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Contingency Management

Contingency Management Incentives for SobrietyStephen T. Higgins, , and Nancy M. Petry, Management (CM), the systematic reinforcement of desired behaviors and thewithholding of reinforcement or punishment of undesired behaviors, is an effective strategyin the treatment of alcohol and other drug (AOD) use disorders. Animal research provides theconceptual basis for using CM in AOD abuse treatment, and human studies have demonstratedthe effectiveness of CM interventions in reducing AOD use; improving treatment attendance;and reinforcing other treatment goals, such as complying with a medication regimen orobtaining employment.

observation. When the researchers de-tected alcohol use in a contingent group member, they immediately suspended his or her social services for 5 days. During the 2-month treatment period, the contingent group’s arrest rate for public drunkenness decreased from an average of 1.7 arrests per 2 months to an average of 0.3 arrests per 2 months.

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