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A behavioral intervention program for chronic public drunkenness offenders.

P M Miller

    Archives of General Psychiatry
    |July 1, 1975
    PubMed
    Summary
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    Contingent management for chronic public drunkenness offenders reduced arrests and alcohol use by linking sobriety to essential goods and services. This approach showed promising short-term results, but longer-term studies are needed.

    Area of Science:

    • Behavioral science
    • Addiction research
    • Public health

    Background:

    • Chronic public drunkenness poses significant societal and individual challenges.
    • Existing interventions for chronic inebriates have shown limited long-term success.
    • Contingency management is a behavioral intervention that uses incentives to promote desired behaviors.

    Purpose of the Study:

    • To evaluate the short-term effectiveness of a reinforcement contingency management system for chronic public drunkenness offenders.
    • To assess the impact of linking essential goods and services to sobriety.
    • To compare the outcomes of contingent versus non-contingent service provision.

    Main Methods:

    • A reinforcement contingency management system was implemented for ten chronic public drunkenness offenders.

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  • Participants received goods and services contingent on sobriety; intoxication led to a five-day suspension.
  • Sobriety was assessed through direct observation and breath alcohol analysis; a control group received non-contingent services.

    • Main Results:

    • Subjects receiving contingent services showed a substantial decrease in public drunkenness arrests.
    • Alcohol consumption significantly decreased among participants in the intervention group.
    • Employment hours increased for subjects in the contingency management program.
    • The control group receiving non-contingent services showed no significant changes.

    Conclusions:

    • Contingency management appears effective in reducing public drunkenness arrests and alcohol consumption in the short term.
    • Linking essential resources to sobriety is a viable strategy for managing chronic public drunkenness.
    • Further long-term research (1-2 years) is necessary to determine the sustained efficacy and widespread applicability of this intervention.