John M. Roll

ORCID: 0000-0002-7677-9108
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About
Contact & Profiles
Research Areas
  • Substance Abuse Treatment and Outcomes
  • Behavioral and Psychological Studies
  • Neurotransmitter Receptor Influence on Behavior
  • Opioid Use Disorder Treatment
  • Schizophrenia research and treatment
  • Prenatal Substance Exposure Effects
  • Smoking Behavior and Cessation
  • Attention Deficit Hyperactivity Disorder
  • HIV, Drug Use, Sexual Risk
  • Behavioral Health and Interventions
  • Alcohol Consumption and Health Effects
  • Gambling Behavior and Treatments
  • Child and Adolescent Psychosocial and Emotional Development
  • Forensic Toxicology and Drug Analysis
  • Cannabis and Cannabinoid Research
  • Treatment of Major Depression
  • Youth, Drugs, and Violence
  • Homelessness and Social Issues
  • Health Policy Implementation Science
  • Autism Spectrum Disorder Research
  • Digital Mental Health Interventions
  • Healthcare Policy and Management
  • Animal Behavior and Welfare Studies
  • Primary Care and Health Outcomes
  • Pain Management and Opioid Use

Washington State University Spokane
2014-2024

Georgia Highlands College
2017-2024

Washington State University
2014-2024

Health and Education Research Management and Epidemiologic Services (United States)
2023

OASIS Clinic
2003-2023

University of Vermont
1994-2023

National Institute of General Medical Sciences
2023

Health Resources and Services Administration
2023

Native Health
2022

Association for Jewish Studies
2022

Context: Contingency management interventions that provide tangible incentives based on objective indicators of drug abstinence are efficacious in improving outcomes substance abusers, but these treatments have rarely been implemented community-based settings.Objective: To evaluate the efficacy an abstinencebased contingency intervention as addition to usual care community treatment settings.Design: Random assignment or plus abstinence-based for 12 weeks.Setting: Eight outpatient...

10.1001/archpsyc.62.10.1148 article EN Archives of General Psychiatry 2005-10-01

<h3>Background</h3> Contingency management interventions that provide tangible incentives based on objective indicators of drug abstinence have improved treatment outcomes substance abusers, but not been widely implemented in community abuse settings. <h3>Objective</h3> To compare achieved when a lower-cost prize-based contingency is added to usual care methadone hydrochloride maintenance <h3>Design</h3> Random assignment with (n = 198) or without 190) during 12-week trial. <h3>Setting</h3>...

10.1001/archpsyc.63.2.201 article EN Archives of General Psychiatry 2006-02-01

The efficacy of three different schedules reinforcement for promoting and sustaining drug abstinence was compared in this study. Cigarette smoking studied as an exemplar stimulant self‐administration. Sixty cigarette smokers were assigned to one groups (progressive rate reinforcement, fixed yoked control). Participants all asked refrain from 1 week. the progressive achieved greater mean levels than those control group. group significantly less likely resume when they became abstinent...

10.1901/jaba.1996.29-495 article EN Journal of Applied Behavior Analysis 1996-12-01

Theory and some preliminary evidence suggest that contingency management may be an effective treatment strategy or adjunct to psychosocial for methamphetamine use disorders. An experimentally rigorous investigation on the topic was provided by a large multisite trial conducted under auspices of Clinical Trials Network National Institute Drug Abuse.The authors report data 113 participants who were diagnosed with abuse dependence. They randomly assigned receive 12 weeks either as usual plus...

10.1176/ajp.2006.163.11.1993 article EN American Journal of Psychiatry 2006-11-01

Objectives This study estimated unmet need for mental health services, identified population risk factors related to need, and established baseline data assess the impact of Affordable Care Act (ACA) Mental Health Parity Addiction Equity Act. Methods National Interview Survey (1997–2010) were analyzed. Results Unmet increased from 4.3 million in 1997 7.2 2010. Rates 2010 about five times higher uninsured than privately insured persons. In a multivariate logistic model, likelihood was among...

10.1176/appi.ps.201200071 article EN Psychiatric Services 2013-01-01

The primary objective of this study was to determine whether contingency management associated with increased abstinence from stimulant drug use in stimulant-dependent patients serious mental illness treated a community health center. Secondary objectives were reductions other substances, psychiatric symptoms, HIV risk behavior, and inpatient service utilization.A randomized controlled design used compare outcomes 176 outpatients dependence. Participants randomly assigned receive 3 months...

10.1176/appi.ajp.2012.11121831 article EN American Journal of Psychiatry 2013-01-01

Objective: The authors examined whether a contingency management intervention using the ethyl glucuronide (EtG) alcohol biomarker resulted in increased abstinence outpatients with co-occurring serious mental illnesses. Secondary objectives were to determine was associated changes heavy drinking, treatment attendance, drug use, cigarette smoking, psychiatric symptoms, and HIV-risk behavior. Method: Seventy-nine (37% female, 44% nonwhite) illness dependence receiving as usual completed 4-week...

10.1176/appi.ajp.2016.16050627 article EN American Journal of Psychiatry 2017-01-31

ABSTRACT Aims Methadone maintenance treatment has been made available in China response to the rapid spread of human immunodeficiency virus (HIV), but high rates dropout and relapse are problematic. The aim this study was apply test if a contingency management (or motivational incentives) intervention can improve retention reduce drug use. Design Random assignment usual care with ( n = 160) or without 159) incentives during 12‐week trial. Incentives participants earned draws for chance win...

10.1111/j.1360-0443.2011.03490.x article EN Addiction 2011-07-27

Two common procedures for the treatment of missing information, listwise deletion and positive urine analysis (UA) imputation (e.g., if participant fails to provide analysis, then score UA positive), may result in significant biases during interpretation effects. To compare these approaches offer a possible alternative, two were compared multiple (MI) procedure with publicly available data from recent clinical trial. Listwise deletion, single (i.e., imputation), MI used comparatively examine...

10.1037/a0027146 article EN Experimental and Clinical Psychopharmacology 2012-02-13

Crack cocaine dependence has become a severe public health problem in Brazil, and current psychosocial approaches to this have shown little or no effectiveness. Although contingency management is among the most effective behavioral treatments for substance use disorders, it never been applied treatment of crack cocaine-dependent individuals Brazil. The aim study was evaluate efficacy incorporating into standard outpatient dependence, as well impact that doing so on attendance, retention...

10.1037/adb0000192 article EN other-oa Psychology of Addictive Behaviors 2016-07-21
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