23. Community Reinforcement Approach and Contingency Management Interventions for Substance Abuse

  1. W. Miles Cox4 and
  2. Eric Klinger5
  1. Maxine L. Stitzer1,
  2. Hendree E. Jones2,
  3. Michelle Tuten2 and
  4. Conrad Wong3

Published Online: 20 APR 2011

DOI: 10.1002/9780470979952.ch23

Handbook of Motivational Counseling: Goal-Based Approaches to Assessment and Intervention with Addiction and Other Problems

Handbook of Motivational Counseling: Goal-Based Approaches to Assessment and Intervention with Addiction and Other Problems

How to Cite

Stitzer, M. L., Jones, H. E., Tuten, M. and Wong, C. (2011) Community Reinforcement Approach and Contingency Management Interventions for Substance Abuse, in Handbook of Motivational Counseling: Goal-Based Approaches to Assessment and Intervention with Addiction and Other Problems (eds W. M. Cox and E. Klinger), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470979952.ch23

Editor Information

  1. 4

    School of Psychology, Bangor University, Bangor LL57 2AS, UK

  2. 5

    Division of Social Sciences, University of Minnesota, Morris, 600 East Fourth Street, Morris, MN 56267, USA

Author Information

  1. 1

    Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Behavioral Pharmacology Research Unit, 5510 Nathan Shock Drive, Baltimore, MD 21224, USA

  2. 2

    Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, 4940 Eastern Ave, D-4-East, Baltimore MD 21224, USA

  3. 3

    Lilly Pharmaceuticals, Coventry Lane, Greenwood IN, 46143, USA

Publication History

  1. Published Online: 20 APR 2011
  2. Published Print: 15 APR 2011

ISBN Information

Print ISBN: 9780470749265

Online ISBN: 9780470979952

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Keywords:

  • community reinforcement approach - and contingency management interventions for substance abuse;
  • contingency management interventions - beneficial for treating substance use disorders;
  • operant principles, delivery of positive reinforcement contingent - on desired behavior change;
  • abstinence reinforcement procedures, and tangible vouchers or prizes - reinforcing drug abstinence;
  • abstinence reinforcement interventions - identifying tangible reinforcers;
  • primary tenets of operant conditioning - behaviors learned and reinforced, environmental contingencies;
  • contingency management interventions - treating drug abuse, functioning as reinforcers;
  • modifying drug-using behavior - increasing density of alternative reinforcers, incompatible with drug-using lifestyle;
  • drug abstinence targets - reinforcing abstinence from a single target drug;
  • community reinforcement approach (CRA) - multicomponent behavioral therapy, for ill alcoholics

Summary

This chapter contains sections titled:

  • Conceptual Framework

  • Application to Substance Abuse Treatment

  • Abstinence Reinforcement Interventions

  • Effective Implementation of an Abstinence Reinforcement Intervention

  • Community Reinforcement Approach (CRA)

  • Implementing the Community Reinforcement Approach

  • CRA Combined with Voucher Reinforcement

  • Issues in Implementing CRA Plus Vouchers

  • Summary and Conclusions

  • References