Contingency Management Flashcards
1
Q
How do you treat substance abuse?
A
- Pharmacological intervention
- -> Methadone for opiate addiction (“opiate substitution therapy”)
- -> Antidepressants
- A comprehensive approach entails targeting the pharmacological effects of drugs and addressing schedules of alternative reinforcement
2
Q
What is contingency management?
A
- Contingency management (CM) interventions are effective in treating substance abuse
- Empirically validated psychosocial intervention
- In the UK, NICE-recommended
3
Q
How does contingency management work?
A
- CM treatments involve tangible reinforcers (e.g. vouchers) exchangeable for retail goods and services contingent on abstinence
- Target behaviour are defined and environment arranged
- Tangible reinforcers are provided contingent on demonstration of target behaviour
- Incentives are withheld when target behaviour is absent
4
Q
What are the practical concerns of contingency management?
A
- Cost
2. Generalisability and acceptability