Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-14T03:24:55.179Z Has data issue: false hasContentIssue false

7 - Contingency-Management Interventions for Cannabis Dependence

from Part II - Interventions with Cannabis-Dependent Adults

Published online by Cambridge University Press:  29 October 2009

Roger Roffman
Affiliation:
University of Washington
Robert S. Stephens
Affiliation:
Virginia College of Technology
G. Alan Marlatt
Affiliation:
University of Washington
Get access

Summary

Individuals who seek treatment for substance abuse problems are notoriously difficult to retain in treatment and motivate to change. Even when clients make initial progress, frequently motivation wanes and relapse occurs. Contingency-management (CM) interventions represent one treatment approach that has great potential to effectively motivate and facilitate change in this challenging clinical population. CM may be particularly useful for treating individuals seeking treatment for cannabis abuse or dependence, as their motivation to change their cannabis use may not be as great as those seeking treatment for other types of drug abuse (Budney et al., 1997, 1998b). Cannabis-dependent clients report psychosocial problems similar to other drug abuse clients, but in general they do not experience the type of acute crises or severity of consequences that often drive alcohol-, cocaine-, or heroin-dependent individuals into treatment. Typically, they exhibit frequent and stable patterns of cannabis use with less financial burden and without as great a disruption to daily routines as individuals with other types of drug dependence. Perhaps, for reasons related to this issue, cannabis abusers appear to exhibit at least as much difficulty as other drug abusers in initiating and maintaining abstinence. Results from the few controlled clinical trials examining treatments for cannabis dependence indicate that even the most effective treatments do not engender abstinence among the majority of those who enroll, and the rates of relapse, like with other substance dependence treatments is relatively high (Budney et al., 2000; Copeland et al., 2001; Moore & Budney, 2003; Stephens et al., 1994, 2000). Thus, there exists significant room for enhancement of outcomes.

Type
Chapter
Information
Cannabis Dependence
Its Nature, Consequences and Treatment
, pp. 154 - 176
Publisher: Cambridge University Press
Print publication year: 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×