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 may still they?
The issues surrounding Contingency administration (CM) are many and replicate how poorly understood and infrequently applied this evidence-based remedy version is in perform settings. regardless of being pointed out because the such a lot efficacious intervention for substance use issues, an important hole persists among learn and perform, on the client’s cost. Nancy Petry, an skilled researcher and advisor for organisations akin to the nationwide Institute of wellbeing and fitness, has started to fill this hole by way of 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 origin for knowing CM and info the right way to layout and enforce a application that could paintings for any clinician, no matter if she or he works for a well-funded software or no longer. She additionally addresses practical issues 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 continue song of prizes
Over 50 charts, worksheets, and tables are supplied to assist the clinician pinpoint precisely which behaviors to focus on, brainstorm easy methods to strengthen swap, and strengthen a therapy plan that includes price, size of therapy, and approach for making a choice on sufferer compliance. incorporated with the publication is a CD-ROM of editable logs, types, tables, and worksheets for private use. greater than simply filling a void, Dr. Petry presents the entire instruments clinicians require to effectively practice a singular therapy in practice.
Read or Download Contingency Management for Substance Abuse Treatment: A Guide to Implementing This Evidence-Based Practice PDF
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Extra info for Contingency Management for Substance Abuse Treatment: A Guide to Implementing This Evidence-Based Practice
Proportion of negative samples reverted to 18% during the second baseline phase. 4 during the second baseline phase. Other drug use (opioids, cocaine, or benzodiazepines) did not change when patients were being reinforced for marijuana abstinence. Another study found similar effects. Sigmon and Higgins (2006) used a baseline, CM, baseline design to evaluate the effects of CM on marijuana use in seven patients with serious mental illness, primarily schizophrenia (86%). In all phases, patients provided urine samples twice a week.
Of those randomized to the contingent condition, 37% achieved 12 or more weeks of continuous cocaine abstinence, compared with only about 10% of patients receiving non-contingent vouchers. Beneficial effects of contingent vouchers were noted a year after treatment ended. At each time point of assessment after treatment ended, numerically higher proportions of patients who had earlier received vouchers tested cocaine negative and self-reported no cocaine use for the prior 30 days. Thus, this series of elegantly designed studies demonstrates that voucherbased CM increases durations of abstinence.
Thus, this series of elegantly designed studies demonstrates that voucherbased CM increases durations of abstinence. These studies also show that effects of CM can persist beyond the period in which patients receive the reinforcers. In fact, one of the best predictors of long-term abstinence is the duration of abstinence one is able to achieve during treatment (Higgins, Badger, & Budney, 2000). Most studies of voucher-based CM led to statistically significant increases in durations of abstinence (Lussier, Heil, Mongeon, Badger, & Higgins, 2006; Prendergast, Podus, Finney, Greenwell, & Roll, 2006).