics: From the naturalistic environment to the controlled laboratory setting

Greenwald

Steinmiller

2014

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Background We previously observed that behavioral economic factors predict naturalistic heroin seeking behavior that correlates with opioid seeking in the experimental laboratory. The present study sought to replicate and extend these prior findings with regular cocaine users. Methods Participants (N = 83) completed a semi-structured interview to establish income-generating and cocaine-purchasing/use repertoire during the past month. Questions addressed sources/amounts of income and expenditures; price (money and time) per purchase; and frequency/amounts of cocaine purchased and consumed. Naturalistic cocaine purchasing and use patterns were: (1) analyzed as a function of income quartile, (2) perturbed by hypothetical changes in cost factors to assess changes in purchasing/use habits, and (3) correlated with experimental cocaine seeking. Results Income was positively related to naturalistic cocaine seeking/use pattern (i.e., income elastic), and behaviors were cost-efficient and sensitive to supply chain. Income was unrelated to proportional expenditure on cocaine (≈55%) but inversely related to food expenditure. In all hypothetical scenarios (changes in income or dealer, loss of income assistance from government or family/friends, and increasing arrest risk when purchasing), the high-income group reported they would continue to use more cocaine daily than other groups. Number of laboratory cocaine choices significantly correlated with cocaine purchase time (positively) and purity of cocaine (negatively) in the naturalistic setting. Conclusions These results replicate and extend findings with regular heroin users, demonstrate the importance of income, cost-efficiency and supply-mindedness in cocaine seeking/use, and suggest that this interview-based approach has good external validity.

show abstract

Section: Discussionsupporting

confidence: 53%

Cocaine behavioral economics: From the naturalistic environment to the controlled laboratory setting

Greenwald

Steinmiller

2014

Drug and Alcohol Dependence

View full text Add to dashboard Cite

show abstract

“…This clinical perspective is also taken by Festinger and Dugosh (16), who describe how addicts reported spending money earned by study participation. Dr. Carpenter-Song (17) reminds us that how people manage their money is influenced by cultural norms, and that these norms influence how patients feel about money management interventions.…”

Section: Introduction and Overviewmentioning

confidence: 99%

Overview of Special Sub-section on Money Management Articles: Cross-Disciplinary Perspectives on Money Management by Addicts

Rosen

2012

The American Journal of Drug and Alcohol Abuse

View full text Add to dashboard Cite

How addicts manage their funds can be understood from studies of the neurobiology of impulsive spending, contingency management, self-reported expenditures, behavioral economics and anthropology. To show how these differing perspectives can provide theoretical explanations for observed behavior, they were applied to the question of when extra “windfall” funds are spent on substances of abuse. The treatment implications of Behavioral Economic and related approaches include targeting behavioral mechanisms of substance use with money management-based interventions, configuration of reinforcers other than substance use, and therapeutically framing the choice between abstinence and alcohol use.

show abstract

“…Unlike mandatory schemes [2, 98], voluntary programmes have shown promise as a means to reduce substance use and improve financial planning [17, 99–101]. These initiatives ideally respect and foster individual autonomy, with trust a critical factor, and can be integrated with substance use or mental health treatment [17, 100, 102–104]. Peer engagement could augment programme acceptability by integrating the cultural and economic perspectives of individuals with lived experience [102].…”

Section: Discussionmentioning

confidence: 99%

Deconstructing the ‘cheque effect’: short‐term changes in injection drug use after receiving income assistance and associated factors

et al. 2020

View full text Add to dashboard Cite

Background and Aims Disbursement of income assistance has been temporally associated with intensified drug use and related harms (coined the ‘cheque effect’). However, relationships to injection drug use (IDU) remain understudied. We examined short‐term ‘cheque effects’ and associated factors among people who inject drugs (PWID). Design Cross‐sectional analysis nested within a cohort study. Setting Montreal, Quebec, Canada. Participants PWID receiving income assistance, with no employment income. A total of 613 PWID (median age 41, 83% male) contributed 3269 observations from 2011 to 2017. Measurements and Methods At each cohort visit, an interviewer‐administered questionnaire captured retrospective reports of injection‐related behaviour during the 2‐day periods (i) before and (ii) including/after receiving last month's income assistance payment (number of injections; drugs injected; any receptive syringe‐sharing). The relative likelihood (odds) and magnitude (rate) of an increase in injection frequency (‘cheque effect’) were estimated in relation to social and behavioural factors using logistic and negative binomial regression in a covariate‐adjusted two‐part model. Findings Prevalence of IDU and syringe‐sharing were, respectively, 1.80 and 2.50 times higher in the days following versus preceding cheque receipt (P < 0.001). Among people with past‐month IDU, most observations showed increased injection frequency (52%) or no change in injection frequency (44%). The likelihood of a ‘cheque effect’ was positively associated with cocaine injection [versus injection of other substances, odds ratio (OR) = 2.639, 95% confidence interval (CI) = 2.04–3.41], unstable housing (OR = 1.272, 95% CI = 1.03–1.57) and receiving opioid agonist therapy (OR =1.597, 95% CI = 1.27–2.00) during the same month. Magnitude of the ‘cheque effect’ was positively associated with cocaine injection [rate ratio (RR) = 1.795, 95% CI = 1.43–2.16], unstable housing (RR = 1.198, 95% CI = 1.02–1.38) and frequent injection (RR = 2.938, 95% CI = 2.43–3.44), but inversely associated with opioid agonist therapy (RR = 0.817, 95% CI = 0.68–0.95) and prescription opioid injection (RR = 0.794, 95% CI = 0.66–0.93). Conclusion Among people who inject drugs in Montreal, Canada, injection drug use and receptive syringe‐sharing appear to be more prevalent in the 2 days after versus before receiving income assistance. The odds and rate of individual‐level increases in injection frequency appear to be positively associated with cocaine injection (versus injection of other substances) and unstable housing.

show abstract

Anthropological Perspectives on Money Management: Considerations for the Design and Implementation of Interventions for Substance Abuse

Cited by 11 publications

References 20 publications

Cocaine behavioral economics: From the naturalistic environment to the controlled laboratory setting

Cocaine behavioral economics: From the naturalistic environment to the controlled laboratory setting

Overview of Special Sub-section on Money Management Articles: Cross-Disciplinary Perspectives on Money Management by Addicts

Deconstructing the ‘cheque effect’: short‐term changes in injection drug use after receiving income assistance and associated factors

Contact Info

Product

Resources

About