Evolution of the substance use landscape: Implications for contingency management.

Autor: Goodwin S; Department of Psychology, Rowan University, Glassboro, New Jersey, USA., Kirby KC; We The Village, Inc., New York, New York, USA., Raiff BR; Department of Psychology, Rowan University, Glassboro, New Jersey, USA.
Jazyk: angličtina
Zdroj: Journal of applied behavior analysis [J Appl Behav Anal] 2024 Aug 28. Date of Electronic Publication: 2024 Aug 28.
DOI: 10.1002/jaba.2911
Abstrakt: Contingency management (CM), which involves the delivery of incentives upon meeting behavioral goals, has the potential to improve substance use treatment outcomes. The intervention allows for flexibility through numerous modifiable components including changes to incentive magnitude and schedule, target behavior, and intervention structure. Unfortunately, numerous changes in the substance use landscape have occurred in the past 10 to 15 years: Substances are more potent, overdose risk has increased, new substances and methods of use have been introduced, and substance classes are increasingly being intentionally and unintentionally mixed. These developments potentially undermine CM outcomes. We explored recent substance use changes due to legislative, regulatory, social, and economic factors for four substance classes: stimulants, opioids, tobacco, and cannabis. We discuss potential adjustments to the modifiable components of CM for future research in response to these changes. By continually adapting to the shifting substance use landscape, CM can maintain optimal efficacy.
(© 2024 The Author(s). Journal of Applied Behavior Analysis published by Wiley Periodicals LLC on behalf of Society for the Experimental Analysis of Behavior (SEAB).)
Databáze: MEDLINE
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