Group Contingency Management Therapy for Methamphetamine Use Disorders

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Contingency Management Therapy for Methamphetamine Use Disorders

BRIEF SUMMARY

Basic premise: Contingency management (CM) interventions to treat people dependent on psychoactive substances are based on a robust theoretical and empirical science literature that regards drug use and addiction as a form of operant conditioning in which behavior is controlled or shaped by its consequences. This model refers to a type of behavioural therapy in which individuals are ‘reinforced’, or rewarded, for evidence of positive behavioural change, often involving provision of monetary-based reinforcers for submission of drug-negative urine specimens. As such, the likelihood of substance use should be influenced by the context in which use occurs. More specifically, alternative non-drug reinforcers should decrease substance use if they are available in sufficient magnitude and according to a schedule that is incompatible with drug use. CM for methamphetamine use disorder is a behavioral strategy that is not delivered by therapist, but a CM technician.

Benishek LA, Dugosh KL, Kirby KC, Matejkowski J, Clements NT, Seymour BL, Festinger DS. Prize-based contingency management for the treatment of substance abusers: A meta-analysis. Addiction. 2014;109(9):1426–1436. https://doi.org/10.1111/add.12589

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

Prendergast, M., Podus, D., Finney, J., Greenwell, L., & Roll, J. (2006). Contingency management for treatment of substance use disorders: a meta-analysis. Addiction (Abingdon, England), 101(11), 1546–1560. https://doi.org/10.1111/j.1360-0443.2006.01581.x

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)

Contingency management (UConn Health, 2023)

Case presentation: Mr. U (UCLA)

Case scenario (UCLA)

SUD 101 worksheet (UCLA)

SUPPORTING STUDIES

McDonell, M. G., Srebnik, D., Angelo, F., McPherson, S., Lowe, J. M., Sugar, A., Short, R. A., Roll, J. M., & Ries, R. K. (2013). Randomized controlled trial of contingency management for stimulant use in community mental health patients with serious mental illness. The American Journal of Psychiatry, 170(1), 94–101.

https://doi.org/10.1176/appi.ajp.2012.11121831

Rawson, R. A., McCann, M. J., Flammino, F., Shoptaw, S., Miotto, K., Reiber, C., & Ling, W. (2006). A comparison of contingency management and cognitive-behavioral approaches for stimulant-dependent individuals. Addiction (Abingdon, England), 101(2), 267–274.

https://doi.org/10.1111/j.1360-0443.2006.01312.x

Roll, J.M., Chudzynski, J., Cameron, J.M., Howell, D.N., & McPherson, S. (2013). Duration effects in contingency management treatment of methamphetamine disorders. Addictive Behaviors, 38(9), 2455–62.

https://doi.org/10.1016/j.addbeh.2013.03.018

Roll, J.M., Huber, A., Sodano, R., Chudzynski, J., Moynier, E., & Shoptaw, S. (2006). A comparison of five reinforcement schedules for use in contingency management-based treatment of methamphetamine abuse. The Psychological Record, 56, 67–81.

https://doi.org/10.1007/BF03395538

Shoptaw, S., Huber, A., Peck, J., Yang, X., Liu, J., Jeff, D., et al. (2006). Randomized, placebo-controlled trial of sertraline and contingency management for the treatment of methamphetamine dependence. Drug and Alcohol Dependence, 85(1), 12–18.

https://doi.org/10.1016/j.drugalcdep.2006.03.005