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Heroin Addiction and Related Clinical Problems: 2007, 09, 2 (pages: 27 - 38)

Voucher-Based Reinforcement Therapy for Drug-Dependent Pregnant Women

Heil S. H., Linares Scott T. J.

Summary: Opioid and other drug abuse during pregnancy is a leading preventable cause of fetal and neonatal morbidity and mortality. Given the limited availability of safe and effective pharmacotherapies for this population, additional interventions that address drug use and other behaviors are sorely needed. One of the most robust interventions for increasing drug abstinence is voucher-based reinforcement therapy (VBRT). The present report reviews the growing literature on VBRT interventions to promote opioid and other drug abstinence in pregnant substance abusers. Overall, results suggest that VBRT interventions can foster drug abstinence and other therapeutic behaviors in this special population.