COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Lower-Cost Incentives
Duration of the
Intervention
• Cost-effective strategies that demonstrate
equal efficacy.
• Fishbowl Drawing Method - select a slip of
paper from a fish bowl.
• Each slip offers a prize or a statement such
as “good job.”
Lower-Cost Incentives
Lower-Cost Incentives
• Half of the slips offer a “good job”
reward.
• The other half are winners of prizes
as follows:
–½ - small prize ($1)
–1/16 – medium prize ($20)
–1/250 – jumbo prize ($100)
• Clients select an increasing number of
draws.
–A client may get one draw for the first
drug-free urine sample, three draws
for the second drug-free urine, and so
on.
Challenges
• Cost of incentives
• On-site testing
• Gambling concerns
• Managing prize cabinet
• Counselor resistance
The following may contribute to a
greater or lesser response to
incentive programs:
• The level of past and present drug use;
• The patient’s history of success or failure at
stopping the use of drugs
• The presence or absence of Antisocial
Personality Disorder
• The nature and vitality of their social networks;
• Their own personal historical responsiveness to
reinforcements and punishments as motivators
for behavior change.
Maxine Stitzer et al. (1984)
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