This article presents a modified version of the bridge drawing assessment administered to a substance use disorder population at admission and discharge from a residential addiction treatment center. Following an overview of the bridge drawing assessment and method, the authors present two case descriptions that illustrate how the modified task…

An autobiographical, narrative art therapy approach to treat drug addiction was co-developed at the Methadone Clinic of Muhimbili National Hospital, Dar-es-Salaam, Tanzania. The 10-session art therapy intervention included a group of 7 men. The protocol, as illustrated with a case example, suggests that it could help resolve deep-seated pain,…

This case study is part of a larger investigation of literacy practices at New Beginnings shelter, a long-term transitional homeless shelter for addicted mothers and their children. We asked, "What is the nature of writing in a homeless shelter committed to the rehabilitation and recovery of mothers from addiction?" At New Beginnings,…

Objective: This study examined the relation of process variables to the outcome of group drug counseling, a commonly used community treatment, for cocaine dependence. Method: Videotaped group drug counseling sessions from 440 adult patients (23% female, 41% minority) were rated for member alliance, group cohesion, participation, self-disclosure,…

Objective: Relapse is a major problem in drug addiction treatment. Both drug craving and drug-related cognitions (e.g., attentional bias and implicit attitudes to drugs) may contribute to relapse. Using ecological momentary assessments, we examined whether craving and cognitions assessed during drug detoxification treatment were associated with…

The present report is an intent-to-treat analysis involving secondary data drawn from the first randomized clinical trial of prison-initiated methadone in the United States. This study examined predictors of treatment entry and completion in prison. A sample of 211 adult male prerelease inmates with preincarceration heroin dependence were randomly…

Objective: To examine predictors of opioid abstinence in buprenorphine/naloxone (Bup/Nal)-assisted psychosocial treatment for opioid-dependent youth. Method: Secondary analyses were performed of data from 152 youth (15-21 years old) randomly assigned to 12 weeks of extended Bup/Nal therapy or up to 2 weeks of Bup/Nal detoxification with weekly…

Research suggests that buprenorphine treatment may be a promising intervention for incarcerated individuals with heroin addiction histories. However, its implementation varies from corrections-based methadone because of unique challenges regarding dosing, administration, and regulation. Describing the first randomized clinical trial of…

Despite the significant attention that drugs and alcohol receive on college campuses, few resources and supports are available to students who are recovering from an addiction. Student affairs professionals are uniquely positioned to support these students with a variety of strategies. This article summarizes what is currently known about college…

High-magnitude and long-duration abstinence reinforcement can promote drug abstinence but can be difficult to finance. Employment may be a vehicle for arranging high-magnitude and long-duration abstinence reinforcement. This study determined if employment-based abstinence reinforcement could increase cocaine abstinence in adults who inject drugs…

A previous randomized trial with 224 alcohol and/or cocaine addicts who had completed an initial phase of treatment indicated that 12 weeks of telephone-based continuing care yielded higher abstinence rates over 24 months than did group counseling continuing care. The current study examined mediators of this treatment effect. Results suggested…

This paper examines the association of psychosocial factors and long-term drug use behaviors (year-5.5) among adolescents with a substance dependence disorder. One group received treatment with a 12-Step approach (n = 159) and one group was on a waiting list (n = 62). Four psychosocial factors (deviant behavior, peer drug environment,…

Four successive randomized clinical trials studying contingency management (CM), involving various treatment arms of drug-abstinent housing and work therapy and day treatment (DT) with a behavioral component, were compared on common drug abstinence outcomes at 2 treatment completion points (2 and 6 months). The clinical trials were conducted from…

Illustrates the stimulus addiction chain experienced by a substance addicted person and recommends that substance abuse treatment agencies provide low-stimulus activity by controlling their use of high-stimulus structure and high-level recreational stimulus producers. Suggests quiet activities to help regulate stimulus and reinforce reflectiveness…

Examines shock incarceration (short-term, boot-camp programs) to determine whether a self-reported history of drug use, supported by official data, is related to completion or failure in the program. Analysis of selected inmates (N=100) found no significant correlation between drug use and boot camp completion or failure. (RJM)