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Reinforcement-Based Treatment for Substance Use Disorders
A Comprehensive Behavioral Approach

L. Michelle Tuten (Author), Hendree Jones (Author), Cindy Schaeffer (Author), Maxine L. Stitzer (Author)

9781433810244

Hardback, published 15 August 2011

293 pages
25.4 x 17.8 x 2 cm, 0.688 kg

This book is a clinician-friendly manual for implementing Reinforcement-Based Treatment (RBT), an intensive, evidence-based model for treating substance use disorders in community settings.

RBT integrates the most effective behavioral techniques with motivational interviewing, highly individualized treatment plans, and case management. The goal is to help clients avoid substance use triggers and develop recreational outlets and support systems that are incompatible with substance use. Additionally, the model emphasizes customer service-a concept underemphasized in most programs-to ensure that clients receive positive reinforcement for attending treatment.

Using a step-by-step approach that takes the reader through each treatment component, the authors provide clear, detailed, and practical case illustrations and a variety of useful forms and therapist scripts.

Introduction

I. Core Program Features

  1. The Atmosphere of Treatment Delivery
  2. Conducting a Functional Assessment of Substance Use
  3. The Feedback Session: An Adaptation of Motivational Interviewing
  4. Essential Goals for Competing With Drug Use
  5. Behavioral Monitoring of Treatment Goals: Goal Graphing
  6. Contingency Management to Improve Treatment Outcomes
  7. The Role of Case Management in Substance Abuse Treatment
  8. The Role of Significant Others and Family Members in Substance Abuse Treatment

II. Program Administration

  1. Training and Supervision
  2. Implementation Challenges

III. Special Populations

  1. Pregnant and Child-Rearing Women
  2. Parents in the Child Welfare System

Afterword: Future Directions for Practice and Research

  • Appendix A: New Client Welcome Certificate
  • Appendix B: Functional Assessment of Drug Use
  • Appendix C: Functional Assessment for Relapse
  • Appendix D: Client Feedback Form
  • Appendix E: Client Feedback Pamphlet
  • Appendix F: Day Plan
  • Appendix G: Abstinence Sampling Contract
  • Appendix H: Alternative Housing Plan
  • Appendix I: Tracking Locator Form
  • Appendix J: Cost-Benefit Analysis
  • Appendix K: Treatment Team,Treatment Plan Elements, and Key Decisions
  • Appendix L: Sample Initial Treatment Plan for Pregnant and Child-Rearing Women

References

Index

About the Authors

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