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18 - Behavioral management approaches for adolescent substance abuse

from Part IV - Empirically based interventions for adolescent substance abuse: research and practical implications

Published online by Cambridge University Press:  26 August 2009

By
John M. Roll  and
Donnie Watson
Edited by
Howard A. Liddle  and
Cynthia L. Rowe
John M. Roll
Affiliation:
Washington Institute for Mental Illness and Research Training, Pullman, WA, USA
Donnie Watson
Affiliation:
UCLA Integrated Substance Programs and Friends Research Institute, Torrance, CA, USA
Howard A. Liddle
Affiliation:
University of Miami School of Medicine
Cynthia L. Rowe
Affiliation:
University of Miami School of Medicine
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Summary

As described elsewhere in this volume, adolescent substance use and abuse is a pernicious problem. To a large extent, the problems of continued substance abuse by adolescents cuts across cultures and socioeconomic status, and the costs of untreated adolescent substance abuse are high on both societal and personal levels. This chapter is a modest attempt to describe a behaviorally based treatment (i.e., contingency management) of adolescent substance abuse based on the application of principles delineated by workers in the field of experimental analysis of behavior (e.g., Catania, 1980; Turner, Callhoun, & Adams, 1981; Ullman & Krasner, 1965). This chapter is not intended to provide a comprehensive review of contingency management nor to describe how to implement contingency management, as several excellent sources already exist to fill those needs (e.g., Higgins & Silverman, 1999; Petry, 2000; Stitzer & Higgins, 1995). The chapter will, instead, focus on the reasons we believe behaviorally oriented treatment approaches are likely to prove useful in the treatment of adolescent substance use disorders. We will describe two commonly used contingency management procedures, review the application of these two procedures to treat adolescent substance abuse, and discuss the issues surrounding their implementation.

Behavior analysis

Behavior analysis has a long and rich history. The basic premise that has guided clinicians and researchers is that behavior is controlled by its consequences.

Type
Chapter
Information
Adolescent Substance Abuse
Research and Clinical Advances
 , pp. 375 - 395
Publisher: Cambridge University Press
Print publication year: 2006

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