Timely and authoritative, this volume brings together leading clinical researchers to describe contemporary applications of contingency management principles across a wide range of substance use disorders and patient populations. Contingency management uses a system of incentives and disincentives to motivate patients to meet their treatment goals, and has been implemented successfully in community treatment clinics, drug courts, and other settings. Featuring illustrative case material, the book presents a cogent empirical rationale and practical strategies for targeting major drugs of abuse and working with specific populations, including adolescents, pregnant women, and dually diagnosed and homeless individuals. Also addressed are the nuts and bolts of developing and funding contingency management programs.
"This book provides the most up-to-date summary of the broad range of applications of contingency management for substance abuse. Many practical examples bring to life the conceptual and empirical underpinnings of the approach. Well organized and comprehensive, this is a most useful text for training practitioners and students in an important therapeutic technique."
--Thomas R. Kosten, MD, Jay H. Waggoner Chair and Professor of Psychiatry and Neuroscience, Baylor College of Medicine
"This volume constitutes the state of the art of one of the most effective empirically based therapies for addiction. The contributors clearly lay out the fundamental approach, the breadth and depth of the application, and the utility of this treatment for addiction in its many forms. In my view, this book should be required reading for students, professionals working with addiction, and scientists."
--Warren K. Bickel, PhD, Director, Center for Addiction Research, University of Arkansas for Medical Sciences
"This well-written book offers a comprehensive overview of contingency management. The authors provide evidence-based information on the treatment of a wide range of substance use disorders in different populations and treatment settings. The coverage of dissemination issues is very welcome. Highly recommended for all those working in the field of addiction or psychiatry, from students to experienced clinicians."
--Cor A.J. de Jong, MD, PhD, Nijmegen Institute for Scientist-Practitioners in Addiction, Radboud University Nijmegen, The Netherlands
"If a new addiction medication were developed that produced results comparable to contingency management, the FDA would approve it enthusiastically and drug companies would pay big dollars to own the patent. This book makes it crystal clear just how powerful contingency management is, how easy it is to use, and how well it works across diverse populations, problems, and settings. Like Marlatt and Gordon's Relapse Prevention and Miller and Rollnick's Motivational Interviewing, this is a seminal volume on psychological/behavioral addiction treatment. The book will be valuable in undergraduate psychology classes, graduate programs on addiction, and clinical psychology training programs. It is also a very valuable research resource."
--Richard A. Rawson, PhD, Associate Director, Integrated Substance Abuse Programs, University of California at Los Angeles
"This book reflects the depth and variety of applications of the contingency management approach. The chapters are unified by basic CM principles and cover a wide range of settings and populations. It can be used as a classroom text at the graduate level or in specialty addiction training programs. With authors well known for their specific expertise, this is an excellent source for those seeking a review of evidence-based principles and interventions."
--Joan E. Zweben, PhD, Executive Director, 14th Street Clinic/East Bay Community Recovery Project, and Clinical Professor of Psychiatry, University of California, San Francisco
"Leadership and management in the field of addiction should read this book to understand when, where, and how contingency management is and is not effective."
--Journal of Clinical Psychiatry
About the Author
Stephen T. Higgins, PhD, is Professor of Psychiatry and Psychology at the University of Vermont. The recipient of numerous national awards for research excellence, Dr. Higgins is currently President of the College on Problems of Drug Dependence and principal and coinvestigator on numerous grants from the National Institute on Drug Abuse (NIDA). He has published extensively on furthering scientific understanding of the behavioral and pharmacological processes involved in substance use disorders.
Kenneth Silverman, PhD, served as a staff fellow in the Clinical Trials Section of NIDA’s Intramural Research Program in Baltimore from 1991 to 1993. He is currently Professor of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine. Dr. Silverman’s research focuses on developing operant treatments to address the interrelated problems of poverty and drug addiction. His primary research has focused on the development and evaluation of abstinence reinforcement interventions for heroin and cocaine addiction in poor, inner-city adults, and the integration of those abstinence reinforcement contingencies into model employment settings.
Sarah H. Heil, PhD, is Research Assistant Professor of Psychiatry and Psychology at the University of Vermont. Her research interests include the behavioral and pharmacological processes involved in substance use disorders, with a special focus on pregnant and recently postpartum women. She is a regular contributor to the scientific literature on drug abuse and has received several honors and awards for research excellence.