Group Contingency Management Therapy for Opioids Use Disorders

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Contingency Management Therapy for Opioids 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. CM for opioids use disorder is a behavioral strategy that is not always delivered by therapist, but a CM technician.

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

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)

Challenges to conducting contingency management treatment for substance use disorders (Pfund, 2021)

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)

Group therapy in substance use treatment (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)

SUD 101 worksheet (UCLA)

SUPPORTING STUDIES

Bolívar, H. A., Klemperer, E. M., Coleman, S. R. M., DeSarno, M., Skelly, J. M., & Higgins, S. T. (2021). Contingency Management for Patients Receiving Medication for Opioid Use Disorder: A Systematic Review and Meta-analysis. JAMA psychiatry, 78(10), 1092–1102.

https://doi.org/10.1001/jamapsychiatry.2021.1969

Carroll, K. M., Ball, S. A., Nich, C., O’Connor, P. G., Eagan, D. A., Frankforter, T. L., Triffleman, E. G., Shi, J., & Rounsaville, B. J. (2001). Targeting behavioral therapies to enhance naltrexone treatment of opioid dependence: efficacy of contingency management and significant other involvement. Archives of General Psychiatry, 58(8), 755–761.

https://doi.org/10.1001/archpsyc.58.8.755

Kropp, F., Lewis, D., & Winhusen, T. (2017). The effectiveness of ultra-low magnitude reinforcers: Findings from a “real-world” application of contingency management. Journal of Substance Abuse Treatment, 72, 111–116.

https://doi.org/10.1016/j.jsat.2016.06.012

Petry, N. M., & Carroll, K. M. (2013). Contingency management is efficacious in opioid-dependent outpatients not maintained on agonist pharmacotherapy. Psychology of Addictive Behaviors, 27(4), 1036–1043.

https://doi.org/10.1037/a0032175

Petry, N. M., & Martin, B. (2002). Low-cost contingency management for treating cocaine- and opioid-abusing methadone patients. Journal of Consulting and Clinical Psychology, 70(2), 398–405.

https://doi.org/10.1037//0022-006x.70.2.398

Sayegh, C. S., Huey, S. J., Zara, E. J., & Jhaveri, K. (2017). Follow-up treatment effects of contingency management and motivational interviewing on substance use: A meta-analysis. Psychology of Addictive Behaviors, 31(4), 403–414.

https://doi.org/10.1037/adb0000277