Open AccessChallenges to conducting contingency management treatment for substance use disorders: Practice recommendations for clinicians.
Author(s) -
Rory A. Pfund,
James E. Cook,
Nicholas W. McAfee,
Sally L. Huskinson,
Jefferson D. Parker
Publication year - 2021
Publication title -
professional psychology, research and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.637
H-Index - 87
eISSN - 1939-1323
pISSN - 0735-7028
DOI - 10.1037/pro0000356
Subject(s) - contingency management , substance use , contingency , psychology , clinical practice , substance abuse , psychiatry , medicine , psychotherapist , family medicine , intervention (counseling) , linguistics , philosophy
A growing empirical literature supports contingency management (CM) as an efficacious treatment for substance use disorders, especially when reinforcers are immediate, frequent, and of sufficient magnitude on escalating schedules. However, in real world-practice, CM is often conducted in ways that are inconsistent with research protocols. One reason for these inconsistencies may be due to pragmatic challenges inherent in conducting CM. In this article, we described an outpatient CM treatment program for drug use disorders and several specific challenges associated with adherence to CM parameters from research protocols. Finally, we propose possible solutions for these challenges and discuss implications for practice.