Clinical Pathways Resource Guide - CEIC

Contingency Management (continued)
(continued)
Contingency management for substance abuse treatment
has been structured around four central principles (Higgins
and Petry, 1999)— 1999)
1. The clinician provides positive reinforcement—
reinforcement
mutually agreed upon—when upon when abstinence is
demonstrated.
2. The clinician arranges regular drug testing to ensure
any use of targeted substance(s) is detected readily.
3. The clinician withholds designated incentives from
the individual when the substance is detected.
4. The clinician helps the client establish alternate and
healthier activities.
144