Contingency Management Banking

Reducing costs and increasing the efficacy of Contingency Management treatment for Substance Use Disorders

Authors

  • André Queiroz Miguel Universidade Federal de São Paulo / Washington State University
  • Viviane Simões Universidade Federal de São Paulo
  • Rodolfo Yamauchi Universidade Federal de São Paulo
  • Clarice S. Madruga Universidade Federal de São Paulo
  • Claudio J. da Silva Universidade Federal de São Paulo
  • Ronaldo R. Laranjeira Universidade Federal de São Paulo
  • John M. Roll Washington State University
  • Jair J. Mari Universidade Federal de São Paulo
  • Sterling McPherson Washington State University

DOI:

https://doi.org/10.31505/rbtcc.v22i1.1424

Keywords:

Cocaine use disorders, Contingency Management, Psychosocial interventions, Crack, Cocaine, substance use disorders, treatment

Abstract

Contingency Management (CM) is among the most effective behavioral interventions for cocaine use disorders (CUD), yet the dissemination of CM to community treatment settings has been limited and slow due partially to costs.

Recently, our group completed the first Brazilian CM trial for CUD. Despite our positive results, we observed specific components of the CM procedure that could be contributing to unnecessary costs. Prompted by this experience and leveraging evidence-based behavioral science principles, we recently developed a modified version of CM designed to reduce costs and increase long-term engagement in treatment.

In this technical article we present the scientific, clinical and practical rationale behind a novel CM procedure. We provide a detailed description and rationale for this procedure in an effort to stimulate discussion amongst other scientists about its utility across a diverse array of low-resource treatment settings and discuss why CM banking may reduce costs and enhance treatment engagement.

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Published

2020-09-11

How to Cite

Miguel, A. Q., Simões, V., Yamauchi, R., Madruga, C. S., da Silva, C. J., Laranjeira, R. R., Roll, J. M., Mari, J. J., & McPherson, S. (2020). Contingency Management Banking: Reducing costs and increasing the efficacy of Contingency Management treatment for Substance Use Disorders. Brazilian Journal of Behavioral and Cognitive Therapy, 22(1). https://doi.org/10.31505/rbtcc.v22i1.1424

Issue

Vol. 22 (2020)

Section

Artigos Conceituais

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