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Adding contingency management intervention to vocational rehabilitation:
Outcomes for dually diagnosed veterans

Charles E. Drebing, PhD, et al.

Figure. Time to relapse during 9 months of follow-up; vocational rehabilitation (VR) only versus VR plus contingency management (CM).

Improved success rates for vocational rehabilitation (VR) programs are needed. We evaluated how well adding a reward program (known as "contingency management") enhanced job acquisition and tenure for participants of a VR program. The contingency management intervention offered participants cash incentives up to $1,170 for completing tasks related to sobriety and job search and maintenance. Participants were 100 veterans with both psychiatric and substance use disorders. Participants who received the new contingency management intervention completed more job-search activities, stayed sober longer, and obtained jobs faster and at greater rates than those who did not.


Volume 44 Number 6, 2007
Pages 851 — 866


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