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Inclusion Criteria:

• Enrolled in ambulatory psychiatric treatment at one of the participating clinics
• Receives SSI or SSDI payments
• Able to provide written informed consent
• Cocaine use within the last 60 days as evidenced by either a positive toxicology screen or self-reports

Exclusion Criteria:

• Has a conservator of person
• A history of violence towards clinical providers or predatory violence
• Suicidal plans or intent; homicidal plans or intent. Suicidal or homicidal ideation will not be exclusion criteria
• Physiological dependence on alcohol, illicit opiates or illicit sedatives as evidenced by a history of four weeks of daily use of these substances; and either tolerance or withdrawal (as defined by DSM IV-TR). The "standard withdrawal scales" referred to in DSM IV-TR will be the CIWA-AR (Sullivan et al., 1989) and the Clinical Opiate Withdrawal Scale (Wesson and Ling, 2003), with P.I. review because signs on the CIWA-AR such as "aware of sounds around you" may reflect psychiatric illness, not withdrawal
• Will not be able to complete the twelve months of the study because of anticipated incarceration or move
• Had been enrolled in the ongoing study
• Unable to speak and understand English