Cognitive Behavioral Day Treatment Plus Abstinence-Contingent Housing, Vocational Training, and Work

Cognitive Behavioral Day Treatment Plus Abstinence-Contingent Housing, Vocational Training, and Work provided abstinence-contingent housing, paid employment training, and daily cognitive behavioral treatment to individuals experiencing homelessness and cocaine dependency in Birmingham, AL. The program transported participants from program-provided housing to job training, job interviews, and work sites. Job training, which focused on computer and office training, lasted 3.5 hours per day four days per week, with participants receiving a training stipend of up to $5.25 per hour. The stipend was contingent on negative drug tests and appropriate workplace behavior at the job training and job interview sites. Throughout the intervention, participants received cognitive behavioral therapy, which included behavioral assessments and support setting, reviewing, and revising treatment goals. The treatment phase, which included  housing, job training, and paid employment, lasted six months. Afterward, participants received an additional 12 months of post-treatment follow-up. For the first six months of post-treatment follow-up, participants were randomly drug tested once a week. During this time, participants received $10 for each urine sample they provided. For the final six months of post-treatment follow-up, participants were randomly drug tested once a month. During this time, however, participants received $50 for each urine sample they provided.