Class notes
Contingency Management for Addictions
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Based on research of: Higgins & Petry (1999) Holtyn et al. (2014)
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🧸Contingency Management for
Addiction
Column Lecture 11
Tags WEEK 11
Contingency Management
What is addiction?
CAMH: Center of Addictions and Mental Health
CAMH describes addiction by using the 4 C's
Craving
Compulsion to use
Continue despite the consequences
Addiction
There are costs to:
The individual
The family and friends of the individual
The society
Some effective treatments exists but with high relapse rates
Contingency Management for Addiction 1
, Effective Addiction Treatments
These arrange the SR for engaging in bx change needed to combat addiction
Contingency management intervention has proven to be effective
Don't work for everyone, that is why more research is needed
Some relapse is experience after the intervention
This intervention is not widely used
What is contingency management?
Systematic reinforcement of desired bxs and withholding of reinforcement or
punishment of undesired bx
Providing tangible rewards to reinforce positive bxs
Contingency Management Variations and Research
What kind of schedule of reinforcement produces compulsive bx?
Intermittend
Vouchers have monetary value and can be traded for tangible rewards
Contingency management is not always effective in treating addiction
💡 Smoking is not an example of respondent bx
Inhaling and exhaling are initially unconditioned responses
Addiction is not an example of bx that is initially controlled by intermitted and
maintained by continuous schedule of reinforcement
Voucher-Based Reinforcement for Treatment of Cocaine
Developed in the 90s by Dr. Higgins.
In a voucher-based system to treat cocaine abuse, patients leave urine
specimens multiple times each week and receive vouchers for each specimen
Contingency Management for Addiction 2
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