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 over three dozen reproducible handouts, checklists, and forms.

Scott W. Henggeler, PhD, is Professor of Psychiatry and Behavioral Sciences and Director of the Family Services Research Center (FSRC) at the Medical University of South Carolina in Charleston. 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. Dr. Henggeler has published 10 books and more than 250 journal articles and book chapters, and has received grants from several foundations and government agencies. He is Associate Editor of the Journal of Consulting and Clinical Psychology, has been on the editorial boards of more than 10 journals, and is on the board of the National Association of Drug Court Professionals. 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\u2019s Society of Clinical Psychology, and he participated in the First Lady\u2019s Conference on Helping America\u2019s 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\u2019s 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.

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