contingency management
A behavioral intervention that provides rewards or consequences based on specific target behaviors.
Full Definition
Contingency management is an evidence-based behavioral intervention rooted in operant conditioning principles, where specific consequences (rewards or punishments) are systematically applied following target behaviors. In psychiatric and addiction treatment settings, positive contingency management typically involves providing tangible rewards (vouchers, privileges, money) when patients demonstrate desired behaviors such as treatment attendance, medication compliance, or negative drug tests. This approach has shown particular effectiveness in substance abuse treatment, ADHD management, and behavioral modification programs. The intervention requires careful planning of contingencies, consistent implementation, and gradual fading of external rewards as intrinsic motivation develops.
Usage
Usage note: Distinguish from 'case management' (service coordination) and 'crisis management' (emergency response).
In Context
- "The substance abuse program implemented contingency management with voucher-based rewards for clean urine screens." — treatment protocol
- "Research supports contingency management as an effective adjunct to traditional addiction therapies." — literature review