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Brief coping skills treatment for cocaine abuse: substance use outcomes at three months
P M Monti1, D J Rohsenow, E Michalec
1Veterans Affairs Medical Center, Providence, RI, USA.
Aims:
Coping skills training, a promising treatment approach for alcoholics, was adapted for use with cocaine abusers and effects on outcome were investigated.
Design:
A cocaine-specific coping skills training (CST) package was compared to an attention placebo control when both were added to a comprehensive treatment program.
Setting:
The sites were two private substance abuse treatment facilities, one residential and rural, and one an urban partial hospital.
Participants:
Substance abusers in treatment with cocaine abuse or dependence were selected.
Intervention:
The CST intervention was conducted in individual sessions. It involved functional analysis of high risk situations and coping skills training based on the functional analysis.
Findings:
Clients who received CST had significantly fewer cocaine use days and the length of their longest binge was significantly shorter during the 3-month follow-up period compared to clients in the control condition. CST did not affect relapse rates or use of other substances.
Conclusions:
Results support the notion that cocaine-specific CST is a promising adjunct to treatment for cocaine abusers.