AODS 159: Contingency Management in the Treatment of Co-Occurring Disorders

Описание: Contingency Management is a form of behavioral therapy that uses a system of rewards and punishments to increase specific types of behavior and decrease other non-desirable types of behavior. Contingency Management has been used as a primary, evidence-based practice for treating substance use and mental health disorders for over 30 years with consistent research evidence that it is an effective intervention that improves treatment outcomes (Drake, et al., 2008; Higgins & Silverman, 1999; McPherson, et al., 2018; Petry, 2006; Schumacher, et al., 2007). Contingency Management appears to be effective regardless of client characteristics or pre-existing conditions (Lussier, et al., 2006; Prendergast, et al., 2006).

In this introductory lecture, the basic premise of Contingency Management in the treatment of co-occurring disorders is discussed. The foundational principles of positive and negative reinforcements is reviewed and key factors for implementing a Contingency Management program are identified.

References

Drake, R. E., O'Neal, E. L., & Wallach, M. A. (2008). A systematic review of psychosocial research on psychosocial interventions for people with co-occurring severe mental and substance use disorders. Journal of substance abuse treatment, 34(1), 123-138.

Higgins, S. T., & Silverman, K. E. (1999). Motivating behavior change among illicit-drug abusers: Research on contingency management interventions (pp. xv-399). American Psychological Association.

Lussier, J. P., Heil, S. H., Mongeon, J. A., Badger, G. J., & Higgins, S. T. (2006). A meta‐analysis of voucher‐based reinforcement therapy for substance use disorders. Addiction, 101(2), 192-203.

McPherson, S. M., Burduli, E., Smith, C. L., Herron, J., Oluwoye, O., Hirchak, K., Orr, M. F., McDonell, M. G., & Roll, J. M. (2018). A review of contingency management for the treatment of substance-use disorders: Adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies. Substance Abuse and Rehabilitation, 9, 43.

Petry, N. M. (2006). Contingency management treatments. The British Journal of Psychiatry, 189(2), 97-98.

Prendergast, M., Podus, D., Finney, J., Greenwell, L., & Roll, J. (2006). Contingency management for treatment of substance use disorders: A meta‐analysis. Addiction, 101(11), 1546-1560.

Schumacher JE, Milby JB, Wallace D, Meehan DC, Kertesz S, Vuchinich R, Dunning J, Usdan S. (2007). Meta-analysis of day treatment and contingency-management dismantling research: Birmingham Homeless Cocaine Studies (1990–2006). J Consult Clin Psychol., 75 (5): 823–8.