Contingency Management for Substance Abuse Treatment
A Guide to Implementing This Evidence-Based Practice
Isn’t it unethical to pay people to do what they should be doing anyway?
Won’t patients just sell the reinforcers and buy drugs?
Others didn’t get prizes for not using. Why should they?
The concerns surrounding Contingency Management (CM) are many and reflect how poorly understood and rarely utilized this evidence-based treatment model is in practice settings. Despite being identified as the most efficacious intervention for substance use disorders, a significant gap persists between research and practice, at the client’s expense. Nancy Petry, an experienced researcher and consultant for organizations such as the National Institute of Health, has begun to fill this gap by authoring the first clinician-oriented text that focuses on CM protocol development and implementation. In this well-organized and clear book she provides a foundation for understanding CM and details how to design and implement a program that can work for any clinician, whether he or she works for a well-funded program or not. She also addresses realistic concerns such as:
- How to describe CM to eligible and ineligible patients
- How to calculate the costs of CM interventions
- How to solicit donations and raise funds to support CM interventions
- How to stock a prize cabinet and keep track of prizes
Over 50 charts, worksheets, and tables are provided to help the clinician pinpoint exactly which behaviors to target, brainstorm how to reinforce change, and develop a treatment plan that incorporates cost, length of treatment, and method for determining patient compliance. Included with the book are downloadable resources of editable logs, forms, tables, and worksheets for personal use. More than just filling a void, Dr. Petry provides all of the tools clinicians require to successfully apply a novel treatment in practice.
Table of Contents
Part I: Foundations for Understanding. Introduction. Background of Behavioral Therapies and the Evolution of Contingency Management. Empirical Evidence of the Efficacy of Contingency Management. Applications of Contingency Management in Novel Settings and with Special Populations. Part II: Designing a Contingency Management Intervention. Selecting a Behavior to Reinforce. Choosing a Population. Determining a Behavior Monitoring Schedule. Reinforcers to Use. Designing a Reinforcement Schedule. Calculating Costs. Raising Funds to Support Contingency Management Interventions. Part III: Implementing Contingency Management in Practice. Getting Started: Stocking a Prize Cabinet and Obtaining Other Needed Supplies. Implementation Guide for Reinforcing Abstinence Using Prize Contingency Management. Implementation Guide for Name-in-the-hat Prize CM for Reinforcing Group Attendance. Monitoring and Supervising Adherence and Competence in Contingency Management Delivery. Part IV: Conclusions. Conclusion.
Nancy M. Petry, PhD, is Professor of Medicine in the Calhoun Cardiology Center at the University of Connecticut and serves as a consultant and advisor for the National Institutes of Health.
“Dr. Nancy Petry shares the wisdom gleaned from her extensive experience in developing, testing, and training innovative CM interventions for substance users. She demonstrates how to develop a CM program and provides helpful examples of patient-clinician dialogues and supervision methods. This outstanding resource is the first of its kind.” - Maxine Stitzer, Johns Hopkins University School of Medicine, Maryland, USA
“This book represents an important step towards proper dissemination of Contingency Management. Organizations and programs interested in implementation will find it useful for the purposes of designing CM protocols, as well as for training clinical staff in the basic tenets of CM. The book not only offers practical 'how to' information, but also provides step-by-step guides and worksheets that can be directly applied to clinical practice.” - Lissa Dutra, Boston Institute for Psychotherapy, USA
“Dr. Petry’s latest contribution to the literature on Contingency Management is both scholarly and pragmatic. It is highly recommended for clinicians and trainees in the mental health and substance abuse fields, who will learn the state of the art of evidence-based CM as well as how to practically implement this approach in a variety of clinical situations for different sub-populations.” - Yifrah Kaminer, University of Connecticut Health Center, USA