Contingency Management (CM) – Recovery Research Institute Like adults, Contingency Management (CM) promotes benefit in adolescents as well Importantly, this CM benefit may be provided over and above the empirically supported combination of Motivational Enhancement Therapy and Cognitive Behavioral Therapy (MET CBT)
Cognitive-Behavioral Approaches (CBT) - Recovery Research Institute Cognitive-Behavioral Approaches (CBT) The common underlying assumption of these cognitive-behavioral approaches is the theory that unproductive or maladaptive thinking and behavior is the root cause of the problems Consequently, the clinician helps the person see this and teaches them new cognitive and behavioral skills to overcome the problem
Relapse Prevention (RP) (MBRP) – Recovery Research Institute Skills range from techniques to communicate with others when in a risky situation (e g , how to confidently and comfortably say “no” to a drink if it is offered, called “assertive drink and drug refusal”), to “urge surfing,” a technique to help individuals cope with the intense longings to consume the substance that occurs during
Motivational Interviewing and Enhancement Therapies Motivational Enhancement Therapies (METs) have been added to Cognitive Behavioral Therapy (CBT) in the treatment of adolescents because these patients typically come to treatment with less motivation to change than adults; adolescents in outpatient treatment have particularly low initial levels of motivation
Can a mindfulness intervention help people quit smoking while also . . . CBT sessions utilized a mix of traditional CBT skills like identification of triggers, cultivation of relapse prevention coping skills, strategies to identify and change faulty beliefs and attitudes, as well as standard smoking cessation strategies Homework was assigned each week, which involved practicing the skills learned that week
Behavioral Couples Therapy (BCT) - Recovery Research Institute In 1969, the first case study applying a behavioral technique to a couple’s relationship problems was conducted (Stuart, 1969), and by 1973, researchers had begun to apply behavioral change techniques with an emphasis on skills training to treat relationship distress (Weiss et al , 1973)
Contingency Management + Parent Participation = Further Benefits to . . . At the end of treatment, MET CBT+CM (75%) had a higher likelihood of a negative toxicology screen than MET CBT (41%), while MET CBT+CM+parent involvement (PT) (63%) were not different from either of the other groups However, participation in the weekly continuing care toxicology screens was low (about 3 screens completed out of a possible 12)
Pharmacotherapy – Medications – Recovery Research Institute Pharmacotherapy is often used together with other therapies such as Cognitive Behavioral Therapy (CBT), or 12-Step Facilitation Medications combined with these other therapies are shown to: Improve rates of patient survival; Increase retention in treatment programs; Decrease illicit opiate use and substance-related criminal involvement
Community Reinforcement Approach (CRA) - Recovery Research Institute The Community Reinforcement Approach (CRA) is a psychosocial intervention for individuals with alcohol and other drug use disorders that has been adapted for several populations, including adolescents (the Adolescent-Community Reinforcement Approach; A-CRA) and family members of individuals resistant or reluctant to enter treatment (Community Reinforcement and Family Training; CRAFT)