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What is Addiction?What Causes Addiction?How Do You Get Addicted?Signs and Symptoms of AddictionTreatment for Addiction
Treatment for AddictionNatural Recovery: Recovery from Addiction Without TreatmentNatural Recovery ContinuedChoosing An Effective Treatment Approach: Evidenced-Based PracticesWhat Makes An Addictions Treatment Effective? Biological Approaches to Addiction Treatment: MedicationsThe Role of Medication in Addictions TreatmentPharmacologic Medications for Addictions TreatmentPharmacologic Medications for Addictions Treatment: Part IIPsychological Approaches to Addiction TreatmentMotivation for Change: The Stages of Change ModelMotivation for Change ContinuedTypes of Evidenced-Based (Effective) Treatments for Addiction: Motivational InterviewingRelapse Prevention TherapyContingency ManagementCognitive-Behavioral TherapyDialectical Behavioral TherapyAcceptance and Commitment TherapyWhat The Pros Know: The Practical Recovery ModelSocial Approaches Addictions RecoveryA Cultural Approach to Addictions Treatment: Harm ReductionFamily Approaches to Addictions Treatment: CRAFT, Intervention And Al-AnonThe Social Support Approach to Addictions Recovery: Recovery Support Groups Self-Empowering Support Groups for Addiction Recovery: Smart RecoveryModeration ManagementWomen for SobrietyLifeRing Secular Recovery and Secular Organizations for Sobriety (SOS)Summary of Self-Empowering Support GroupsSpiritual Approaches to Addiction Recovery12-Step Support Groups: Groups That End With "Anonymous"12-Step Support Groups: Part II12-Step Support Groups: Part IIIExpanding Addiction Treatment Choices in the United StatesDeveloping a Personal Action Plan for Addiction Recovery: Part IDeveloping a Personal Action Plan for Addiction Recovery: Part II
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Contingency Management

A. Tom Horvath, Ph.D., ABPP, Kaushik Misra, Ph.D., Amy K. Epner, Ph.D., and Galen Morgan Cooper, Ph.D. , edited by C. E. Zupanick, Psy.D.

Contingency management (CM) is a type of behavior therapy often used in addiction treatment programs (Tuten, Jones, Schaeffer & Stitzer, 2011). The developers of CM based it on the principles of operant conditioning. In this type of treatment, individuals are rewarded for improved behavior. Some contingency management programs also punish participants for undesirable behaviors. Rewards often come in the form of vouchers for free goods or services. A voucher might be a free movie ticket, for example. Research shows that contingency management can be an effective approach to addiction treatment for people with limited financial resources. Clearly, in order for rewards to be motivating, the reward must be in fact be rewarding. For example, if someone doesn't enjoy movies then a movie ticket will not sufficiently motivate someone to change their behavior. The effectiveness of contingency management tends to fade after the rewards (and punishments) are taken away. Most individuals need to strengthen their internal motivation in order to change their behavior in the long-term. Nonetheless, contingency management is useful for teaching people they are able to change their behavior when sufficiently motivated.