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Published on: January 5, 2018
Statewide adoption and initial implementation of contingency management for substance-abusing adolescents
Scott W Henggeler1, Jason E Chapman, Melisa D Rowland
1Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA. henggesw@musc.edu
Journal of Consulting and Clinical Psychology
|July 31, 2008
Summary
Public sector therapists adopted contingency management (CM) for adolescent substance abuse treatment, with adoption rates influenced by various therapist and sector characteristics. Barriers included competing priorities, not negative attitudes toward CM.
Area of Science:
- Psychology
- Public Health
- Addiction Medicine
Background:
- Substance abuse among adolescents presents a significant public health challenge.
- Effective treatment strategies, such as contingency management (CM), are crucial for this population.
- Understanding the adoption and implementation of evidence-based practices (EBPs) in public sector settings is vital for improving care.
Purpose of the Study:
- To assess the adoption and initial implementation of contingency management (CM) by public sector therapists treating adolescent substance abuse.
- To identify factors influencing the adoption and implementation of CM.
- To examine barriers and predictors related to CM use in a real-world public sector context.
Main Methods:
- A workshop on contingency management (CM) was provided to 432 public sector therapists.
- Participants were interviewed monthly for 6 months to track CM adoption and implementation.
- Data were analyzed to determine adoption rates, influencing factors, and barriers.
Main Results:
- 58% of therapists with eligible adolescent clients adopted CM.
- Adoption rates varied by therapist service sector, education, experience, and attitudes toward EBPs.
- Competing clinical priorities and client resistance were primary barriers; negative attitudes toward CM were not.
Conclusions:
- Public sector therapists show amenability to adopting evidence-based practices like CM.
- Predictors of CM adoption and implementation are complex, involving individual, organizational, and contextual factors.
- Targeted support and addressing systemic barriers are necessary for successful EBP integration in adolescent substance abuse treatment.
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