contingency management examples

One area in which contingency management has widespread potential benefits is individual retention in treatment. Psychiatric treatments suffer from high rates of attrition, which in turn relates to increased morbidity and mortality. Substance misuse treatment clinics typically experience attrition rates of 80% or higher, and attrition is high in most other out-patient mental health treatment as well. Contingency management was introduced as an alternative to the ‘punishment’ approach (prison and enforced detoxification) of treating addiction, which has been more traditionally favoured by society. However, there is a ‘substantial proportion’ of addicts who do not respond to contingency management as a form of therapy (Carroll and Onken, 2005). In these users there may be a short term effect of novelty of the shopping voucher reinforcer, but this will ultimately become degraded in comparison to the reward of the addictive drug, as did other aspects of the individual’s life as the addiction developed.

What is the purpose of a contingency plan?

contingency management examples

This first step is the most important aspect of your planning, as it sets the tone for why your plans need to exist in the first place. Treatment is less effective if a person is uninterested in a particular reward. The value of the vouchers starts low, increasing gradually with repeated good behavior. Constantly fighting to hit multiple deadlines and KPIs is standard in project management.

Project contingency plan

The contingency management plan for the third subject required a close working relationship with the conservator. It presented reinforcers only on Mondays to decrease the likelihood that the subject would spend his allocation on drugs during weekends. Because drug abuse is a chronic relapsing condition, complete abstinence may be an unrealistic goal, especially in difficult dual-diagnoses cases. A retrospective analysis of predictors of long-term abstinence in cocaine-dependent patients receiving both contingency management and noncontingency management treatments finds that duration of continuous abstinence is the best indicator of long-term outcome (18). Some clients are able to achieve long periods of abstinence through 12-step and standard treatment approaches.

Contingency Management and Co-Occurring Disorders

If a goal was to obtain employment, the client might agree to write a resume or complete three job applications in the upcoming week. If a goal was to improve health, the client might agree to attend a medical appointment or to record the dates and times of medication consumed. Each week, clients selected two specific activities related to their treatment goals, and they reported back on their progress the subsequent week. Following discharge from the psychiatric unit, Ms. A was offered participation in our NIDA-funded study evaluating lower-cost contingency management treatment (e.g., reference 11) for cocaine-abusing methadone patients.

How to Manage a Contingency Budget in Project Management

In this condition, she earned one draw from a bowl for every urine specimen that she submitted that was clean from cocaine or opioids and four draws for every specimen that was clean from both substances. In addition, for each week of consecutive abstinence from both cocaine and opioids, she earned bonus draws. The first week of consecutive cocaine and opioid abstinence resulted in five bonus draws, the stopping cymbalta second week resulted in six bonus draws, the third week seven, and so on. In total, Ms. A could earn about 200 draws if she maintained abstinence throughout the 12-week study. She reported poor compliance with the medications, especially during periods of heavy drug use. She frequently failed to attend the methadone clinic, missing 11 doses in the 2-month period before her most recent hospitalization.

  1. For example, a specific reinforcer (e.g., pizza or movie theatre passes) that serves as an effective incentive for one youth may not be reinforcing for another.
  2. It is notable that the subject has not been hospitalized in over a year since the onset of this contingency management plan.
  3. His improved relationships with his children also seemed to encourage his less hostile attitude.
  4. Sometimes when you’ve finished, it can be tempting to consider it a job well done and forget about it.
  5. If someone has both a substance use disorder and a mental health disorder, they have a dual diagnosis.
  6. Contingency management (CM) is an effective behavior change technique commonly used to treat substance use disorders (SUDs).

The Importance of Scheduling in Project Contingency Planning

contingency management examples

Think about how many businesses were affected by supply chain issues during the pandemic. Most probably never predicted such a catastrophe, but the ones that had about step 12 of the 12 step program a plan in place for such an obstacle were better prepared. Before you can get your team or department onboard, you must get buy-in from the executive team.

A plan was developed to reinforce appropriate behaviors along each of the aforementioned four domains by using cash from Mr. C’s entitlements as the reinforcer. As part of this plan, the conservator paid Mr. C’s rent directly to a local motel and provided Mr. C with $30 per day for food and clothing. The term contingency planning refers to the process of preparing a plan to respond to any risks or unexpected events that might affect an organization.

A contingency management plan reinforcing compliance with HIV medication (13) may have further improved outcomes. Ms. A had been hospitalized four times for cocaine-induced psychotic episodes. Following an 11-day stay in an inpatient dual diagnosis program subsequent to another cocaine-induced psychotic episode, Ms. A was referred to our ongoing study of contingency management interventions for methadone-maintained, cocaine-dependent outpatients. Sometimes, unexpected changes and risks cause projects to extend beyond those lines. The more a manager can prepare for those risks, the more effective his project will be.

Contingency management has demonstrated reductions in drug use that persist for 12–18 months after completion of the contingency management intervention in some randomized clinical trials. The long-term effects of contingency management on drug use have been found to be comparable with the long-term effects of cognitive behavioral therapies in the treatment of cocaine dependence. Research is currently underway that is focused on determining schedules and/or durations of reinforcement that maximize the long-term effect of contingency management interventions on drug abstinence. When it comes to treating individuals with substance use disorders (once commonly referred to as drug abuse or substance abuse disorders), research shows that CM works. Additional documented research shows that, when combined with medication, CM is a highly effective behavioral intervention for individuals struggling with opioid use disorders.

She reported two incarcerations, one related to prostitution and the other for burglary. A risk management plan is a comprehensive document that covers everything about identifying, assessing, avoiding and mitigating risks. When clonidine withdrawal syndrome you’ve written the contingency plan and it’s been approved, the next step is to ensure everyone in the organization has a copy. A contingency plan, no matter how thorough, isn’t effective if it hasn’t been properly communicated.

Despite promising results, this literature remains relatively small, in part because of technological limitations on detecting smoking via breath or urine tests in the context of contingency management (see Contingency Management for a more detailed discussion). The use of escalating reinforcers for continuous behavioral change also has been shown to be important in promoting continuous abstinence in some controlled studies (30). The contingency management plans in cases 1 and 2 included escalating reinforcers for continuous abstinence or attendance and activity completion.

Your plan won’t be a success unless there is buy-in from key members of your team and management. Once all parties agree that the course of action described in the contingency plan works for everyone, you can move forward with confidence. Contingency management (CM) is a type of cognitive-behavioral therapy based on the principle of operant conditioning. It involves using incentives such as cash prizes and vouchers to reward good behavior. A contingency plan is a “plan B” that helps a business address specific situations or incidents that may or may not be out of its control.

Regardless of the scenario, it’s essential to prepare for everything, and contingency planning helps you do so. This post will explain what contingency planning is, outline the steps you can follow to create your own plan, and give examples that you can use for inspiration. CM is an effective treatment for SUD because it’s based on behavioral therapy principles. Let’s look at some examples to illustrate better why contingency plans are necessary and how businesses reacted. Learn what a contingency plan is and how to go about creating one for your company.