Our next questions are about Contingency Management.

Transcription

1 II.B Our next questions are about Contingenc t. Higgins and Petr (1999) describe Contingenc t as the sstematic reinforcement of desired behaviors and the withholding of reinforcement or punishment of undesired behaviors. Desired behaviors that can be the target of Contingenc t can include abstinence from substance use and participation in treatment. Random drug testing is often used as part of a Contingenc t program. There are a number of substance abuse treatment manuals and books that include Contingenc t as a major component of treatment, including the following: Contingenc t Strategies and Ideas Contingenc t in Substance Abuse Treatment Prize Incentives Contingenc t for Substance Abuse 01. Are ou familiar with Contingenc t? 1 es [GO TO QUESTION 01_1a] 0 no [GO TO QUESTION MM01]

2 II.B _1aa 01_1ab 01_1ac 01_1ad 01_1ae 01_1af 01_1ag 01_1ah 01_1ai 01_1aj 01_1ak 01_1ak_sp ec 01_1a. How did ou and our staff learn about Contingenc t? Choose all that appl a. in school b. b attending a seminar, conference, or workshop c. b reading journal articles d. b reviewing the treatment manual e. b finding information on the internet f. b attending a training for a specific contingenc management approach g. b working with a consultant h. b discussing it with colleagues and other treatment programs that have experience with it i. through a clinical supervisor or training program j. b participating in research k. Other (please specif):

3 II.B _1b 01_1b. Which of these choices best summarizes our knowledge and experience with Contingenc t? a We are not interested in Contingenc t and do not think it would be effective in our program. [IF SELECTED, GO TO QUESTION 01_2b] b We have considered Contingenc t but see man pros and cons. [IF SELECTED, GO TO QUESTION 01_3b] c We are planning on using Contingenc t in our program, but we haven t used it et. [IF SELECTED, GO TO QUESTION 01_4b] d We are using Contingenc t in our program, but we haven t decided whether we are going to make it a permanent part of our program. [IF SELECTED, GO TO QUESTION 01_5b] e We have made Contingenc t a permanent part of our f program. [IF SELECTED, GO TO QUESTION 01_6b] We have used Contingenc t in our program in the past, but don t use it currentl. [IF SELECTED, GO TO QUESTION 01_7b]

4 II.B _2ba 01_2bb 01_2bc 01_2bd 01_2be 01_2bf 01_2bg 01_2bh 01_2bi 01_2bj 01_2bj_spe c II.B _2c 01_2b. What are the reasons ou think Contingenc t would not be effective in our program? Choose all that appl a it isn t consistent with our program s treatment approach and philosoph b it isn t culturall appropriate c it is too structured and we need more flexibilit d it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don t have the appropriate staff to do this in our program h the training is too expensive and/or too difficult to access/arrange i some of m staff would refuse to use it j Other (please specif): 01_2c. Do ou feel an pressure to use Contingenc t in our program? 1 es [GO TO QUESTION 01_2d] 0 no [GO TO QUESTION MM01]

5 II.B _2da 01_2db 01_2dc 01_2dd 01_2de 01_2df 01_2dg 01_2dh 01_2dh_sp ec 01_2d. From what sources do ou feel this pressure to use Contingenc t in our program? Choose all that appl a our clients b our program s clinical staff c our supervisor d tribal/program leadership e state accreditation organization/single State Authorities f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specif): [GO TO QUESTION MM01]

6 II.B _3ba 01_3bb 01_3bc 01_3bd 01_3be 01_3bf 01_3bg 01_3bh 01_3bi 01_3bj 01_3bj_spe c 01_3b. What do ou see as the pros of Contingenc t? Choose all that appl a. it is consistent with our program s treatment approach and philosoph b. it is culturall appropriate c. the existing research base proves it is effective d. it is innovative and promotes good practice e. it fits with the expertise and training of our staff f. it ensures consistent and standardized treatment within our program g. it is a billable service h. it can be marketed for political purposes and/or funding requests i. its raises the reputation of our program j. Other (please specif):

7 II.B _3ca 01_3cb 01_3cc 01_3cd 01_3ce 01_3cf 01_3cg 01_3ch 01_3ci 01_3cj 01_3cj_spe c II.B _3d 01_3c. What do ou see as the cons of Contingenc t? Choose all that appl a it isn t consistent with our program s treatment approach and philosoph b it isn t culturall appropriate c it is too structured and we need more flexibilit d it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don t have the appropriate staff to do this in our program h the training is too expensive and/or too difficult to access/arrange i some of m staff would refuse to use it j Other (please specif): 01_3d. Do ou feel an pressure to use Contingenc t in our program? 1 es [GO TO QUESTION 01_3e] 0 no [GO TO QUESTION MM01]

8 II.B _3ea 01_3eb 01_3ec 01_3ed 01_3ee 01_3ef 01_3eg 01_3eh 01_3eh_sp ec 01_3e. From what sources do ou feel this pressure to use Contingenc t in our program? Choose all that appl a our clients b our program s clinical staff c our supervisor d tribal/program leadership e state accreditation agenc/single State Authorit f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specif): [GO TO QUESTION MM01]

9 II.B _4ba 01_4bb 01_4bc 01_4bd 01_4be 01_4bf 01_4bg 01_4bh 01_4bi 01_4bj 01_4bj_spe c 01_4b. What do ou and our staff like about Contingenc t? Choose all that appl a it is consistent with our program s treatment approach and philosoph b it is culturall appropriate c the existing research base proves it is effective d it is innovative and promotes good practice e it fits with the expertise and training of our staff f it ensures consistent and standardized treatment within our program g it is a billable service h it can be marketed for political purposes and/or funding requests i its use raises the reputation of our program j Other (please specif):

10 II.B _4ca 01_4cb 01_4cc 01_4cd 01_4ce 01_4cf 01_4cg 01_4ch 01_4ch_sp ec 01_4c. How do ou plan on preparing our staff for using Contingenc t? Choose all that appl a b attending a seminar, conference, or workshop b b reading journal articles c b reviewing a treatment manual d b reviewing information on the internet e b attending a training for a specific contingenc management approach f b working with a consultant g b discussing it with colleagues and other treatment programs that have experience with it h Other (please specif):

11 II.B _4d 01_4d_1a 01_4d_1b 01_4d_1c 01_4d_1d 01_4d_1d_ spec 01_4d. How will ou use Contingenc t in our program? a we will use it exactl how it is described in the manual and/or trainings b we will use the parts of manual we think are most helpful c we will rewrite the manual to make it more culturall appropriate and/or fit better with our overall program d we won t use the manual itself but will use the concepts that are part of the intervention, such as the sstematic reinforcement of desired behaviors 01_4d_1. Which Contingenc t manual(s) are ou thinking of using in our program? Choose all that appl a Contingenc t Strategies and Ideas b Contingenc t in Substance Abuse Treatment c Prize Incentives Contingenc t for Substance Abuse d Other (please specif):

12 II.B _4e 01_4fa 01_4fb 01_4fc 01_4fd 01_4fe 01_4ff 01_4fg 01_4fh 01_4fi 01_4fj 01_4fk 01_4fk_spe c 01_4e. How do ou plan on using Contingenc t in our program? a it will be a core component of our program and ever client will receive it b it will be used with clients that will be most likel to benefit from it c we haven t decided how we are going to use it in our program 01_4f. Do ou and our staff have an of the following concerns about using Contingenc t in our program? Choose all that appl a we are concerned that it isn t full consistent with our program s treatment approach and philosoph b we are concerned about its cultural appropriateness c we worr that it is too structured and we need more flexibilit d we are concerned that it hasn t been studied enough with American Indians or Alaska Natives e we aren t sure if it will fit well with the other treatments we use in our program f we are concerned it is too expensive and/or time consuming to use g we are concerned that we ma not have the appropriate staff to implement it effectivel h we are concerned that the training is too expensive and/or too difficult to access/arrange i we are concerned that some of our staff would refuse to use it j we have no concerns about it k Other (please specif):

13 II.B _4g 01_4g. Do ou feel an pressure to use Contingenc t in our program? 1 es [GO TO QUESTION 01_4h] 0 no [GO TO QUESTION MM01]

14 II.B _4ha 01_4hb 01_4hc 01_4hd 01_4he 01_4hf 01_4hg 01_4hh 01_4hh_sp ec 01_4i 01_4h. From what sources do ou feel this pressure to use Contingenc t in our program? Choose all that appl a our clients b our program s clinical staff c our supervisor d tribal/program leadership e state accreditation organization/single State Authorit f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specif): 01_4i. Are these pressures part of the reason ou are considering using Contingenc t in our program? 1 es 0 no [GO TO QUESTION MM01]

15 II.B _5b II.B _5c 01_5b. How long have ou used Contingenc t in our program? a less than 6 months b 6 months to 1 ear c 2 to 5 ears d more than 5 ears 01_5c. Did ou feel an pressure to use Contingenc t in our program? 1 es [GO TO QUESTION 01_5d] 0 no [GO TO QUESTION 01_5f]

16 II.B _5da 01_5db 01_5dc 01_5dd 01_5de 01_5df 01_5dg 01_5dh 01_5dh_sp ec 01_5e 01_5d. From what sources did ou feel this pressure to use Contingenc t in our program? Choose all that appl a our clients b our program s clinical staff c our supervisor d tribal/program leadership e state accreditation organization/single State Authorit f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specif): 01_5e. Are these pressures part of the reason ou are using Contingenc t in our program? 1 es 0 no

17 II.B _5fa 01_5fb 01_5fc 01_5fd 01_5fe 01_5ff 01_5fg 01_5fh 01_5fi 01_5fj 01_5fk 01_5fl 01_5fl_spe c 01_5f. What were the other reasons that ou and our staff decided to use Contingenc t in our program? Choose all that appl a it is consistent with our program s treatment approach and philosophies b it is culturall appropriate c the existing research base proves it is effective d it is innovative and promotes good practice e it fits with the expertise and training of our staff f it ensures consistent and standardized treatment within our program g it is a billable service h it can be marketed for political purposes and/or funding requests i its use raises the reputation of our program j No other reasons k don t know we made this decision before I joined the program l Other (please specif):

18 II.B _5ga 01_5gb 01_5gc 01_5gd 01_5ge 01_5gf 01_5gg 01_5gh 01_5gh_sp ec 01_5g. How did our staff prepare for using Contingenc t in our program? Choose all that appl a b attending a seminar, conference, or workshop b b reading journal articles c b reviewing a treatment manual d b reviewing information on the internet e b attending a training for a specific contingenc management approach f b working with a consultant g b discussing it with colleagues and other treatment programs that have experience with it h Other (please specif):

19 II.B _5h 01_5h_1a 01_5h_1b 01_5h_1c 01_5h_1d 01_5h_1d_ spec 01_5h. How do ou and our staff use Contingenc t in our program? a we use it exactl how it is described in the manual and/or trainings b we use the parts of manual we think are most helpful c we rewrote the manual to make it more culturall appropriate and/or fit better with our overall program d we don t use the manual itself but will use the concepts that are part of the intervention, such as the sstematic reinforcement of desired behaviors 01_5h_1. Which Cognitive Behavioral Therap manual(s) are ou thinking of using in our program? Choose all that appl a Contingenc t Strategies and Ideas b Contingenc t in Substance Abuse Treatment c Prize Incentives Contingenc t for Substance Abuse d Other (please specif):

20 II.B _5i 01_5ja 01_5jb 01_5jc 01_5jd 01_5je 01_5jf 01_5jf_spe c 01_5k 01_5i. How do ou and our staff use Contingenc t in our program? a it is a core component of our program and ever client receives it b we use it with clients that will most likel benefit from it 01_5j. How do ou evaluate the outcomes of Contingenc t in our program? Choose all that appl a staff meetings and discussions b client satisfaction questionnaires c client outcomes surves and interviews d treatment record audits/reviews e we haven t evaluated it f Other (please specif): 01_5k. How effective has Contingenc t been in our program? a not effective at all b somewhat effective c ver effective

21 II.B _5l_1 01_5l_2 01_5l_3 01_5l_1. How satisfied are ou with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied 01_5l_2. How satisfied are our staff with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied 01_5l_3. How satisfied are our clients with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied

22 II.B _5na 01_5nb 01_5nc 01_5nd 01_5ne 01_5nf 01_5ng 01_5ng_sp ec 01_5n. How do ou monitor our staff s use of Contingenc t in our program? Choose all that appl a staff meetings b individual discussions with clinical supervisor c treatment record audits/reviews d reviews of audio or video recordings of sessions e direct observation of sessions b clinical supervisor f we haven t monitored our staff s use of Contingenc t g Other (please specif):

23 II.B _5oa 01_5ob 01_5oc 01_5od 01_5oe 01_5of 01_5og 01_5oh 01_5oi 01_5oj 01_5ok 01_5ok_sp ec 01_5o. Do ou and our staff have an of the following concerns about using Contingenc t in our program? Choose all that appl a it isn t full consistent with our program s treatment approach and philosoph b we are concerned about its cultural appropriateness c it is too structured and we need more flexibilit in treating our clients d we are concerned that it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is expensive and/or time consuming g we are concerned that we reall don t have the appropriate staff to use it effectivel in our program h the training is too expensive and/or too difficult to access/arrange i some of our staff refuse to use it j we have no concerns about it k Other (please specif):

24 II.B _5pa 01_5pb 01_5pc 01_5pd 01_5pe 01_5pf 01_5pg 01_5ph 01_5pi 01_5pj 01_5pj_spe c 01_5p. Wh are ou unsure whether ou will make Contingenc t a permanent part of our program? Choose all that appl a it isn t consistent with our program s treatment approach and philosoph b it isn t culturall appropriate c it is too structured and we need more flexibilit in treating our clients d it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is too expensive and/or time consuming g we don t have the appropriate staff to do this in our program h the training is too expensive and/or too difficult to access/arrange i some of m staff would refuse to use it j Other (please specif): [GO TO QUESTION MM01]

25 II.B _6b II.B _6c 01_6b. How long have ou used Contingenc t in our program? a less than 6 months b 6 months to 1 ear c 2 to 5 ears d more than 5 ears 01_6c. Did ou feel an pressure to use Contingenc t in our program? 1 es [GO TO QUESTION 01_6d] 0 no [GO TO QUESTION 01_6f]

26 II.B _6da 01_6db 01_6dc 01_6dd 01_6de 01_6df 01_6dg 01_6dh 01_6dh_sp ec 01_6e 01_6d. From what sources did ou feel this pressure to use Contingenc t in our program? Choose all that appl a our clients b our program s clinical staff c our supervisor d tribal/program leadership e state accreditation organization/single State Authorit f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specif): 01_6e. Are these pressures part or all of the reason ou are using Contingenc t in our program? 1 es 0 no

27 II.B _6fa 01_6fb 01_6fc 01_6fd 01_6fe 01_6ff 01_6fg 01_6fh 01_6fi 01_6fj 01_6fk 01_6fl 01_6fl_spe c 01_6f. What were the other reasons that ou and our staff decided to use Contingenc t in our program? Choose all that appl a it is consistent with our program s treatment approach and philosophies b it is culturall appropriate c the existing research base proves it is effective d it is innovative and promotes good practice e it fits with the expertise and training of our staff f it ensures consistent and standardized treatment within our program g it is a billable service h it can be marketed for political purposes and/or funding requests i its use raises the reputation of our program j No other reasons k don t know we made this decision before I joined the program l Other (please specif):

28 II.B _6ga 01_6gb 01_6gc 01_6gd 01_6ge 01_6gf 01_6gg 01_6gh 01_6gh_sp ec 01_6g. How did our staff prepare for using Contingenc t in our program? Choose all that appl a b attending a seminar, conference, or workshop b b reading journal articles c b reviewing a treatment manual d b reviewing information on the internet e b attending a training for a specific contingenc management approach f b working with a consultant g b discussing it with colleagues and other treatment programs that have experience with it h Other (please specif):

29 II.B _6h 01_6h_1a 01_6h_1b 01_6h_1c 01_6h_1d 01_6h_1d_ spec 01_6h. How do ou and our staff use Contingenc t manual in our program? a we use it exactl how it is described in the manual and/or trainings b we use the parts of manual we think are most helpful c we rewrote the manual to make it more culturall appropriate and/or fit better with our overall program d we don t use the manual itself but use ke concepts that are part of the intervention, such as the sstematic reinforcement of desired behaviors 01_6h_1. Which Cognitive Behavioral Therap manual(s) are ou thinking of using in our program? Choose all that appl a Contingenc t Strategies and Ideas b Contingenc t in Substance Abuse Treatment c Prize Incentives Contingenc t for Substance Abuse d Other (please specif):

30 II.B _6i 01_6ja 01_6jb 01_6jc 01_6jd 01_6je 01_6jf 01_6jf_spe c 01_6k 01_6i. How do ou and our staff use Contingenc t in our program? a it is a core component of our program and ever client receives it b we use it with clients that are most likel to benefit from it 01_6j. How do ou evaluate the outcomes of Contingenc t in our program? Choose all that appl a staff meetings and discussions b client satisfaction questionnaires c client outcomes surves and interviews d treatment record audits/reviews e Other (please specif): f we haven t evaluated it 01_6k. How effective has Contingenc t been in our program? a not effective at all b somewhat effective c ver effective

31 II.B _6l_1 01_6l_2 01_6l_3 01_6l_1. How satisfied are ou with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied 01_6l_2. How satisfied are our staff with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied 01_6l_3. How satisfied are our clients with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied

32 II.B _6oa 01_6ob 01_6oc 01_6od 01_6oe 01_6of 01_6og 01_6og_sp ec 01_6o. How do ou monitor how well our staff uses Contingenc t in our program? Choose all that appl a staff meetings b individual discussions with clinical supervisor c treatment record audits/reviews d reviews of audio or video recordings of sessions e direct observation of sessions b clinical supervisor f we haven t monitored our staff s use of Contingenc t g Other (please specif):

33 II.B _6pa 01_6pb 01_6pc 01_6pd 01_6pe 01_6pf 01_6pg 01_6ph 01_6pi 01_6pj 01_6pk 01_6pk_sp ec 01_6p. Do ou and our staff have an of the following concerns about using Contingenc t in our program? Choose all that appl a it isn t full consistent with our program s treatment approach and philosoph b we are concerned about its cultural appropriateness c it is too structured and we need more flexibilit in treating our clients d we are concerned that it hasn t been studied enough with American Indians or Alaska Natives e it doesn t fit well with the other treatments we use in our program f it is expensive and/or time consuming to use g we are concerned that we reall don t have the appropriate staff to use it effectivel in our program h the training is too expensive and/or too difficult to access/arrange i some of our staff refuse to use it j we have no concerns k Other (please specif):

34 II.B _6qa 01_6qb 01_6qc 01_6qd 01_6qe 01_6qf 01_6qg 01_6qh 01_6qi 01_6qj 01_6qk 01_6ql 01_6ql_spe c 01_6q. Wh did ou decide to make Contingenc t a permanent part of our program? Choose all that appl a it is effective b our clients like it c it is billable d it is consistent with our program s treatment approach and philosoph e it is culturall appropriate f it fits with the expertise and training of our staff g it fits well with the other treatments we use in our program h it is innovative and promotes good practice i it ensures consistent and standardized treatment within our program j it can be marketed for political purposes and/or funding requests k its use raises the reputation of our program l Other (please specif): GO TO QUESTION MM01

35 II.B _7b 01_7c II.B _7d 01_7b. How long did ou use Contingenc t in our program? a less than 6 months b 6 months to 1 ear c 2 to 5 ears d more than 5 ears 01_7c. How long ago did ou stop using Contingenc t in our program? a less than 6 months ago b 6 months to 1 ear ago c 2 to 5 ears ago d more than 5 ears ago 01_7d. Did ou feel an pressure to use Contingenc t in our program? 1 es [GO TO QUESTION 01_7e] 0 no [GO TO QUESTION 01_7g]

36 II.B _7ea 01_7eb 01_7ec 01_7ed 01_7ee 01_7ef 01_7eg 01_7eh 01_7eh_sp ec 01_7f 01_7e. From what sources did ou feel this pressure to use Contingenc t in our program? Choose all that appl a our clients b our program s clinical staff c our supervisor d tribal/program leadership e state accreditation organization/single State Authorit f Medicaid, Medicare, or other insurance requirements g grant requirements h Other (please specif): 01_7f. Are these pressures part or all of the reason ou used Contingenc t in our program? 1 es 0 no

37 II.B _7ga 01_7gb 01_7gc 01_7gd 01_7ge 01_7gf 01_7gg 01_7gh 01_7gi 01_7gj 01_7gk 01_7gk_sp ec 01_7g. What were the other reasons that ou and our staff decided to use Contingenc t in our program? Choose all that appl a it is consistent with our program s treatment approach and philosoph b it is culturall appropriate c the existing research base proves it is effective d it is innovative and promotes good practice e it ensures consistent and standardized treatment within our program f it is a billable service g it can be marketed for political purposes and/or funding requests h its use raises the reputation of our program i No other reasons j don t know we made this decision before I joined the program k Other (please specif):

38 II.B _7ha 01_7hb 01_7hc 01_7hd 01_7he 01_7hf 01_7hg 01_7hh 01_7hh_sp ec 01_7h. How did our staff prepare for using Contingenc t in our program? Choose all that appl a b attending a seminar, conference, or workshop b b reading journal articles c b reviewing a treatment manual d b reviewing information on the internet e b attending a training for a specific contingenc management approach f b working with a consultant g b discussing it with colleagues and other treatment programs that have experience with it h Other (please specif):

39 II.B _7i 01_7i_1a 01_7i_1b 01_7i_1c 01_7i_1d 01_7i_1d_s pec 01_7i. How did ou and our staff use Contingenc t in our program? a we used it exactl how it is described in the manual and/or trainings b we used the parts of manual we think are most helpful c we rewrote the manual to make it more culturall appropriate and/or fit better with our overall program d we didn t use the manual itself but will use the concepts that are part of the intervention, such as the sstematic reinforcement of desired behaviors 01_7i_1. Which Cognitive Behavioral Therap manual(s) are ou thinking of using in our program? Choose all that appl a Contingenc t Strategies and Ideas b Contingenc t in Substance Abuse Treatment c Prize Incentives Contingenc t for Substance Abuse d Other (please specif):

40 II.B _7j 01_7ka 01_7kb 01_7kc 01_7kd 01_7ke 01_7ke_sp ec 01_7kf 01_7l 01_7j. How did ou and our staff use Contingenc t in our program? a it is a core component of our program and ever client receives it b we use it with clients that are most likel to benefit from it 01_7k. How did ou evaluate the outcomes of Contingenc t in our program? Choose all that appl a staff meetings and discussions b client satisfaction questionnaires c client outcomes surves and interviews d treatment record audits/reviews e Other (please specif): f we didn t evaluate it 01_7l. How effective was Contingenc t in our program? a not effective at all b somewhat effective c ver effective

41 II.B _7l_1 01_7l_2 01_7l_3 01_7l_1. How satisfied were ou with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied 01_7l_2. How satisfied were our staff with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied 01_7l_3. How satisfied were our clients with Contingenc t? a not satisfied b somewhat satisfied c ver satisfied

42 II.B _7pa 01_7pb 01_7pc 01_7pd 01_7pe 01_7pf 01_7pg 01_7pg_sp ec 01_7p. How did ou monitor our staff s use of Contingenc t in our program? Choose all that appl a staff meetings and discussions b clinical supervision c treatment record audits/reviews d reviews of audio or video recordings of sessions e direct observation of sessions b clinical supervisor f we haven t monitored our staff s use of Contingenc t g Other (please specif):

43 II.B _7qa 01_7qb 01_7qc 01_7qd 01_7qe 01_7qf 01_7qg 01_7qh 01_7qi 01_7qj 01_7qk 01_7qk_sp ec 01_7q. Did ou and our staff have an of the following concerns about using Contingenc t in our program? Choose all that appl a it wasn t full consistent with our program s treatment approach and philosoph b we were concerned about its cultural appropriateness c it was too structured and we need more flexibilit in treating our clients d we were concerned that it hasn t been studied enough with American Indians or Alaska Natives e it didn t fit well with the other treatments we use in our program f it was too expensive and/or time consuming to use g we were concerned that we reall don t have the appropriate staff to use it effectivel in our program h the training was too expensive and/or too difficult to access/arrange i some of our staff refused to use it j we had no concerns about it k Other (please specif):

44 II.B _7ra 01_7rb 01_7rc 01_7rd 01_7re 01_7rf 01_7rg 01_7rh 01_7ri 01_7rj 01_7rj_spe c 01_7r. Wh did ou stop using Contingenc t in our program? Choose all that appl a it wasn t effective for our clients b our clients didn t like it c it was too expensive and/or too time consuming to use d it wasn t full consistent with our program s treatment approach and philosoph e we were concerned about its cultural appropriateness f it was too structured and we need more flexibilit in treating our clients g it didn t fit well with the other treatments we use in our program h we didn t have the appropriate staff to continue to use it in our program i some of our staff refused to use it j Other (please specif): [GO TO QUESTION MM01]