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1、AdaptingEvidence-basedTreatmenttoClinicalPractice: HowtouseLowCostIncentivesRegionalDisseminationWorkshopJune3,4,2010Baltimore,MDWorkshopAgendaRewardvs.ReinforcementChoice/MagnitudeoftheReinforcerTargetBehavior/TargetPopulationDifferentKindsofDeliveryFiscalConcernsSuccessfulImplementationLo
2、riPeterson,DirectorLaneTreatmentCenterDesign&ImplementationRewardvs.ReinforcementAcentralissueinallincentivedisseminationefforts!Kellogg,S.H.,Burns,M.,Coleman,P.,Stitzer,M.,Wale,J.B.,&Kreek,M.J.(2005).Somethingofvalue:TheintroductionofcontingencymanagementinterventionsintotheNewYorkCityHeal
3、thandHospitalAddictionTreatmentService.JournalofSubstanceAbuseTreatment,28,57-65.Rewardvs.ReinforcementWhendrugabusestafforleadershipspeakabouttheuseofincentives,theyusuallytalkaboutacknowledgingpatientsforthingslike:HoldingajobforsixmonthsBeingdrug-freefor3monthsCompletingaGEDorvocationalt
4、rainingprogramRewardProgramsArewardprogramacknowledgespatientsforachievingagoaloraccomplishingsomethingnoteworthy:MostlikelygiverewardstothebestandmostmotivatedpatientsWhileoftennotchangingthebehaviorofthosepatientswhoarestrugglingthemostwithdruguseandtreatmentcomplianceReinforcementProgram
5、sWhereasaReinforcementProgram…BreaksdowneachofthegoalsintoverysmallstepsReinforceseachofthestepsalongthewayMakesiteasytoearnareinforcementDistributesreinforcementswithfairlyhighfrequencyReinforcementProgramsMovefrom“Youhavedoneagoodjob”to“Youhavetakenastepintherightdirection”Thisisthemostim
6、portantchangethatareinforcementplancanmakeinyourtreatmentprogram!Incentivevs.RewardWhichoftheseisanincentive?Whichoftheseisareward?So,howabout…Adrawfromthefishbowlforshowingupontime?Abagofcandyforpts.whoareonemonthclean?Apizzapartyafter12weeksofattendance?AprizeforreturningtohaveyourTBtestr
7、ead?Asmileyfacestickerforgroupattendance?SodasandsnacksattheCocaineAnonymousGroup?Achancetowinaraffleprizebasedonattendingeachorientationgroup?Proximal(near)vs.Distal(far)RewardIndividualorgroupprizesforachievingaparticulargoal(Distal)IncentiveAreinforce
