Contingency Management For Adolescent Substance Abuse

This practical manual is based on extensive research and the collaboration of hundreds of community-based therapists. It provides step-by-step guidelines for implementing contingency management (CM)—one of the most effective treatments for substance abuse—with adolescents and their caregivers. Strategies are detailed for assessing substance use disorders, developing individualized cognitive and behavioral interventions, using behavioral contracts and contingencies to reinforce abstinence, and overcoming frequently encountered treatment roadblocks. Extensive sample dialogues illustrate what CM looks like in action. In a convenient large-size format, the book includes more than three dozen reproducible handouts, checklists, and forms.

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 was first published in 2006. Adolescent drug abuse is one of the most challenging disorders to treat. It impacts on schools, community-based programs, mental health and medical facilities, and juvenile justice settings. This book provides practitioners, program developers and policy makers with practical information for improving outcomes in adolescent substance abuse. The authors cover a range of issues, including empirically based treatment development protocols, how to incorporate innovative treatment models into diverse clinical settings; research advances; interventions with special populations, culturally based intervention guidelines, and recommendations for practice and policy.

The National Health System in the United Kingdom has supported the integration of CM because of its evidence basis. CM has recently been implemented in clinics in Spain, the Netherlands, and Israel, and the author has been asked to consult on its integration in treatment settings in Canada, South Africa, Turkey, China, and Australia. The completion of the National Institute on Drug Abuse Clinical Trials Network study of CM interventions has raised awareness and interest throughout the US and abroad, most notably in Canada and the UK.

This comprehensive issue on Substance Abuse in youth begins with articles on epidemiological trends, genetic risk factors, neurobiology of substance use disorders, and race and gender associations, and then provides detailed reviews on prevention and various treatment methodologies. Treatments discussed include individual and group interventions (motivational interviewing and cognitive behavioral therapy), contingency reinforcement, multidimentional family therapy, pharmacotherapy, and post-treatment aftercare. Also reviewed in detail are substance use disorders and psychiatric comorbidity. The issue then takes a close look at two emerging areas of concern in youth: gambling and internet occupation, and energy drink use. By all accounts, a must-read issue for psychiatrists everywhere.

This issue of the Child and Adolescent Psychiatric Clinics will be Part II of II on Substance Use Disorders. Part II will be edited by Drs. Ray Hsiao and Paula Riggs. This portion will focus more on treatments, recovery, and support considerations for adolescents with substance abuse issues. Topics covered include, but are not limited to: screening brief intervention referral treatment in primary care, family-based interventions, motivational enhancement therapy, school-based interventions, contingency management, pharmacotherapy, treatment for children with co-morbid psychiatric issues, special populations, and integration of system of care.

Praise for Treating Adolescent Substance Abuse Using Family Behavior Therapy "This is an extremely positive and strength-focused text that provides therapists with a structure and the tools to implement interventions that have a long history of promoting the types of clinical changes desired by family members and community stakeholders."—From the Foreword by Scott W. Henggeler, PhD, Professor, Department of Psychiatry and Behavioral Sciences, and Director, Family Services Research Center, Medical University of South Carolina "Kudos to Donohue and Azrin for writing a book that includes all the materials needed to implement FBT with adolescents, including prompting checklists, handouts, and worksheets."—Karol Kumpfer, PhD, Professor, Health Promotion & Education, and Chair, International Study Abroad Committee, College of Health, University of Utah, and former director, SAMHSA's Center for Substance Abuse Prevention "Treating Adolescent Substance Abuse Using Family Behavior Therapy is an important resource for those who wish to provide an empirically supported, strengths-based, behavioral treatment for adolescents with substance-use problems and their parents." —Susan Harrington Godley, RhD, Senior Research Scientist and EBT Coordinating Center Director, and Mark D. Godley, PhD, Director, Research & Development, Chestnut Health Systems "In my practice with adolescents, FBT has proven exceptionally effective in drawing families closer together and yielding improved outcomes. This remarkably supportive approach helps young people develop critical skills necessary to live a fulfilling and drug-free lifestyle. This book clearly illustrates how to implement the interventions with ease and exemplifies the deeply gratifying experience of FBT."—Stephen A. Culp, MEd, NCC, LPCC, Addiction Services Therapist, Comprehend, Inc., Maysville, KY Listed in multiple national clearinghouses, including SAMHSA's National Registry of Evidence-based Programs and Practices and the CEBC, Family Behavior Therapy (FBT) is a scientifically supported treatment for adolescent substance abuse and its many associated problems. Written by Brad Donohue and Nathan Azrin—the premier researchers and practitioners of FBT—Treating Adolescent Substance Abuse Using Family Behavior Therapy is the first book of its kind to provide mental health professionals with the practical, step-by-step guidance needed to use this evidence-based treatment. Filled with case studies, checklists, worksheets, and handouts, this essential guide features: Strategies to assist in effective goal-setting, treatment plans, and family management Motivational enhancement exercises to encourage youth into a problem-free lifestyle Methods to effectively address contextual issues such as noncompliance and culture Standardized treatments to assist in eliminating problems that coexist with substance abuse, including unemployment, depression, behavioral misconduct, and family dysfunction An accompanying CD-ROM contains all the book's record-keeping forms, checklists, assignments, progress notes, agendas, and worksheets in a customizable format.