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This study evaluated a behavioural intervention, a pharmacological intervention, and a combination of both interventions. Throughout the study all patients received daily methadone hydrochloride maintenance (initially 50 mgd orally) and weekly counselling. Following baseline treatment patients who continued to use heroin were randomly assigned to 1 of 4 interventions: (1)contingent vouchers for opiate-negative urine specimens (n29 patients); (2) methadone hydrochloride dose increase to 70 mgd (n31 patients); (3) combined contingent vouchers and methadone dose increase (n32 patients); and.

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