The City Island Center has used a confrontation counseling and Reality Therapy model for treating methadone addicts. This approach assists the addict to accept responsibility for his actions and to adopt more productive behavior. This method consists of four phases: 1) establishing the relationship, 2) inducing a crisis, 3) restructuring behavior, and 4) drawing up behavioral contracts. Methadone is viewed as an interim treatment modality with the ultimate goal to be drug abstinence. Results have been promising in providing positive alternatives to drug abuse and methadone maintenance.
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