Contingency Management for Patients with Cooccurring Disorders : Evaluation of a Case Study and Recommendations for Practitioners
Research indicates that contingency management (CM) has potential to improve a number of outcomes (e.g. substance use, treatment attendance, quality of life) among individuals with substance use and cooccurring disorders. However, multiple factors must be considered on a case-by-case basis in order...
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| Published in: | Case reports in psychiatry Vol. 2012; no. 2012; pp. 1 - 7 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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Cairo, Egypt
Hindawi Puplishing Corporation
01-01-2012
Hindawi Publishing Corporation Hindawi Limited |
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| Abstract | Research indicates that contingency management (CM) has potential to improve a number of outcomes (e.g. substance use, treatment attendance, quality of life) among individuals with substance use and cooccurring disorders. However, multiple factors must be considered on a case-by-case basis in order to promote optimal treatment effects. The present study describes an individualized CM protocol for a US Veteran with substance dependence and cooccurring severe mental illness. CM targeted attendance at outpatient appointments and appropriate use of hospital resources. Effects of CM were assessed by comparing the 3-month baseline and CM periods. The CM intervention marginally reduced unnecessary hospital admissions, resulting in cost savings to the medical center of over $5,000 in three months for this individual. However, CM did not affect outpatient attendance. Several complications arose, highlighting challenges in using CM in populations with substance use and cooccurring disorders. Practical suggestions are offered for maximizing the effects of CM. |
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| AbstractList | Research indicates that contingency management (CM) has potential to improve a number of outcomes (e.g. substance use, treatment attendance, quality of life) among individuals with substance use and cooccurring disorders. However, multiple factors must be considered on a case-by-case basis in order to promote optimal treatment effects. The present study describes an individualized CM protocol for a US Veteran with substance dependence and cooccurring severe mental illness. CM targeted attendance at outpatient appointments and appropriate use of hospital resources. Effects of CM were assessed by comparing the 3-month baseline and CM periods. The CM intervention marginally reduced unnecessary hospital admissions, resulting in cost savings to the medical center of over $5,000 in three months for this individual. However, CM did not affect outpatient attendance. Several complications arose, highlighting challenges in using CM in populations with substance use and cooccurring disorders. Practical suggestions are offered for maximizing the effects of CM. |
| Author | Parker, Jefferson D. Burke, Randy S. Rash, Carla J. Adams, Claire E. |
| AuthorAffiliation | 4 Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA 3 G.V. (Sonny) Montgomery VA Medical Center, Jackson, MS 39216, USA 1 Department of Health Disparities Research-Unit 1440, P.O. Box 301402, Houston, TX 77230-1402, USA 2 Department of Medicine, University of Connecticut Health Center, Farmington, CT 06030-3944, USA |
| AuthorAffiliation_xml | – name: 4 Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA – name: 3 G.V. (Sonny) Montgomery VA Medical Center, Jackson, MS 39216, USA – name: 1 Department of Health Disparities Research-Unit 1440, P.O. Box 301402, Houston, TX 77230-1402, USA – name: 2 Department of Medicine, University of Connecticut Health Center, Farmington, CT 06030-3944, USA |
| Author_xml | – sequence: 1 fullname: Rash, Carla J. – sequence: 2 fullname: Adams, Claire E. – sequence: 3 fullname: Burke, Randy S. – sequence: 4 fullname: Parker, Jefferson D. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22937413$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1037/0893-164X.17.3.249 10.1037/0022-006X.71.2.320 10.1016/S0376-8716(99)00068-X 10.1111/j.1360-0443.2006.01581.x 10.1901/jaba.1996.29-495 10.1037/0022-006X.4.2.307 10.1016/j.jsat.2007.02.009 10.1037/0022-006X.75.5.823 10.1037/a0012787 10.1037/a0018649 10.1016/j.jsat.2006.02.001 10.1037/0022-006X.75.2.307 10.1111/j.1360-0443.2006.01311.x 10.1176/appi.ajp.158.5.694 10.1037/1064-1297.6.2.157 10.1037/0022-006X.74.3.592 10.1080/10550490802545125 10.1037/0893-164X.22.4.544 10.1097/ADT.0b013e31804eff05 10.1146/annurev.psych.55.090902.142033 10.1037/a0015963 10.1901/jaba.2008.41-517 10.1037//0022-006X.68.1.64 10.1016/S0740-5472(00)00143-4 10.1016/S0376-8716(99)00071-X 10.1111/j.1360-0443.2003.00642.x 10.1016/j.drugalcdep.2006.08.027 10.1016/j.jsat.2007.01.011 10.1081/ADA-120026259 10.1016/j.drugalcdep.2009.05.018 10.1037//1064-1297.10.3.241 10.1001/archpsyc.63.2.201 10.1001/archpsyc.62.10.1148 10.1037/a0014042 10.1037/0022-006X.74.5.955 |
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| Copyright | Copyright © 2012 Claire E. Adams et al. Copyright © 2012 Claire E. Adams et al. 2012 |
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| Title | Contingency Management for Patients with Cooccurring Disorders : Evaluation of a Case Study and Recommendations for Practitioners |
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