Contingency Management for Substance Abuse Treatment: A by Nancy M. Petry

By Nancy M. Petry

Isn’t it unethical to pay humans to do what they need to be doing anyway?
Won’t sufferers simply promote the reinforcers and purchase drugs?
Others didn’t get prizes for no longer utilizing. Why should still they?

The issues surrounding Contingency administration (CM) are many and replicate how poorly understood and barely applied this evidence-based therapy version is in perform settings. regardless of being pointed out because the such a lot efficacious intervention for substance use problems, an important hole persists among examine and perform, on the client’s cost. Nancy Petry, an skilled researcher and advisor for businesses akin to the nationwide Institute of wellbeing and fitness, has all started to fill this hole via authoring the 1st clinician-oriented textual content that makes a speciality of CM protocol improvement and implementation. during this well-organized and transparent booklet she offers a starting place for realizing CM and info how you can layout and enforce a software that may paintings for any clinician, no matter if she or he works for a well-funded software or no longer. She additionally addresses sensible matters such as:

  • How to explain CM to eligible and ineligible patients
  • How to calculate the prices of CM interventions
  • How to solicit donations and lift money to help CM interventions
  • How to inventory a prize cupboard and retain song of prizes

Over 50 charts, worksheets, and tables are supplied to aid the clinician pinpoint precisely which behaviors to focus on, brainstorm tips to strengthen swap, and enhance a therapy plan that includes expense, size of remedy, and technique for picking out sufferer compliance. incorporated with the ebook is a CD-ROM of editable logs, types, tables, and worksheets for private use. greater than simply filling a void, Dr. Petry offers the entire instruments clinicians require to effectively observe a unique therapy in practice.

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Additional info for Contingency Management for Substance Abuse Treatment: A Guide to Implementing This Evidence-Based Practice

Sample text

3, and important characteristics of the patient population. 1 Dual Diagnosis Many published studies support the use of CM in a variety of special populations who abuse substances. Dual diagnosis patients are the subgroup with whom CM has been most widely implemented, and multiple studies of successful CM implementation exist in patients with severe mental illness. These studies are described below. indb 33 6/3/11 12:41:12 PM Chapter 4 supportive group therapy treatment without CM. Each group met twice weekly for six months, and all patients submitted urine samples twice weekly.

For moderate adherence, CM patients received a mixture of cash and food gift cards, and in cases of poor adherence or substance abuse they received their remaining funds in the form of food gift cards only. Alcohol use decreased significantly in the CM group, along with combined alcohol and drug use. In addition, ratings of appropriate money management ratings improved among those receiving benefits contingently. This study is an interesting adoption of CM that requires no upfront funds for reinforcement, as the reinforcers were different forms of the patients’ own disability funds.

Rates of illicit drug use in methadone treatment can be as high as 60% to 80% or greater (Ball & Ross, 1991). About half of all patients who begin methadone treatment drop out, with most dropouts continuing to abuse heroin. The relatively poor success rates of the reinforcement-based procedures used today in practice are in stark contrast to the benefits of CM noted in the early trials, which used take-home doses as reinforcers. 3 Failure to Apply the Three Basic Principles of CM in Methadone Clinics There are a number of reasons the take-home dosing guidelines used today do not perform as well in practice as CM procedures did when they were implemented in early research studies.

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