Manejo de contingencias para el tratamiento de la adicción a la cocaína en un contexto sanitario público

  1. Sánchez Hervás, Emilio
  2. Zacarés Romaguera, Francisco 1
  3. Secades Villa, Roberto 1
  4. García Rodríguez, Olaya 1
  5. García Fernández, Gloria 1
  6. Santonja Gómez, Francisco José
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
Revista iberoamericana de psicología y salud

ISSN: 2171-2069

Año de publicación: 2010

Volumen: 1

Número: 1

Páginas: 17-27

Tipo: Artículo

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Otras publicaciones en: Revista iberoamericana de psicología y salud

Resumen

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.

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