Group Contingency Management Therapy for Cocaine Use Disorders

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Contingency Management Therapy for Cocaine Use Disorders

BRIEF SUMMARY

Basic premise: Contingency management (CM) refers to a type of behavioural therapy in which individuals are ‘reinforced’, or rewarded, for evidence of positive behavioural change. These interventions have been widely tested and evaluated in the context of substance misuse treatment, and they most often involve provision of monetary-based reinforcers for submission of drug-negative urine specimens. Contingency management is a highly effective treatment for substance use and related disorders. Contingency management interventions can be applied in the context of psychiatric treatments more generally, including increasing abstinence in individuals with dual diagnoses, encouraging attendance in mental health treatment settings (also group therapy), enhancing adherence to psychiatric medications, reducing weight, and improving exercise.

Higgins, S. T., Silverman, K., & Heil, S. H. (Eds.). (2007). Contingency management in substance abuse treatment. Guilford Press.

Petry N. M. (2011). Contingency management: what it is and why psychiatrists should want to use it. The Psychiatrist, 35(5), 161–163. https://doi.org/10.1192/pb.bp.110.031831

Petry, N. M., Alessi, S. M., Olmstead, T. A., Rash, C. J., & Zajac, K. (2017). Contingency management treatment for substance use disorders: How far has it come, and where does it need to go?. Psychology of Addictive Behaviors, 31(8), 897–906. https://doi.org/10.1037/adb0000287

TREATMENT RESOURCES

TREATMENT MANUALS

A community reinforcement plus vouchers approach: Treating cocaine addiction (Budney and Higgins, 1998)

Contingency management: Using motivational incentives to improve drug abuse treatment (Petry and Stitzer, 2002)

WORKBOOKS and WORKSHEETS

Developing a measure of therapist adherence to contingency management: An application of the many-facet rasch model (Chapman, et al., 2008)

A comprehensive guide to the application of contingency management procedures in clinical settings (Petry, 2000)

Psychometric properties of the contingency management competence scale (Petry, et al., 2010)

Identifying provider beliefs related to contingency management adoption using the contingency management beliefs questionnaire (Rash, et al., 2012)

ADDITIONAL RESOURCES

Group treatments for addiction (CEU Matrix, 2010; Daley and Douaihy, 2011)

Substance abuse treatment: Group therapy (SAMHSA, 2005/2015)

Treatment of stimulant use disorders (SAMHSA)

Contingency management strategies and ideas (Bartholomew, et al., 2005)

A treatment manual for implementing contingency management: Using incentives to improve parolee enrollment and attendance in community treatment (Prendergast and Hall, 2011)

Contingency management (UConn Health, 2023)

Case presentation: Mr. U (UCLA)

Case scenario (UCLA)

SUPPORTING STUDIES

Alessi, S. M., Hanson, T., Wieners, M., & Petry, N. M. (2007). Low-cost contingency management in community clinics: Delivering incentives partially in group therapy. Experimental and Clinical Psychopharmacology, 15(3), 293–300.

https://doi.org/10.1037/1064-1297.15.3.293

Epstein, D. H., Hawkins, W. E., Covi, L., Umbricht, A., & Preston, K. L. (2003). Cognitive behavioral therapy plus contingency management for cocaine use: findings during treatment and across 12-month follow-up. Psychology of Addictive Behaviors, 17(1), 73–82.

https://doi.org/10.1037/0893-164X.17.1.73

Garcia-Rodriguez, O., Secades-Villa, R., Higgins, S. T., Fernandez-Hermida, J. R., Carballo, J. L., Errasti Perez, J. M., & Al-halabi Diaz, S. (2009). Effects of voucher-based intervention on abstinence and retention in an outpatient treatment for cocaine addiction: a randomized controlled trial. Experimental and Clinical Psychopharmacology, 17(3), 131–138.

https://doi.org/10.1037/a0015963

Ledgerwood, D. M., Alessi, S. M., Hanson, T., Godley, M. D., & Petry, N. M. (2008). Contingency management for attendance to group substance abuse treatment administered by clinicians in community clinics. Journal of applied behavior analysis, 41(4), 517–526.

https://doi.org/10.1901/jaba.2008.41-517

Petry, N. M., Alessi, S. M., & Hanson, T. (2007). Contingency management improves abstinence and quality of life in cocaine abusers. Journal of Consulting and Clinical Psychology, 75(2), 307–315.

https://doi.org/10.1037/0022-006X.75.2.307

Petry, N. M., Weinstock, J., Alessi, S. M., Lewis, M. W., & Dieckhaus, K. (2010). Group-based randomized trial of contingencies for health and abstinence in HIV patients. Journal of Consulting and Clinical Psychology, 78(1), 89–97.

https://doi.org/10.1037/a0016778

Petry, N. M., Martin, B., & Simcic, F. (2005). Prize reinforcement contingency management for cocaine dependence: integration with group therapy in a methadone clinic. Journal of Consulting and Clinical Psychology, 73(2), 354–359.

https://doi.org/10.1037/0022-006X.73.2.354

Rawson, R. A., Huber, A., McCann, M., Shoptaw, S., Farabee, D., Reiber, C., & Ling, W. (2002). A comparison of contingency management and cognitive-behavioral approaches during methadone maintenance treatment for cocaine dependence. Archives of General Psychiatry, 59(9), 817–824.

https://doi.org/10.1001/archpsyc.59.9.817