Contingent reinforcement of personal goal activities for adolescents with substance use disorders during post-residential continuing care.
Contingency management (CM) is efficacious in improving outcomes of substance-abusing patients, but CM studies are relatively rare in adolescents. CM approaches can reinforce both abstinence and adherence to treatment-related goal areas. This paper describes 1,739 different activities in 10 goal areas (e.g., education, family/friends, and social/recreational) chosen by 86 adolescents who were participating in a multiple week CM study that reinforced both abstinence and adherence with goal-related activities. The mean activities selected was 20, and the mean completed was 13. Overall, 1,114 or 64% of chosen activities were completed. The clinical feasibility of activity incentive programs for adolescents is discussed.
Godley
Susan H
SH
Chestnut Health Systems, Bloomington, Illinois 61701, USA. sgodley@chestnut.org
Godley
Mark D
MD
Wright
Kelli L
KL
Funk
Rodney R
RR
Petry
Nancy M
NM
D000293:Adolescent; D000359:Aftercare; D015897:Comorbidity; D004522:Educational Status; D005195:Family Relations; D005260:Female; D005500:Follow-Up Studies; D006040:Goals; D006801:Humans; D008297:Male; D009042:Motivation; D016487:Parenting / Q000523:psychology; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance / Q000523:psychology; D012050:Rehabilitation, Vocational; D012054:Reinforcement, Psychology; D012114:Residential Treatment; D012917:Social Adjustment; D012919:Social Behavior; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D013695:Temperance / Q000523:psychology