Avoiding adverse consequences, enhancing self-efficacy, and accepting realistic normative feedback are predictors of positive outcomes. Drug abusers view the crack-using lifestyle as more exciting than the perceived boredom and limited resources of everyday life. Rules and regulations of treatment programs need to be modified for low-literacy patients. Cocaine treatment and 3-day detoxification programs are viewed as ineffective by drug users. Roadblocks to treatment include reliance on public transportation that requires a significant commitment of addicts' time and energy.
Social networks are critical to treatment success.
Alternative Approaches to Drug Abuse Treatment Case management is a promising intervention for following homeless HIV-positive drug abusers. Day treatment that includes transportation and meals helps retain clients. Comprehensive services such as abstinence-contingent work therapy and housing enhance treatment. Active outreach, reduced waiting time, ancillary services, case management, and motivational interventions increase treatment entry. Coercion takes forms ranging from criminal justice sanctions to family interventions.