Selecting a Group for Contingency Management

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LuAnne
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Joined: 03/16/2012 - 15:20
Selecting a Group for Contingency Management

After reviewing the criteria for selecting a group for Contingency Management and reviewing our base line data, I have found that perhaps using attendance for Contingency Management will not work for our program.  The majority of clients from both our Men's and Women's Intensive Outpatient Program are mandated to treatment, either from Drug Court, Probation, or Child Protection. 
The base line data for our Level 4 or "step down" from IOP indicated an 84% attendance rate.  We also have an "After Care" group with is similar outcomes.
Our Women's Program also has a continuum of care program for 3 months, however, a lot of our women who complete the program are often going to other providers for permanent supportive housing which offer similar support). 
I realize this study is focusing on treatment attendance, however, I am wondering if it would be better for RS EDEN to utilize contingency management to increase the number of negative urinalysis results rather than focusing on treatment attendance? 

AWheelock
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Joined: 03/05/2012 - 15:43

LuAnne, I'm glad you posted your issue. Kim has suggested that you focus on the aim that makes sense to you. We will look forward to hear about your progress.

LuAnne
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Joined: 03/16/2012 - 15:20

I do not have base line data on urinalysis tests yet, but will start collecting data. We have our own drug lab with instant test cups and confirmation testing - so what I need to do is dig a little on who tested postive on instant cup and admitted to use, and then look how many tests had a positive confirmation test.

michael boyle
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Expert_25
Joined: 03/06/2012 - 12:23

I agree with Kim. The primary study objective is whether technology and social networking can increase adoption and successful implementation of EBPs. While having all organizations implementing the same objective for using CM would be desirable, I certainly do not want to lose a committed provider! LuAnn - do you have a baseline for UA results? The materials we previously sent focus on the name in the hat technique for increasing OP attendance. The procedures are vary different for increasing negative UA results and are spelled out in Nancy's book that is being sent to you. A crucial component is obtaining and rewarding immediate negative UAs. If there is a period of several days between the test and obtaining the results, the patient may have used and thus the reward is not tied to the behavior. The person may receive a reinforcer even though they have used drugs in the interim. See Nancy's book for far more details on using UA for CM.