Improving substance abuse treatment enrollment in community syringe exchangers

Kidorf, Michael; King, Van L.; Neufeld, Karin; Peirce, Jessica; Kolodner, Ken; Brooner, Robert K.

doi:10.1111/j.1360-0443.2009.02560.x

Cited by 57Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentHIV, Drug Use, Sexual Risk

Improving substance abuse treatment enrollment in community syringe exchangers

Kidorf, Michael, King, Van L., Neufeld, Karin, Peirce, Jessica, Kolodner, Ken, Brooner, Robert K.·2009·Addiction

DOI 10.1111/j.1360-0443.2009.02560.x

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Abstract

Aims The present study evaluated the effectiveness of an intervention combining motivational enhancement and treatment readiness groups, with and without monetary incentives for attendance and treatment enrollment, on enhancing rates of substance abuse treatment entry among new registrants at the Baltimore Needle Exchange Program (BNEP). Design Opioid‐dependent study participants (n = 281) referred by the BNEP were assigned randomly to one of three referral interventions: (i) eight individual motivational enhancement sessions and 16 treatment readiness group sessions (motivated referral condition—MRC); (ii) the MRC intervention with monetary incentives for attending sessions and enrolling in treatment—MRC+I); or (iii) a standard referral condition which directed participants back to the BNEP for referral (standard referral—SRC). Participants were followed for 4 months. Findings MRC+I participants were more likely to enroll in any type of treatment than MRC or SRC participants (52.1% versus 31.9% versus 35.5%; χ 2 = 9.12, P = 0.01), and more likely to enroll in treatment including methadone than MRC or SRC participants (40.4% versus 20.2% versus 16.1%; χ 2 = 16.65, P < 0.001). MRC+I participants also reported less heroin and injection use than MRC and SRC participants. Conclusions Syringe exchange sites can be effective platforms to motivate opioid users to enroll in substance abuse treatment and ultimately reduce drug use and number of drug injections.

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Crossref · 10.1111/j.1360-0443.2009.02560.x

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Contingency management can be used at different points of the treatment sequence, including initial engagement, attendance, and abstinence.
“It can be used at different points of the treatment se quence, including initial engagement 167 , attendance 237,239 , and ab stinence 237,239,240 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [239]

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Authors: Kidorf, M., King, V. L., Neufeld, K., Peirce, J., Kolodner, K., & Brooner, R. K.
Affiliations: Johns Hopkins University (US)
Corresponding author: Kidorf, Michael
ORCID: Kidorf, Michael
King, Van L.
Neufeld, Karin
Peirce, Jessica
Venue: Addiction
Publisher: Wiley
Published: 2009-04-07
Volume: 104
Issue: 5
Pages: 786-795
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/j.1360-0443.2009.02560.x
OpenAlex: W2079086095
Cited by: 57
References: 40
Citations by year: 2026: 2 · 2025: 1 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 1 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 4
FWCI: 4.03
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Drug Abuse (R01DA12347-04, R01DA012347)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords: needle exchange programs, opioid use disorder, motivation enhancement, financial incentives, methadone, heroin use, intravenous drug use
MeSH terms: Adult, Female, Humans, Male, Motivation, Opioid-Related Disorders, Reward, Baltimore, Substance Abuse, Intravenous, Substance Abuse Treatment Centers, Needle-Exchange Programs, Harm Reduction, Drug Users

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Improving substance abuse treatment enrollment in community syringe exchangers

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