jpni@stmiki.ac.id 081377790601 Online Submission Open
Vol. 7 No. 3 (2026) • Articles
Open Access

Program Penguatan Perilaku Abstinensi Berbasis Operant Conditioning pada Klien Rehabilitasi Adiksi di Klinik IPWL BNN RI

Sabrina Rizkyana
Universitas Negeri Semarang
Alisha Sarah Atia
Universitas Negeri Semarang
Nanda Rahma Kartikasari
Universitas Negeri Semarang
Aftina Nurul Husna
Universitas Negeri Semarang
Published: September 10, 2026 Pages: 869-880
Original Full-Text Article
Download published version for reading and archiving
Download PDF
Abstract

Substance abuse is a health and social problem that can reduce an individual's physical, psychological, social relationships, and quality of life, as well as increase the risk of relapse. This community service activity aims to implement an Operant Conditioning-Based Abstinence Behavior Strengthening Program for outpatient rehabilitation clients at the IPWL BNN RI Clinic. The program is implemented through six sessions of positive behaviorism-based individual counseling that include reinforcement, trigger identification, adaptive coping formation, extinction of maladaptive beliefs related to substance use, and preparation of a coping plan. Evaluation is carried out through observation, interviews, intervention worksheets, and measurements using the SRQ, URICA, and WHOQoL-BREF. The results show an increase in the URICA score from 18 to 23 and an increase in quality of life in the physical (16-22), psychological (16-23), social relationships (18-22), and environmental (15-19) domains. Clients also demonstrated more adaptive coping skills and a more realistic perception of substance use. This program has the potential to support rehabilitation and relapse prevention in substance abuse clients.

Keywords:
Positive Behaviorism Substance Abuse Relapse Prevention Addiction Rehabilitation
Article Metrics & Downloads Graph
Monthly Download Trends:
Author Biographies
Sabrina Rizkyana Universitas Negeri Semarang

Program Studi Psikologi, Universitas Negeri Semarang, Kota Semarang, Provinsi Jawa Tengah, Indonesia.

Alisha Sarah Atia Universitas Negeri Semarang

Program Studi Psikologi, Universitas Negeri Semarang, Kota Semarang, Provinsi Jawa Tengah, Indonesia.

Nanda Rahma Kartikasari Universitas Negeri Semarang

Program Studi Psikologi, Universitas Negeri Semarang, Kota Semarang, Provinsi Jawa Tengah, Indonesia.

Aftina Nurul Husna Universitas Negeri Semarang

Program Studi Psikologi, Universitas Negeri Semarang, Kota Semarang, Provinsi Jawa Tengah, Indonesia.

How to Cite
Rizkyana, S., Atia, A. S., Kartikasari, N. R., & Husna, A. N. (2026). Program Penguatan Perilaku Abstinensi Berbasis Operant Conditioning pada Klien Rehabilitasi Adiksi di Klinik IPWL BNN RI. Jurnal Pengabdian Nasional (JPN) Indonesia, 7(3), 869-880. https://doi.org/10.63447/jpni.v7i3.1903
License

Creative Commons Attribution 4.0 International License (CC BY 4.0)

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License .

  • Share: You are free to copy, distribute, and transmit the work in any medium or format.
  • Adapt: You are free to remix, transform, and build upon the work for any purpose, even commercially.
  • Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
Copyright & Retention: Authors retain copyright without restrictions and grant this journal the right of first publication under an open-access model. The journal retains non-exclusive publishing rights for archiving, indexing, and scholarly dissemination.

References
Total: 14 References
  1. Agus, H. (2023). IMPLEMENTASI REHABILITASI BAGI PECANDU NARKOBA DI KLINIK ENGGAL WARAS PADA BADAN NARKOTIKA NASIONAL PROVINSI JAWA TENGAH (Doctoral dissertation, Undaris).
  2. Bolivar, H. A., Klemperer, E. M., Coleman, S. R. M., DeSarno, M., Skelly, J. M., & Higgins, S. T. (2021). Contingency management for patients receiving medication for opioid use disorder: A systematic review and meta-analysis. JAMA Psychiatry, 78(10), 1092–1102. https://doi.org/10.1001/jamapsychiatry.2021.1969.
  3. Charitonidi, E., Studer, J., Foster, S., Gmel, G., & Mohler-Kuo, M. (2016). Socioeconomic status and substance use among Swiss young men: A population-based cross-sectional study. BMC Public Health, 16(1), 333. https://doi.org/10.1186/s12889-016-2949-5.
  4. Djuningsih, R. F., Poerwandari, E. K., & Harahap, A. A. (2021). Determinan Retensi Perawatan Berdasarkan Faktor Perilaku Klien Rehabilitasi Rawat Jalan. Jurnal Kajian Stratejik Ketahanan Nasional, 4(1), 6.
  5. Field, C. A., Richards, D. K., Castro, Y., Cabriales, J. A., Wagler, A., & von Sternberg, K. (2020). The effects of a brief motivational intervention for alcohol use through stages of change among nontreatment seeking injured patients. Alcoholism: Clinical and Experimental Research, 44(11), 2361–2372. https://doi.org/10.1111/acer.14466.
  6. Ginley, M. K., Rash, C. J., & Higgins, S. T. (2021). Advances in contingency management for the treatment of substance use disorders. Preventive Medicine, 152, 106787. https://doi.org/10.1016/j.ypmed.2021.106787.
  7. Hamza, E. A., Yoon, A., Liu, L., et al. (2023). The relationship between mindfulness and readiness to change in alcohol drinkers. International Journal of Environmental Research and Public Health, 20(9), 5690. https://doi.org/10.3390/ijerph20095690.
  8. Linda, C. W. (2024). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU KEPATUHAN KLIEN DALAM MENGIKUTI PROGRAM REHABILITASI NARKOBA DI KLINIK SEGER WARAS BNNP DIY (Doctoral dissertation, SEKOLAH TINGGI ILMU KESEHATAN WIRA HUSADA).
  9. Marlatt, G. A., & Donovan, D. M. (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed.). Guilford Press.
  10. Opsal, A., Kristensen, Ø., & Clausen, T. (2019). Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders. Substance Abuse Treatment, Prevention, and Policy, 14(47). https://doi.org/10.1186/s13011-019-0237-y.
  11. Richards, D. K., Morera, O. F., Schwebel, F. J., Pearson, M. R., & Field, C. A. (2022). Measurement invariance of the readiness to change questionnaire among injured patients who received a brief intervention for alcohol use. Assessment, 29(8), 1942–1953. https://doi.org/10.1177/10731911211040106.
  12. Setiawan, A., Sahar, J., Santoso, B., Mansyur, M., & Syamsir, S. B. (2024). Coping mechanisms utilized by individuals with drug addiction in overcoming challenges during the recovery process: A qualitative meta-synthesis. Journal of Preventive Medicine and Public Health, 57(3), 197–211. https://doi.org/10.3961/jpmph.24.042.
  13. Sinha, R. (2024). Stress and substance use disorders: Risk, relapse, and treatment outcomes. Journal of Psychopharmacology, 38(1), 3–19. https://doi.org/10.1177/02698811231219466.
  14. Witkiewitz, K., Marlatt, G. A., & Walker, D. (2019). Mindfulness-based relapse prevention for alcohol and substance use disorders. In K. Witkiewitz & G. A. Marlatt (Eds.), Addictive behaviors and relapse prevention. Routledge.