Counselor Attitudes toward the Use of Motivational Incentives in Addiction Treatment
Open accessAbstract
Counselor attitudes toward evidence‐based practices, such as motivational incentives/contingency management (MI/CM), are important in bridging the gap between research and practice. Mailed surveys from 1,959 substance abuse treatment counselors showed ambivalence toward MI/CM and strong disagreement with using monetary rewards for achievement of treatment goals. Attitudes were associated with counselors’ educational attainment, a 12‐step treatment ideology, affiliation with NIDA's Clinical Trials Network, and working in opioid treatment programs. Exposure to MI/CM via training was more strongly associated with attitudes when counselors worked in programs that had adopted MI/CM. While there is substantial resistance to MI/CM, dissemination and training about the essential elements of MI/CM may enhance counselors’ receptivity toward this intervention. (Am J Addict 2010;00:1–8)
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Clinicians and other staff may initially resist contingency management because they mistakenly believe it rewards substance use and is inappropriate.
“Clinicians and other staff may initially resist adopting CM due to misconceptions that CM is rewarding people for substance use and, thus, inappropriate.48,54”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [54]
The Introduction (page unavailable) says counselors’ attitudes toward CM can be negative and uninformed, and the Discussion (page unavailable) reports negative reactions to tangible prizes for abstinence. The paper does not report that clinicians or other staff resist CM because they believe it rewards substance use or is therefore inappropriate. (LLM, conf=0.86)
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- Authors
- Ducharme, L. J., Knudsen, H. K., Abraham, A. J., & Roman, P. M.
- Affiliations
- University of Georgia (US)
- University of Kentucky (US)
- Venue
- The American Journal on Addictions
- Publisher
- Wiley
- Published
- 2010-09-21
- Volume
- 19
- Issue
- 6
- Pages
- 496-503
- ISSN
- 1055-0496 (ISSN-L)
- 1521-0391
- PMC
- PMC2959187
- OpenAlex
- W1558147791
- Cited by
- 50
- References
- 40
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 2 · 2016: 5 · 2015: 6 · 2014: 2 · 2013: 7 · 2012: 4
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal on Addictions (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01da014482-10)
- National Institute on Drug Abuse (R01-DA-014482, R21DA020028)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- motivational incentives, contingency management, counselor attitudes, addiction treatment, evidence-based practice adoption, monetary rewards, 12-step programs, opioid treatment programs, intervention dissemination
- MeSH terms
- Attitude of Health Personnel, Behavior Therapy, Counseling, Female, Humans, Male, Motivation, Reward, United States, Substance Abuse Treatment Centers, Health Care Surveys, Substance-Related Disorders, National Institute on Drug Abuse (U.S.), Evidence-Based Practice
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