“In the drawings, I did pretty good,” stated Eric Alick, 63, of Philadelphia, who accomplished a contingency administration program for cocaine addition on the Corporal Michael J. Crescenz V.A. Medical Center in Pennsylvania. “I might get three ‘good jobs’ in a row, but then, bingo.”
Among the issues he purchased along with his rewards have been a brand new drill set for his job as a handyman, fragrance for his spouse and occasional and meals for homeless veterans whom he had met within the hospital cafeteria.
One downside with contingency administration, proof suggests, is that folks have much less success staying abstinent after the therapy ends. For that motive, Richard Rawson, a researcher on the University of Vermont who has studied meth dependancy for many years, believes it must be used indefinitely, simply as drugs for opioid dependancy usually are.
“Unfortunately, addiction is a chronic brain disease and treatments need to be designed to accommodate this reality,” he stated.
For Ms. Waxler-Malloy, dropping the debit card when her 4 months of contingency administration led to early January was onerous, though her remedy classes and 12-step conferences helped. Then, in May, she misplaced her waitressing job due to the pandemic and she or he relapsed, utilizing meth and heroin “full force,” she stated, for 3 weeks earlier than stopping with assist from Brightview.
Still, the eight months she went with out utilizing medication was her longest stretch of abstinence in additional than 20 years. She believes she might not have relapsed if contingency administration, with its promise of rewards, had nonetheless been a part of her therapy routine.
“That kept me real accountable,” she stated just lately. “Even just to stop at McDonald’s when you have that little bit of extra money, to get a hamburger and a fries when you’re hungry. That was really big to me.”