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Challenges to Conducting Contingency Management Treatment for Substance Use Disorders: Practice Recommendations for
Rory A Pfund1, Jemma E Cook1, Nicholas W McAfee1
1University of Mississippi Medical Center.
Professional Psychology, Research and Practice
|August 23, 2021
Summary
Contingency management (CM) effectively treats substance use disorders with immediate, frequent rewards. However, real-world application faces challenges, prompting proposed solutions for better adherence to research protocols in clinical practice.
Area of Science:
- Addiction research
- Clinical psychology
- Behavioral health
Background:
- Empirical evidence supports contingency management (CM) for substance use disorders.
- Optimal CM involves immediate, frequent rewards on escalating schedules.
- Real-world CM often deviates from research-based protocols.
Purpose of the Study:
- To describe an outpatient CM program for drug use disorders.
- To identify pragmatic challenges in implementing CM according to research standards.
- To propose solutions and discuss implications for clinical practice.
Main Methods:
- Description of an outpatient contingency management program.
- Analysis of challenges in adhering to CM research parameters.
- Development of proposed solutions for practical implementation.
Main Results:
- Contingency management (CM) is effective but faces real-world implementation barriers.
- Specific challenges in applying CM research protocols in practice were identified.
- Potential solutions for overcoming these challenges were proposed.
Conclusions:
- Bridging the gap between CM research and practice is crucial for effective substance use disorder treatment.
- Addressing pragmatic challenges can improve adherence to evidence-based CM protocols.
- The proposed solutions offer guidance for enhancing CM delivery in clinical settings.
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