ORN Training – Contingency Management: Overview-Slides

Slides

Pdf Summary

The document provides an overview of a training program on Contingency Management (CM) conducted by Washington State University (WSU), focusing on its application for alcohol and stimulant abstinence programs. The document opens with a land acknowledgment, recognizing the Native peoples whose lands WSU occupies and emphasizing the university's responsibility to maintain respectful relationships with Native tribes.<br /><br />The training emphasizes the core principles of CM, which involve using tangible rewards to reinforce abstinence from substances. The goal is to replace the reinforcement that drugs provide with positive, non-drug rewards. It notes the underlying theories, such as positive and negative reinforcement, and highlights the importance of positive reinforcement for encouraging desired behaviors.<br /><br />The document also details the objectives of the training participants, which include understanding CM principles, summarizing research evidence particularly in Native communities, and applying knowledge to adapt CM for specific communities.<br /><br />A significant portion discusses aligning CM practices with cultural values important to American Indian and Alaska Native (AI/AN) communities, indicating culturally meaningful rewards like beading supplies and traditional crafts. It also mentions successful clinical trials of CM within AI/AN communities, showing CM as an adaptable, effective intervention that aligns with cultural practices, such as gifting and community inclusivity.<br /><br />Practical insights are shared on implementing CM, covering budget considerations, challenges like staff resistance, and resource allocation. Key aspects of successful CM programs include choosing culturally aligned rewards, reinforcing the desired behavior frequently, and adapting to cultural contexts.<br /><br />The document concludes with the necessity for continued research, cultural adaptation, and community-level integration of CM programs while addressing systemic barriers like transportation and housing. This comprehensive training aims to equip participants with the knowledge to effectively implement CM programs tailored to their unique community contexts.

Keywords

Contingency Management

Washington State University

alcohol abstinence

stimulant abstinence

Native communities

positive reinforcement

American Indian

Alaska Native

cultural adaptation

community integration