Monetary-based consequences for drug abstinence: methods of implementation and some considerations about the allocation of finances in substance abusers.

Monetary-based consequences for drug abstinence: methods of implementation and some considerations about the allocation of finances in substance abusers.
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DOI:
10.3109/00952990.2011.598592
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发表时间:
2012-01
期刊:
The American journal of drug and alcohol abuse
影响因子:
--
通讯作者:
Raiff B
Raiff B
中科院分区:
其他
文献类型:
--
作者:
Dallery J;Raiff B

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在选择的行为理论框架内对药物滥用进行概念化强调了环境变量在改变与药物有关的购买行为方面的相关性。选择使用药物会立即产生某些后果(例如,药物高和从戒断中的缓解),而选择禁欲通常导致延迟的且通常不确定的后果(例如,改善健康、人际关系、金钱)。应急管理(CM)通过提供即时的、基于财务的收益(取决于戒毒的客观证据)来增加戒毒的选择。在这个文献的选择性审查,我们强调了各种方法来提供CM在实用,有效和可持续的方式。我们考虑了一些参数,这些参数对基于货币的CM的成功至关重要,以及背景在影响CM效果中的作用。为了说明CM的广泛应用,我们还回顾了安排突发事件以促进禁欲和其他相关行为的不同方法。最后,我们讨论了药物依赖者如何在CM干预的背景下分配他们的资金的一些考虑。
Conceptualizing drug abuse within the framework of behavioral theories of choice highlights the relevance of environmental variables in shifting behavior away from drug-related purchases. Choosing to use drugs results in immediate, certain consequences (e.g., drug high and relief from withdrawal), whereas choosing abstinence typically results in delayed, and often uncertain, consequences (e.g., improved health, interpersonal relationships, money). Contingency management (CM) increases choice for drug abstinence via the availability of immediate, financial-based gains, contingent on objective evidence of abstinence. In this selective review of the literature, we highlight a variety of methods to deliver CM in practical, effective, and sustainable ways. We consider a number of parameters that are critical to the success of monetary-based CM, and the role of the context in influencing CM’s effects. To illustrate the broad range of applications of CM, we also review different methods for arranging contingencies to promote abstinence and other relevant behavior. Finally, we discuss some considerations about how drug-dependent individuals allocate their finances in the context of CM interventions.
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