scholarly journals Lost in translation? Moving contingency management and cognitive behavioral therapy into clinical practice

2014 ◽  
pp. n/a-n/a ◽  
Author(s):  
Kathleen M. Carroll
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Cognitive Behavioral ◽  
Lost In Translation

Feasibility and Acceptability of reSET-O®: Patient and Provider Reported Experiences in a Pilot Study of a Novel Digital Therapeutic in People with Opioid Use Disorder (Preprint)

2021 ◽  
Author(s):  
Sarah Kawasaki ◽  
Sara Mills-Huffnagle ◽  
Nicole Aydinoglo ◽  
Halley Maxin ◽  
Edward Nunes
Keyword(s):  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Opioid Use Disorder ◽  
Cognitive Behavioral ◽  
Opioid Use ◽  
Hub And Spoke ◽  
Buprenorphine Treatment

BACKGROUND Medications for treatment of opioid use disorder (OUD), such as buprenorphine, are effective and essential for addressing the opioid epidemic. However, high dropout rates from medication remain a challenge. Behavioral treatment with contingency management plus cognitive behavioral counseling has shown promise for improving outcomes of buprenorphine treatment, but is complicated to deliver. Delivery of behavioral treatment through technology-based platforms has the potential to make it more feasible for widespread dissemination. OBJECTIVE reSET-O® is a Prescription Digital Therapeutic and a commercial adaptation of the Therapeutic Education System, an internet-based, interactive program with a Community Reinforcement Approach to cognitive behavioral therapy. It delivers cognitive behavioral therapy modules and contingency management rewards upon completion of modules and negative urine drug screens. A pilot study was performed to assess feasibility and acceptability of reSET-O® in a Hub and Spoke model of care as part of a larger strategy to maintain individuals in treatment. Objective and qualitative results, as well as acceptability and likeability of reSET-O®, were obtained from fifteen individuals. METHODS English-speaking individuals over the age of 18 with a diagnosis of current OUD were recruited after being on buprenorphine for at least one week of treatment. Two 12-week prescriptions for reSET-O® were written for a 24-week study. Patient report of drug use and likeability scales of reSET-O® were conducted at weeks 4,8, 12 and 24 of the study. Qualitative interviews were also conducted. Four providers were recruited and gave feedback on the acceptability and feasibility of reSET-O®. RESULTS Of 15 participants who entered this pilot study, 7 completed 24 weeks and 8 were unable to complete due to drop out after enrollment, attrition in treatment, or incarceration. An average of $96 in contingency management rewards were earned by the participants for completion of modules for the duration of the pilot study. Participants’ subjective feedback found that reSET-O® was easy to use, enjoyable, and helped provide a safe space to admit recurring substance use. CONCLUSIONS ReSET-O® was well accepted based on patient and provider feedback in this pilot study, but adherence and retention in treatment remain areas for improvement, as with traditional MOUD and CBT approaches. A randomized control trial in a Hub and Spoke model will be needed to assess if retention on buprenorphine treatment is enhanced through the use of technology based behavioral interventions such as reSET-O®. CLINICALTRIAL NCT03826966

Supportive Therapy Techniques Part I

2019 ◽  
pp. 179-191
Author(s):  
Brian A. Sharpless
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Treatment Approach ◽  
Behavioral Therapy ◽  
Supportive Therapy ◽  
Cognitive Behavioral ◽  
Adaptive Skills ◽  
Patient Knowledge ◽  
Reality Testing ◽  
Number Of Patients

A number of patients seen in contemporary clinical practice are not appropriate for traditional insight-oriented therapy (i.e., expressive approaches). These may include sicker patients or those who are not interested in exploratory work. Supportive therapy refers to a flexible treatment approach that is intended to be responsive to the particular needs of these patients. Supportive therapy also benefits from the integration of techniques from other orientations (e.g., cognitive-behavioral therapy). After discussing supportive therapy more generally and differentiating it from the expressive approaches, this chapter focuses on two sets of supportive techniques. The first focuses on ways to support and enhance realistic patient self-esteem. The second set consists of techniques used to increase patient knowledge and build adaptive skills (e.g., psychoeducation, reality testing).

A Systematic Review Comparing Cognitive-Behavioral Therapy and Contingency Management for Cocaine Dependence

2013 ◽  
Vol 32 (3) ◽  
pp. 274-287 ◽  
Author(s):  
Nadine S. Farronato ◽  
Kenneth M. Dürsteler-MacFarland ◽  
Gerhard A. Wiesbeck ◽  
Sylvie A. Petitjean
Keyword(s):  
Systematic Review ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Cocaine Dependence ◽  
Cognitive Behavioral

scholarly journals Exposure utilization and completion of cognitive behavioral therapy for PTSD in a “real world” clinical practice

2005 ◽  
Vol 18 (6) ◽  
pp. 637-645 ◽  
Author(s):  
Claudia Zayfert ◽  
Jason C. DeViva ◽  
Carolyn B. Becker ◽  
Julie L. Pike ◽  
Karen L. Gillock ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Real World ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Cognitive behavioral therapy for psychosis in clinical practice.

Psychotherapy ◽  
2012 ◽  
Vol 49 (2) ◽  
pp. 258-270 ◽  
Author(s):  
Harry J. Sivec ◽  
Vicki L. Montesano
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

What Works in Substance Abuse Treatment Programs for Offenders?

2012 ◽  
Vol 92 (2) ◽  
pp. 155-174 ◽  
Author(s):  
Stephen J. Bahr ◽  
Amber L. Masters ◽  
Bryan M. Taylor
Keyword(s):  
Drug Use ◽  
Cognitive Behavioral Therapy ◽  
Empirical Research ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Cognitive Behavioral ◽  
Treatment Programs ◽  
Therapeutic Communities ◽  
Different Types ◽  
Receive Treatment

The purpose of this article is to review current empirical research on the effectiveness of drug treatment programs, particularly those for prisoners, parolees, and probationers. The authors reviewed empirical research published after the year 2000 that they classified as Level 3 or higher on the Maryland Scale. Participants in cognitive-behavioral therapy (CBT), therapeutic communities, and drug courts had lower rates of drug use and crime than comparable individuals who did not receive treatment. Several different types of pharmacological treatments were associated with a reduced frequency of drug use. Those who received contingency management tended to use drugs less frequently, particularly if they also received cognitive-behavioral therapy. Finally, researchers reported that drug use and crime were lower among individuals whose treatment was followed by an aftercare program. Effective treatment programs tend to (a) focus on high-risk offenders, (b) provide strong inducements to receive treatment, (c) include several different types of interventions simultaneously, (d) provide intensive treatment, and (e) include an aftercare component.

scholarly journals Cognitive-Behavioral Therapy: a theoretical review of its bases

2020 ◽  
Vol 1 (2) ◽  
pp. 20-24
Author(s):  
Julio Antonio Hernández Pineda ◽  
Edén Alexis Medina Guerrero ◽  
José Ángel Castillo-Martínez
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Undergraduate Students ◽  
Behavior Modification ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Scientific Psychology ◽  
Psychological Models ◽  
Digital Search

This article is a theoretical review essay, which aims to present the events that are considered most relevant in the development and consolidation of Cognitive-Behavioral Therapy (CBT) and which in turn have positioned it as a therapy of choice for Different psychological problems. A review was carried out with two of the most accessible digital search engines for undergraduate students, using search keywords according to the objective of this article. Identifying that cognitive-behavioral therapy is understood as the application of scientific psychology to clinical practice in a systematic and structured way. This model based on behavior modification because of its solid theoretical and experimental basis, which emphasizes the empirical verification of the techniques during its application. What makes CBT an effective, efficient, and timely clinical practice, improving the quality of life of users and positioning themselves in front of other psychological models in terms of efficacy.

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