Group MATRIX Model Therapy for Cocaine Use Disorders

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group MATRIX Model Therapy for Cocaine Use Disorders

BRIEF SUMMARY

Basic premise: The Matrix Model is an integrative treatment model originally developed in response to the cocaine epidemic of the 1980s. The program consists of relapse prevention groups, education groups, social support groups, individual counseling, self-help participation, and urine and breath testing delivered in a structured manner over a 16-week period. The treatment is a directive, non-confrontational approach which focuses on current issues and behavior change. Therapies that are frequently incorporated in the Matrix Model include cognitive-behavioral therapy (CBT), contingency management, 12-step facilitation, motivational interviewing, and family therapy.

Obert, J. L., McCann, M. J., Marinelli-Casey, P., Weiner, A., Minsky, S., Brethen, P., & Rawson, R. (2000). The matrix model of outpatient stimulant abuse treatment: history and description. Journal of Psychoactive Drugs, 32(2), 157–164. https://doi.org/10.1080/02791072.2000.10400224

Rawson, R. A., Shoptaw, S. J., Obert, J. L., McCann, M. J., Hasson, A. L., Marinelli-Casey, P. J., Brethen, P. R., & Ling, W. (1995). An intensive outpatient approach for cocaine abuse treatment. The Matrix model. Journal of Substance Abuse Treatment, 12(2), 117–127. https://doi.org/10.1016/0740-5472(94)00080-b

TREATMENT RESOURCES

TREATMENT MANUALS

The MATRIX model: Intensive outpatient alcohol and drug treatment (Rawson, et al., 2005)

Counselor's treatment manual: Matrix intensive outpatient treatment for people with stimulant use disorders (SAMHSA, 2006a)

WORKBOOKS and WORKSHEETS

Client's handbook: Matrix intensive outpatient treatment for people with stimulant use disorders (SAMHSA, 2006b)

Principles of drug addiction treatment: A research-based guide (3rd ed.) (NIDA, 2014)

The matrix model handouts and worksheets (Rawson, et al., 2005)

ADDITIONAL RESOURCES

Group treatments for addiction (CEU Matrix, 2010; Daley and Douaihy, 2011)

Substance abuse treatment: Group therapy (SAMHSA, 2005/2015)

Counselor's treatment manual (SAMHSA, 2006a)

The matrix model (CLARE|MATRIX, 2023)

Matrix model intensive outpatient program (CEBC, 2010/2023)

Practical issues in the implementation of the matrix model (SAMHSA, 2015)

Exploring the matrix model for addictions treatment (CalSouthern PSYCHOLOGY, 2013)

Substance abuse treatment models (Customer Care Program)

The matrix program (PsychMed, 2023)

The Matrix Model® in the new healthcare world: Implementing EBPs (Weiner, 2016)

SUPPORTING STUDIES

Gouse, H., Magidson, J. F., Burnhams, W., Remmert, J. E., Myers, B., Joska, J. A., & Carrico, A. W. (2016). Implementation of Cognitive-Behavioral Substance Abuse Treatment in Sub-Saharan Africa: Treatment Engagement and Abstinence at Treatment Exit. PLoS One, 11(1), e0147900.

https://doi.org/10.1371/journal.pone.0147900

Rosenblum, A., Magura, S., Foote, J., Palij, M., Handelsman, L., Lovejoy, M., & Stimmel, B. (1995). Treatment intensity and reduction in drug use for cocaine-dependent methadone patients: a dose-response relationship. Journal of Psychoactive Drugs, 27(2), 151–159.

https://doi.org/10.1080/02791072.1995.10471684

Rosenblum, A., Magura, S., Palij, M., Foote, J., Handelsman, L., & Stimmel, B. (1999). Enhanced treatment outcomes for cocaine-using methadone patients. Drug and Alcohol Dependence, 54(3), 207–218.

https://doi.org/10.1016/s0376-8716(98)00166-5

Shoptaw, S., Rawson, R. A., McCann, M. J., & Obert, J. L. (1994). The Matrix model of outpatient stimulant abuse treatment: evidence of efficacy. Journal of Addictive Diseases, 13(4), 129–141.

https://doi.org/10.1300/j069v13n04_02