Miller P M
Arch Gen Psychiatry. 1975 Jul;32(7):915-8. doi: 10.1001/archpsyc.1975.01760250107012.
A reinforcement contingency management system for ten chronic public drunkenness offenders was evaluated for short-term effects. Chronic inebriates were provided with required goods and services through skid row community agencies contingent on their sobriety. Intoxication resulted in a five-day suspension of all goods and services. Excessive drinking behavior was assessed by direct observations of intoxication and by randomly administered breath alcohol analyses. As a result of this intervention, subjects substantially decreased their number of public drunkenness arrests and their alcohol consumption, and increased their number of hours employed. No such changes were observed in a control group that received services on a noncontingent basis. Longer-term research studies of one to two years rather than a few months would be required before any widespread use of this approach would be warranted.
对一个针对十名慢性公共醉酒罪犯的强化应急管理系统进行了短期效果评估。通过贫民窟社区机构,根据慢性酗酒者的清醒状态为他们提供所需的物品和服务。醉酒会导致所有物品和服务暂停五天。通过对醉酒情况的直接观察和随机进行的呼气酒精分析来评估过度饮酒行为。由于这种干预,受试者大幅减少了公共醉酒被捕次数和酒精摄入量,并增加了就业时长。在非应急基础上接受服务的对照组中未观察到此类变化。在有理由广泛采用这种方法之前,需要进行一到两年而非几个月的长期研究。