Help-Seeking by Substance Abusers: The Role of Harm Reduction and Behavioral-Economic Approaches To Facilitate Treatment Entry and Retention

Marlatt, G. Alan; Tucker, Jalie A.; Donovan, Dennis M.; Vuchinich, Rudy E.

doi:10.1037/e495632006-005

Cited by 28 publications

(33 citation statements)

References 93 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These societal influences were also regarded as having negative effects on treatment outcomes. A number of authors support the association between stigma and decisions not to seek drug treatment (Copeland, 1997;Cunningham et al, 1993;Grant, 1996;Judd, Marston, Attkisson, & Berrettini, 1998;Knight, Logan, & Simpson, 2001;Marlatt et al, 1997). If the individual is seen as solely responsible for drug problems and the source of barriers to successful treatment, then they also are vulnerable to stigmatizing community perceptions (Goffman, 1968;Takahashi, 1997).…”

Section: Deficit Models Of Drug Usersmentioning

confidence: 93%

Deficit models and divergent philosophies: Service providers’ perspectives on barriers and incentives to drug treatment

Treloar

Holt

2006

Drugs: Education, Prevention and Policy

View full text Add to dashboard Cite

Aims: To ascertain service providers' views on barriers and incentives to illicit drug users accessing or remaining in treatment. Methods: Interviews with service providers in Australia were conducted. Results: Two main themes were explored. Service providers suggested that the perception of a person seeking treatment was strongly associated with the image of that person as deficient, defective or lacking, and that this could impede treatment. Service providers also suggested that differing treatment philosophies and their related treatment goals were at the core of many barriers to treatment. We argue that it is important to find a balance between a model of treatment which works and is responsive to clients' needs while also avoiding the potential for feeding stigma of those who seek treatment for drug dependence. Conclusion: Our results suggest that knowledge and understanding of treatment philosophies are important for people seeking treatment so that clients can find services that match their needs and treatment goals.

show abstract

Section: Deficit Models Of Drug Usersmentioning

confidence: 93%

Deficit models and divergent philosophies: Service providers’ perspectives on barriers and incentives to drug treatment

Treloar

Holt

2006

Drugs: Education, Prevention and Policy

View full text Add to dashboard Cite

show abstract

“…A combination of intervention strategies is likely to be more effective than a single strategy [23]. …”

Section: Methodsmentioning

confidence: 99%

“…One survey of studies that have tested various pretreatment strategies concluded that more research was needed to evaluate which strategies or combinations of strategies are most effective [23]. …”

Section: Introductionmentioning

confidence: 99%

African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention

Wechsberg

Zule

Riehman

et al. 2007

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

Background: Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry.

show abstract

“…When such adverse consequences come to outweigh the desirable effects of the drug, abstinence attempts tend to occur (Epstein et al 2006; Pelloux et al 2007). Accordingly, positive relationships have been consistently observed between help-seeking and psychosocial problems related to substance abuse; escalating negative consequences of substance use were cited most often as important reasons for either getting or staying sober (Laudet et al 2002); treatment entry was correlated with increased substance-related psychosocial problems and negative events (Marlatt et al 1997); and patients with the most severe problems are more likely to enter longer-term programs (Simpson et al 1999). However, after admission for anti-addiction treatments, individuals are often ambivalent about starting treatment, and 29–42% of admitted clients fail to return to begin treatment (Weisner et al 2001).…”

Section: Introductionmentioning

confidence: 99%

Cue-induced reinstatement of cocaine seeking in the rat “conflict model”: Effect of prolonged home-cage confinement

et al. 2011

View full text Add to dashboard Cite

Rationale and Objectives Drug addiction is not just the repeated administration of drugs, but compulsive drug use maintained despite the accumulation of adverse consequences for the user. In an attempt to introduce adverse consequences of drug seeking to laboratory animals, we have developed the ‘conflict model’ in which the access of rats to a reinforcing lever allowing self-administration requires passing of an electrified grid floor. In this model, the current intensity leading to complete abstinence from drug seeking can be measured individually. The present study was designed to evaluated whether reinstatement of drug or natural reward seeking, despite the presence of the electrical barrier, can be achieved by presentation of discrete cues that were associated with the reward, and whether prolonged home-cage confinement can facilitate such reinstatement in this model. Methods The ‘conflict model’ was used to test cue-induced reinstatement in the presence of the electrical barrier, after 1 or 14 days of home-cage confinement, in groups of rats that were previously trained to self-administer cocaine or sucrose. Results Although similar shock intensity was required to suppress sucrose or cocaine self-administration, subjects exhibited significantly lower response to sucrose-, as compared to cocaine-, associated cues, during the reinstatement test. Importantly, cue-induced reinstatement of cocaine seeking was attenuated following 14 days of home-cage confinement. Conclusions The incorporation of aversive consequence in the self-administration model enable detection of what can be interpreted as a compulsive component unique to drug reinforcers. Moreover, the effect of the aversive consequence seems to increase following home-cage confinement.

show abstract

Help-Seeking by Substance Abusers: The Role of Harm Reduction and Behavioral-Economic Approaches To Facilitate Treatment Entry and Retention

Cited by 28 publications

References 93 publications

Deficit models and divergent philosophies: Service providers’ perspectives on barriers and incentives to drug treatment

Deficit models and divergent philosophies: Service providers’ perspectives on barriers and incentives to drug treatment

African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention

Cue-induced reinstatement of cocaine seeking in the rat “conflict model”: Effect of prolonged home-cage confinement

Contact Info

Product

Resources

About