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Reinforcement-based treatment for substance use disorders: A comprehensive behavioral approach.

DOI: 10.1037/13088-000

Publisher: American Psychological Association - American Psychological Association

Aug 13, 2012

1 - 10 of 12 Chapters

LitStream

The atmosphere of treatment delivery.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 27 –41

In this chapter, we discuss the all-important goal of making treatment a reinforcing place for clients to work on the difficult task of rebuilding their lives. An underlying assumption of the Reinforcement-Based Treatment approach—perhaps most evident in this chapter on the atmosphere generated...
LitStream

Conducting a functional assessment of substance use.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 43 –56

The functional assessment (FA) is the primary tool used in Reinforcement-Based Treatment (RBT) for the purposes of tailoring treatment to the individual. In this chapter, we review the FA process and how it relates to treatment planning for individuals with substance use disorders. The chapter...
LitStream

The feedback session: An adaptation of motivational interviewing.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 57 –68

Motivational interviewing (MI) is an important component of Reinforcement-Based Treatment (RBT) because the approach is person centered and nonjudgmental and sets the conditions for behavior change. In this chapter, we describe a meta-analysis of research on adaptations of MI (AMIs) and explain...
LitStream

Essential goals for competing with drug use.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 69 –92

In this chapter, we discuss how to help clients set and meet goals for broader lifestyle changes that will reinforce abstinence more comprehensively in their day-to-day lives outside of the treatment context and will “compete”with drug use patterns. We devote most of this chapter to the two...
LitStream

Behavioral monitoring of treatment goals: Goal graphing.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 93 –107

In this chapter, we describe the use of behavior graphs as a clinical tool in substance abuse treatment. We begin with a review of the basics on how to construct behavior graphs and follow with a discussion of which behaviors to graph (on the basis of the functional assessment). Additionally, we...
LitStream

Contingency management to improve treatment outcomes.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 109 –120

The primary objective of Reinforcement-Based Treatment (RBT) is to shift contingencies in the individual’s environment such that non-drug-using behaviors (e.g., spending time with friends and family, employment) are more reinforcing than drug use. Although this objective appears simplistic, a...
LitStream

The role of case management in substance abuse treatment.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 121 –144

In this chapter, we discuss how case management services are delivered within RBT. First, we outline a rationale for providing case management interventions by reviewing the empirical literature on the common needs of individuals presenting for substance abuse treatment and outcome studies...
LitStream

The role of significant others and family members in substance abuse treatment.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 145 –157

The majority of adults who have substance use disorders report having a significant other. Because significant others and family members can serve as powerful influences in either helping a client maintain abstinence from drugs or setting the occasion for substance use, Reinforcement-Based...
LitStream

Training and supervision.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 161 –178

The decision to use an empirically supported intervention such as Reinforcement-Based Treatment (RBT) in a real-world practice setting is a laudable one. Making this commitment, however, is only a small part of what it takes to deliver the model effectively and achieve outcomes similar to those...
LitStream

Implementation challenges.

Tuten, L. Michelle; Jones, Hendree E.; Schaeffer, Cindy M.; Stitzer, Maxine L.

Pages: 179 –188

In this chapter, we describe common challenges frequently encountered when treating substance use disorders and the Reinforcement-Based Treatment (RBT) methods used to address them. We do not attempt to cover the broad range of challenges faced; rather, we focus on some of the most commonly...

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