Contingency Management for Adolescent Substance Abuse

A Practitioner's Guide

Scott W. Henggeler, Phillippe B. Cunningham, Melisa D. Rowland, Sonja K. Schoenwald, and Associates

A Paperback Originale-bookprint + e-book
A Paperback Original
November 14, 2011
ISBN 9781462502479
Price: $49.00
213 Pages
Size: 8" x 10½"
November 16, 2011
Price: $49.00
213 Pages
print + e-book
A Paperback Original + e-Book (PDF) ?
Price: $98.00 $53.90
213 Pages

This practical manual is based on extensive research and the collaboration of hundreds of community-based therapists. It provides step-by-step guidelines for implementing contingency management (CM)—one of the most effective treatments for substance abuse—with adolescents and their caregivers. Strategies are detailed for assessing substance use disorders, developing individualized cognitive and behavioral interventions, using behavioral contracts and contingencies to reinforce abstinence, and overcoming frequently encountered treatment roadblocks. Extensive sample dialogues illustrate what CM looks like in action. In a convenient large-size format, the book includes more than three dozen reproducible handouts, checklists, and forms.

“This is the first book to provide detailed, pragmatic guidelines for implementing contingency management (CM) with this population. CM is highly efficacious for treating substance use disorders and can be integrated with virtually any other form of therapy, including cognitive-behavioral and family interventions. Filled with worksheets and real-life examples, the book will help therapists apply CM within a comprehensive adolescent treatment program.”

—Nancy M. Petry, PhD, Professor of Medicine, UConn Health

“An instructive, practical, and hands-on guide. The manual is well grounded in principles of behavioral management and cognitive-behavior therapy, as well as a clear understanding of the myriad factors that support adolescent drug use. Contingency management is uniquely well suited to treating adolescent drug use, making this manual a 'must' for anyone who works with—or is training to work with—this population of youths and their families.”

—Maxine Stitzer, PhD, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine

“Contingency management is an evidence-based treatment that aims to ameliorate risk factors and constructively facilitate teens' efforts to lead drug-free lives. It is based on proven behavioral and cognitive-behavioral principles. This book is a godsend for practitioners seeking a comprehensive manual with step-by-step instructions for treating teens with substance use problems.”

—Michael Windle, PhD, Rollins Endowed Professor, Department of Behavioral Sciences and Health Education, Emory University

“A terrific contribution to the field. Henggeler and his associates combine an excellent review of CM for substance abuse with a wonderful how-to guide for clinicians who want to implement this efficacious treatment method with adolescents. The reader is walked through the process step by step: why to use CM, how to get started, how to talk about the approach with clients, and how to avoid pitfalls and overcome challenges. This book will be extraordinarily helpful for clinicians and for the adolescents and families they treat.”

—Roger D. Weiss, MD, Department of Psychiatry, Harvard Medical School; Chief, Division of Alcohol and Drug Abuse, McLean Hospital

“While other CM books are available, this is the only one that specifically targets adolescent substance abuse. The book is ideally suited for the busy clinician in that it is light on theory and heavy on practical, tangible applications and solutions. Henggeler and colleagues have provided a wealth of resources, including suggested therapist tasks; troubleshooting tips; checklists, forms, and handouts; and sample dialogues. This book is an excellent choice for practitioners interested in implementing CM with their clients. In addition, it would serve well as a supplemental text in graduate courses on adolescent treatment or substance abuse treatment.”

—Brian E. Bride, PhD, LCSW, School of Social Work, University of Georgia

Table of Contents

1. Introduction to Contingency Management

2. Determining the Need for Substance Use Treatment

3. Introducing Contingency Management and Engaging Families in Treatment

4. ABC Assessment of Drug Use

5. Self-Management Planning and Drug Refusal Skills Training

6. The Point-and-Level Reward System

7. Drug Testing Protocol

8. Synthesizing the Components of Contingency Management

9. Conducting Contingency Management without Caregivers

About the Authors

Scott W. Henggeler, PhD, is retired Professor of Psychiatry and Behavioral Sciences at the Medical University of South Carolina, where he was founding Director of the Family Services Research Center (FSRC) from 1992 to 2012. The mission of the FSRC is to develop, validate, and study the dissemination of clinically- and cost-effective mental health and substance abuse services for children with serious clinical problems and their families. Under Dr. Henggeler's leadership, the FSRC received the Annie E. Casey Families Count Award, GAINS Center National Achievement Award, and the Points of Light Foundation President’s Award in recognition of excellence in community service directed at solving community problems. Dr. Henggeler has received several research and education awards from national organizations, including being named one of "the twelve people who saved rehabilitation" by the American Society of Criminology. Dr. Henggeler has published 10 books and more than 280 journal articles and book chapters. He was Associate Editor of the Journal of Consulting and Clinical Psychology and has been on the editorial boards of more than 10 journals.

Phillippe B. Cunningham, PhD, is Professor of Psychiatry and Behavioral Sciences in the FSRC at the Medical University of South Carolina. He has had a longstanding commitment to addressing the psychosocial needs of children and adolescents, especially those who are disadvantaged and underserved. Dr. Cunningham received the Theodore H. Blau Early Career Award from the American Psychological Association’s Society of Clinical Psychology, and he participated in the First Lady’s Conference on Helping America’s Youth in 2006.

Melisa D. Rowland, MD, is Associate Professor of Psychiatry and Behavioral Sciences in the FSRC at the Medical University of South Carolina. Dr. Rowland’s research interests focus on developing, implementing, and evaluating clinically effective family-based interventions for youth who present serious emotional and behavioral problems. She is the co-investigator of clinical and project implementation on a study funded by the National Institute on Drug Abuse that evaluates the relative effectiveness of three training protocols with increasing intensity in supporting the implementation of contingency management by practitioners treating adolescent substance abusers in the South Carolina mental health and substance abuse sectors. Dr. Rowland is also the co-investigator of clinical implementation for an Annie E. Casey Foundation–funded project designed to develop an evidence-based continuum of services for New York City youth with antisocial behaviors at risk of out-of-home placement.

Sonja K. Schoenwald, PhD, is Professor of Psychiatry and Behavioral Sciences in the FSRC at the Medical University of South Carolina. She is among the leading clinical services researchers in the country on issues relating to the transportability, implementation, and dissemination of effective community-based treatments for youth with serious clinical problems and their families. Dr. Schoenwald pioneered the development, refinement, and empirical testing of the quality assurance protocols used to adapt multisystemic therapy (MST) for juvenile offenders and their families to diverse communities. She has published numerous peer-reviewed papers and book chapters and has coauthored three books and several treatment manuals and monographs on the implementation of effective treatments in communities nationally and internationally.


Addictions treatment specialists, child/adolescent clinical psychologists and psychiatrists, social workers, and counselors.

Course Use

May serve as a supplemental text in graduate-level courses.