Adding positive reinforcement in justice settings: Acceptability and feasibility
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- 作者：Danielle S. Rudes ; Ph.D.<sup>asup><sup> ; sup><sup>drudes@gmu.edusup> ; Faye S. Taxman ; Ph.D.<sup>asup> ; Shannon Portillo ; Ph.D.<sup>asup> ; Amy Murphy ; M.P.P.<sup>asup> ; Anne Rhodes ; A.B.D.<sup>asup> ; Maxine Stitzer ; Ph.D.<sup>bsup> ; Peter F. Luongo ; Ph.D. ; L.C.S.W.-C.<sup>bsup> ; Peter D. Friedmann ; M.D. ; M.P.H.<sup>csup>
- 关键词：Contingency management ; Drug abstinence and treatment ; Rewards/incentives ; Criminal justice ; Acceptability and feasibility
- 刊名：Journal of Substance Abuse Treatment
- 出版年：2012
- 出版时间：April, 2012
- 年：2012
- 卷：42
- 期：3
- 页码：260-270
- 全文大小：181 K
文摘
Although contingency management (CM) approaches are among the most promising methods for initiating drug abstinence (S. T. Higgins, S. M. Alessi, & R. L. Dantona, 2002; S. T. Higgins, S. H. Heil, & J. P. Lussier, 2004), adoption and implementation of CM protocols into treatment programs are both challenging and infrequent. In criminal justice agencies, where roughly 70 % of clients report substance abuse issues (F. S. Taxman, K. L. Cropsey, D. W. Young, & H. Wexler, 2007), CM interventions are virtually nonexistent. The Justice Steps (JSTEPS) study uses a longitudinal, mixed-method design to examine the implementation of a CM-based protocol in five justice settings. This article presents qualitative data collected during Phase 1 of the JSTEPS project regarding the acceptability and feasibility of CM in these justice settings. The study finds a level of acceptability (find CM tolerable) and feasibility (find CM suitable) within justice agencies, but with some challenges. These challenges are reflected in the following: (a) incorporating too many desired target behaviors into CM models; (b) facing intraorganizational challenges when designing CM systems; and (c) emphasizing sanctions over rewards despite the evidence-base for positive reinforcers. These findings have implications for advancing the dissemination, adoption, and implementation of evidence-based treatments (and CM in particular) in criminal justice settings.