Contingency Management in Substance Abuse Treatment

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  • Hardback: 380 pages
  • Published: November 2007
  • ISBN: 978-1-59385-571-0
  • Publisher: Guilford Press

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Timely and authoritative, this volume brings together leading clinical researchers to describe contemporary applications of contingency management principles across a wide range of substance use disorders and patient populations. Contingency management uses a system of incentives and disincentives to motivate patients to meet their treatment goals, and has successfully been implemented in community treatment clinics, drug courts, and other settings. Featuring illustrative case material, the book presents a cogent empirical rationale and practical strategies for targeting major drugs of abuse and working with specific populations, including adolescents, pregnant women, and dually diagnosed and homeless individuals. Also addressed are the nuts and bolts of developing and funding contingency management programs.

Recommended by the National Institute for Clinical Excellence (NICE) for use in National Health Service treatment units

Table of Contents

Higgins, Silverman, Introduction. Part I: Contingency Management Across Substances. Higgins, Heil, Rogers, Chivers, Cocaine. Epstein, Preston, Opioids. Budney, Stanger, Marijuana. Roll, Newton, Methamphetamines. Sigmon, Lamb, Dallery, Tobacco. Wong, Silverman, Bigelow, Alcohol. Rounsaville, Rosen, Carroll, Medication Compliance. Part II: Special Populations. Milby, Schumacher, Homeless Populations. Heil, Yoon, Higgins, Pregnant and Postpartum Women. Tidey, Ries, People with Mental Illness. Krishnan-Sarin, Duhig, Cavallo, Adolescents. Part III: Dissemination. Stitzer, Kellogg, Large-scale Dissemination Efforts in Drug Abuse Treatment Clinics. Petry, Alessi, Lowering Costs in Drug Abuse Treatment Clinics. Amass, Kamien, Use of Community Donations and Clinic Rebates to Fund Contingency Management in Community Treatment Clinics. Drebing, Rounsaville, Rosenheck, Contingency Management in an Entitlement Rehabilitation Setting: An Example From the Veterans Health Administration. Donlin, Knealing, Silverman, Employment-based Reinforcement in the Treatment of Drug Addiction. Marlowe, Wong, Contingency Management in Adult Criminal Drug Courts.

Reviews

'This well-written book offers a comprehensive overview of contingency management. The authors provide evidence-based information on the treatment of a wide range of substance use disorders in different populations and treatment settings. The coverage of dissemination issues is very welcome. Highly recommended for all those working in the field of addiction or psychiatry, from students to experienced clinicians.' - Cor A. J. de Jong, Nijmegen Institute for Scientist-Practitioners in Addiction, Radboud University Nijmegen, The Netherlands

'This volume constitutes the state of the art of one of the most effective empirically based therapies for addiction. The contributors clearly lay out the fundamental approach, the breath and depth of the application, and the utility of this treatment for addiction in its many forms. In my view, this book should be required reading for students, professionals working with addiction, and scientists.' - Warren K. Bickel, PhD, Director, Center for Addiction Research, University of Arkansas for Medical Sciences, USA

'This book provides the most up-to-date summary of the broad range of applications of contingency management for substance abuse. Many practical examples bring to life the conceptual and empirical underpinnings of the approach. Well organized and comprehensive, this is a most useful text for training practitioners and students in an important therapeutic technique.' - Thomas R. Kosten, MD, Jay H. Waggoner Chair and Professor of Psychiatry and Neuroscience, Baylor College of Medicine, USA

'This book reflects the depth and variety of applications of the contingency management approach. The chapters are unified by basic CM principles and cover a wide range of settings and populations. It can be used as a classroom text at the graduate level or in specialty addiction training programs. With authors well known for their specific expertise, this is an excellent source for those seeking a review of evidence-based principles and interventions.' - Joan E. Zweben, PhD, Executive Director, 14th Street Clinic/East Bay Community Recovery Project, and Clinical Professor of Psychiatry, University of California, San Francisco, USA

'If a new addiction medication were developed that produced results comparable to contingency management, the FDA would approve it enthusiastically and drug companies would pay big dollars to own the patent. This book makes it crystal clear just how powerful contingency management is, how easy it is to use, and how well it works across diverse populations, problems, and settings. Like Marlatt and Gordon's Relapse Prevention and Miller and Rollnick's Motivational Interviewing, this is a seminal volume on psychological/behavioral addiction treatment. The book will be valuable in undergraduate psychology classes, graduate programs on addiction, and clinical psychology training programs. It is also a very valuable research resource.' - Richard A. Rawson, PhD, Associate Director, Integrated Substance Abuse Programs, University of California at Los Angeles, USA

Author Biography

Edited by Stephen T. Higgins, PhD, University of Vermont, USA; Kenneth Silverman, PhD, Johns Hopkins University School of Medicine, USA; and Sarah H. Heil, PhD, University of Vermont, USA