Mr. Ruan and Dr. Bullock are with the Addiction Treatment Center, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle/Tacoma. Dr. Reger is with the Mental Health Service, VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Psychiatr Serv. 2017 Dec 1;68(12):1207-1209. doi: 10.1176/appi.ps.201700242. Epub 2017 Sep 15.
Contingency management (CM) is an evidence-based intervention that reinforces target behaviors of patients, such as abstinence from substance use. This column discusses the experiences and lessons learned at a large U.S. Department of Veterans Affairs Addiction Treatment Center during implementation of CM as part of the VA's national rollout. Challenges are discussed related to staff reception and limited initial referrals, identifying a drug testing method and staff confidence in that method, training requirements, and financial resources needed. Local innovations and CM expansion since 2012 are also reviewed.
应急管理（CM）是一种基于证据的干预措施，可强化患者的目标行为，如戒除物质使用。本专栏讨论了在美国退伍军人事务部成瘾治疗中心实施 CM 时的经验和教训，这是 VA 全国推广计划的一部分。讨论了与员工接受度和有限的初步转介、确定药物检测方法和员工对该方法的信心、培训要求以及所需财务资源相关的挑战。还回顾了自 2012 年以来的本地创新和 CM 扩展。
