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Contingency Management for Substance Abuse Treatment: A Guide to Implementing This Evidence-Based Practice, by Nancy M. Petry
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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 is a CD-ROM 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.
- Sales Rank: #1869056 in Books
- Published on: 2011-07-28
- Original language: English
- Number of items: 1
- Dimensions: 10.75" h x 8.50" w x .75" l, 1.82 pounds
- Binding: Paperback
- 334 pages
Review
“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
About the Author
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.
Most helpful customer reviews
2 of 2 people found the following review helpful.
Readable, informative, detailed explanation, guidelines, reasons, outcomes for CM - good read - broad application -good research
By Assoc For Natural Psych
Contingency Management (CM) is a system of using rewards of various types in a clinical setting to reinforce changes in specific positive behaviors. The primary idea in Petry's book is with respect to use in substance abuse treatment in a clinical setting, but also has broader application in any type of controlled or clinical setting with adults or adolescents. The idea of CM is implemented in the classroom by some teachers on a limited basis, pizza party at the end of the week if the class as a whole meets certain behavioral expectations, rewards at the end of the year for perfect attendance or academic achievements.
CM, according to Petry's research, while used in a clinical setting for several decades, is underutilized and needs to be implemented according to stricter protocol in order to be effective. Petry addresses most if not all potential issues involved with CM in a clinical setting, including costs and controlling costs, using scientific studies/evidence to support her suggestions or as a basis for her suggestions.
The book addresses the issue broadly, which can provide some good ideas for anyone involved with addressing behavioral issues, including parents and teachers, especially teachers in academic settings involving marginal youth. But the book also provides specific and detailed guidance for effective implementation of CM in a clinical setting or otherwise. She handles the problems that can occur, as well as ethical objections, and provides evidence for increased probability of long-term positive outcomes, sometimes dramatic statistical increase of success-rate using this method in conjunction with other methods. CM is described as complimentary rather than a replacement for other therapies.
The book is easy to read and interesting, is not filled with personal or anecdotal case studies, but draws on evidence and scientifically-oriented studies. She details the results and methods of studies, and critically analyzes the strength and weaknesses of such studies historically up to the present. The book and Petry's research has good value in the clinical community and professional mental health field, which often overlaps that of substance abuse.
1 of 1 people found the following review helpful.
Four Stars
By Denise
Full of research and information on how to start a CM program.
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