Systematic preparation of patients for psychotherapy- I. Effects on therapy behavior and outcome

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      A potentially beneficial strategy to enhance treatment retention in this population is to use treatment initiation interventions to transition opioid users from syringe exchange participation to the more demanding intervention of methadone maintenance. The use of role induction interventions to improve early response to treatment has its roots in the general psychiatric literature (e.g., Hoehn-Saric et al., 1964). As applied to substance use disorder treatment, role induction interventions clarify and simplify the demands and process of treatment, and address common misperceptions and potential obstacles to seeking help (Katz et al., 2004; McCarty et al., 2007; Walitzer et al., 1999).

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    This research was supported in part by NIMH Grant #MH-04618. We wish to express our appreciation to Martin Orne who suggested the idea of the study and made significant contributions to important stages of it.

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