Transcription of Contingency Management - National Institutes of Health
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Contingency Management - National Institutes of Health
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.
of alternative, nondrug sources of rein-forcement and the direct and indirect losses associated with AOD use are related to decreased AOD use (Higgins 1996). For example, providing food, liquids, or novel environmental alterna-tives reduces AOD use in animals, just as providing entertainment or financial alternatives reduces AOD use in humans.
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