Acceptability of Contingency Management in Washington State Community Mental Health Clinics


cmThis new article, currently in-press at American Journal on Addictions and written by Debra Srebnik, Andrea Sugar, Patrick Coblentz, John Roll (of the CTN Pacific Northwest Node), and colleagues from Washington State, may be of interest to those following the CTN’s research on the use of contingency management/motivational incentives.

Emerging evidence supports the effectiveness of contingency management (CM) for addictions treatment among individuals with co-occurring series mental illness (SMI). This study aimed to evaluate the acceptability of CM among community mental health center (CMHC) clinicians, and is the first study to explore client views in that setting as well.

Three-quarters of WA state clinicians surveyed reported they would use CM if funding were available. Clinicians and clients affirmed that incentives enhance abstinence motivation. Clinician CM acceptability was related to greater years of experience, and identifying as an addictions or co-occurring disorders counselor rather than a “mental health” clinician.

The findings provide preliminary evidence that CMHC clinicians serving clients with addictions and complicating SMI, and client participants in CM, both view CM as motivating and an effective tool for facilitating recovery.

As an evidence-based intervention, supported by strong positive outcomes from the National Drug Abuse Clinical Trials Network (see protocols CTN-0006 and CTN-0007), contingency management warrants further efforts toward funding and dissemination in CMHCs.

Citation: Srebnik D, Sugar A, Coblentz P, et al. Acceptability of contingency management among clinicians and clients within a co-occurring mental health and substance use treatment program. Am J Addict 2013 (in press). [doi: 10.1111/j.1521-0391.2012.00333.x]


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