Petry Nancy M, DePhilippis Dominick, Rash Carla J, Drapkin Michelle, McKay James R
University of Connecticut School of Medicine, Farmington, Connecticut.
Am J Addict. 2014 May-Jun;23(3):205-10. doi: 10.1111/j.1521-0391.2014.12092.x.
Contingency management (CM) is an empirically validated intervention but one not often applied in practice settings in the US.
The aim of this article is to describe the Veterans Administration (VA) nationwide implementation of CM treatment.
In 2011, the VA called for integration of CM in its intensive outpatient substance abuse treatment clinics. As part of this initiative, the VA funded training and ongoing implementation support, and it provided direct funds for reinforcers and other intervention costs.
Over 100 clinics received this funding in 2011, and CM has been implemented in over 70 substance abuse treatment clinics since August 2011.
This training and implementation experience has been highly successful and represents the largest scale training in evidence-based treatments for substance use disorders in the VA health care system to date.
This program may serve as a model for training in evidence-based treatments.
应急管理(CM)是一种经过实证验证的干预措施,但在美国的实践环境中并不经常应用。
本文旨在描述退伍军人事务部(VA)在全国范围内实施CM治疗的情况。
2011年,VA呼吁在其强化门诊药物滥用治疗诊所中整合CM。作为该倡议的一部分,VA资助培训和持续的实施支持,并为强化物和其他干预成本提供直接资金。
2011年有100多家诊所获得了这笔资金,自2011年8月以来,CM已在70多家药物滥用治疗诊所中实施。
这种培训和实施经验非常成功,代表了VA医疗系统迄今为止在药物使用障碍循证治疗方面规模最大的培训。
该项目可作为循证治疗培训的一个范例。