By Robert J. Meyers, William R. Miller

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The researchers had noted that motivation for taking disulfiram could easily dissipate soon after the client left the first therapy session. When this occurred, the likelihood that the client would take the initiative to pick up the disulfiram prescription dropped dramatically. Thus, those clients assigned to the disulfiram assurance groups in the 1982 study were guided to obtain the medication immediately after, or even during, the first session. The on-site medical staff were available to hand the client a prescription slip during the first meeting.

It was also a test period during which both the client and the therapist could recognize possible barriers to long-term sobriety and implement new coping strategies. 24 Practice and Promise: The Azrin Studies Immediate disulfiram administration Despite the demonstrated success of the existing disulfiram assurance procedures for encouraging treatment compliance, Azrin et al. (1982) developed yet another way to ensure clients would take the medication. The researchers had noted that motivation for taking disulfiram could easily dissipate soon after the client left the first therapy session.

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