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Sample records for contingency management reduces

  1. Use of Continuous Transdermal Alcohol Monitoring during a Contingency Management Procedure to Reduce Excessive Alcohol Use

    PubMed Central

    Dougherty, Donald M.; Hill-Kapturczak, Nathalie; Liang, Yuanyuan; Karns, Tara E.; Cates, Sharon E.; Lake, Sarah L.; Mullen, Jillian; Roache, John D.

    2014-01-01

    Background Research on contingency management to treat excessive alcohol use is limited due to feasibility issues with monitoring adherence. This study examined the effectiveness of using transdermal alcohol monitoring as a continuous measure of alcohol use to implement financial contingencies to reduce heavy drinking. Methods Twenty-six male and female drinkers (from 21–39 years old) were recruited from the community. Participants were randomly assigned to one of two treatment sequences. Sequence 1 received 4 weeks of no financial contingency (i.e., $0) drinking followed by 4 weeks each of $25 and then $50 contingency management; Sequence 2 received 4 weeks of $25 contingency management followed by 4 weeks each of no contingency (i.e., $0) and then $50 contingency management. During the $25 and $50 contingency management conditions, participants were paid each week when the Secure Continuous Remote Alcohol Monitor (SCRAM-II™) identified no heavy drinking days. Results Participants in both contingency management conditions had fewer drinking episodes and reduced frequencies of heavy drinking compared to the $0 condition. Participants randomized to Sequence 2 (receiving $25 contingency before the $0 condition) exhibited less frequent drinking and less heavy drinking in the $0 condition compared to participants from Sequence 1. Conclusions Transdermal alcohol monitoring can be used to implement contingency management programs to reduce excessive alcohol consumption. PMID:25064019

  2. Security Officer's Role in Reducing Inmate Problem Behaviors: A Program Based on Contingency Management.

    ERIC Educational Resources Information Center

    Ellis, Janet

    1993-01-01

    Describes guard-designed and implemented contingency-management work squad training program for administratively segregated prison inmates with histories of violent and assaultive behavior. Notes that participation in the work squad program sharply reduced frequency of violent and assaultive behavior for 8 of 10 offender-participants whose…

  3. Contingency Management Learning Systems.

    ERIC Educational Resources Information Center

    Darst, Paul W.

    Contingency management is a system focused on managing the motivation of students, and can be developed and utilized in any type of physical education environment from elementary to college levels. An analysis of two existing contingency management learning systems (one for a fifth-grade gymnastics unit and the other for a seventh- and eigth-grade…

  4. The Effects of Contingency Management as a Means of Reducing Truancy.

    ERIC Educational Resources Information Center

    Spencer-Dunbar, Louise Hall

    Based on the assumption that truancy is a discrete form of behavior alterable by manipulation, rather than just a symptom of some underlying problem, an experiment among ninth graders investigated the effect of contingency management (using rewards to effect behavior changes) on truancy. Identification of habitual truants to participate in the…

  5. Students as Contingency Managers

    ERIC Educational Resources Information Center

    Briskin, Alan S.; Anderson, Donna M.

    1973-01-01

    This study evaluates the effectiveness of including sixth graders as an integral part of a behavior modification program designed to reduce the frequency of disruptive classroom behavior exhibited by third graders. It was hypothesized that this cross-age program would have positive impact on the younger subjects as well as on the sixth grade…

  6. Improved adherence with contingency management.

    PubMed

    Rosen, Marc I; Dieckhaus, Kevin; McMahon, Thomas J; Valdes, Barbara; Petry, Nancy M; Cramer, Joyce; Rounsaville, Bruce

    2007-01-01

    Contingency management (CM) based interventions that reinforce adherence to prescribed medications have shown promise in a variety of disadvantaged populations. Fifty-six participants with histories of illicit substance use who were prescribed antiretroviral medication but evidenced suboptimal adherence during a baseline assessment were randomly assigned to 16 weeks of weekly CM-based counseling or supportive counseling, followed by 16 additional weeks of data collection and adherence feedback to providers. The CM intervention involved review of data generated by electronic pill-bottle caps that record bottle opening (MEMS) and brief substance abuse counseling. CM participants were reinforced for MEMS-measured adherence with drawings from a bowl for prizes and bonus drawings for consecutive weeks of perfect adherence. Potential total earnings averaged $800. Mean MEMS-measured adherence to the reinforced medication increased from 61% at baseline to 76% during the 16-week treatment phase and was significantly increased relative to the supportive counseling group (p = 0.01). Furthermore, mean log-transformed viral load was significantly lower in the CM group. However, by the end of the 16-week follow-up phase, differences between groups in adherence and viral load were no longer significantly different. Proportions of positive urine toxicology tests did not differ significantly between the two groups at any phase. A brief CM-based intervention was associated with significantly higher adherence and lower viral loads. Future studies should evaluate methods to extend effects for longer term benefits. PMID:17263651

  7. A systematic review comparing cognitive-behavioral therapy and contingency management for cocaine dependence.

    PubMed

    Farronato, Nadine S; Dürsteler-Macfarland, Kenneth M; Wiesbeck, Gerhard A; Petitjean, Sylvie A

    2013-01-01

    The main objective of this review was to compare the effectiveness of cognitive-behavioral therapy and contingency management for cocaine dependence. Contingency management alone reliably reduced cocaine use during active treatment in all cited trials, whereas the positive effect of cognitive-behavioral therapy emerged after treatment in 3 of 5 trials. Synergistic effects of the combination of contingency management plus cognitive-behavioral therapy are shown in 2 trials, but another 3 trials found no additive effects. Positive, rapid, and enduring effects on cocaine use are reliably seen with contingency management interventions, whereas measurable effects of cognitive-behavioral therapy emerge after treatment and are not as reliable as effects with contingency management. PMID:24074193

  8. A Prompt Plus Delayed Contingency Procedure for Reducing Bathroom Graffiti.

    ERIC Educational Resources Information Center

    Watson, T. Steuart

    1996-01-01

    This study assessed the effectiveness of posting signs for reducing graffiti in three men's restrooms on a college campus. Immediately following the intervention, no marks were made, and results were maintained at three-month follow-up. A possible explanation for the results is that the signs specified an altruistic contingency. (Author/DB)

  9. Advances in Research on Contingency Management for Adolescent Substance Use.

    PubMed

    Stanger, Catherine; Lansing, Amy Hughes; Budney, Alan J

    2016-10-01

    Multiple interventions for treating adolescents with substance use disorders have demonstrated efficacy, but a majority of teens do not show an enduring positive response to these treatments. Contingency management (CM)-based strategies provide a promising alternative, and clinical research focused on the development and testing of innovative CM models continues to grow. This article provides an updated review on the progress made in this area. It is important to continue to search for more effective models, focus on post-treatment maintenance (reduce relapse), and strive for high levels of integrity and fidelity during dissemination efforts to optimize outcomes. PMID:27613343

  10. A prompt plus delayed contingency procedure for reducing bathroom graffiti.

    PubMed Central

    Watson, T S

    1996-01-01

    This study assessed the effectiveness of posting signs for reducing graffiti in three men's restrooms on a college campus using a multiple baseline across settings design. During baseline, graffiti increased almost daily in each of the three settings. Immediately following the intervention, no marks were made on any of the three walls. Results were maintained at 3-month follow-up. A possible explanation for the results is that the signs specified an altruistic contingency. PMID:8881353

  11. Contingency Management and Deliberative Decision-Making Processes

    PubMed Central

    Regier, Paul S.; Redish, A. David

    2015-01-01

    Contingency management is an effective treatment for drug addiction. The current explanation for its success is rooted in alternative reinforcement theory. We suggest that alternative reinforcement theory is inadequate to explain the success of contingency management and produce a model based on demand curves that show how little the monetary rewards offered in this treatment would affect drug use. Instead, we offer an explanation of its success based on the concept that it accesses deliberative decision-making processes. We suggest that contingency management is effective because it offers a concrete and immediate alternative to using drugs, which engages deliberative processes, improves the ability of those deliberative processes to attend to non-drug options, and offsets more automatic action-selection systems. This theory makes explicit predictions that can be tested, suggests which users will be most helped by contingency management, and suggests improvements in its implementation. PMID:26082725

  12. Contingency Management Requirements Document: Preliminary Version. Revision F

    NASA Technical Reports Server (NTRS)

    2005-01-01

    This is the High Altitude, Long Endurance (HALE) Remotely Operated Aircraft (ROA) Contingency Management (CM) Functional Requirements document. This document applies to HALE ROA operating within the National Airspace System (NAS) limited at this time to enroute operations above 43,000 feet (defined as Step 1 of the Access 5 project, sponsored by the National Aeronautics and Space Administration). A contingency is an unforeseen event requiring a response. The unforeseen event may be an emergency, an incident, a deviation, or an observation. Contingency Management (CM) is the process of evaluating the event, deciding on the proper course of action (a plan), and successfully executing the plan.

  13. Reducing Contingency through Sampling at the Luckey FUSRAP Site - 13186

    SciTech Connect

    Frothingham, David; Barker, Michelle; Buechi, Steve; Durham, Lisa

    2013-07-01

    Typically, the greatest risk in developing accurate cost estimates for the remediation of hazardous, toxic, and radioactive waste sites is the uncertainty in the estimated volume of contaminated media requiring remediation. Efforts to address this risk in the remediation cost estimate can result in large cost contingencies that are often considered unacceptable when budgeting for site cleanups. Such was the case for the Luckey Formerly Utilized Sites Remedial Action Program (FUSRAP) site near Luckey, Ohio, which had significant uncertainty surrounding the estimated volume of site soils contaminated with radium, uranium, thorium, beryllium, and lead. Funding provided by the American Recovery and Reinvestment Act (ARRA) allowed the U.S. Army Corps of Engineers (USACE) to conduct additional environmental sampling and analysis at the Luckey Site between November 2009 and April 2010, with the objective to further delineate the horizontal and vertical extent of contaminated soils in order to reduce the uncertainty in the soil volume estimate. Investigative work included radiological, geophysical, and topographic field surveys, subsurface borings, and soil sampling. Results from the investigative sampling were used in conjunction with Argonne National Laboratory's Bayesian Approaches for Adaptive Spatial Sampling (BAASS) software to update the contaminated soil volume estimate for the site. This updated volume estimate was then used to update the project cost-to-complete estimate using the USACE Cost and Schedule Risk Analysis process, which develops cost contingencies based on project risks. An investment of $1.1 M of ARRA funds for additional investigative work resulted in a reduction of 135,000 in-situ cubic meters (177,000 in-situ cubic yards) in the estimated base volume estimate. This refinement of the estimated soil volume resulted in a $64.3 M reduction in the estimated project cost-to-complete, through a reduction in the uncertainty in the contaminated soil

  14. Mountain substitutability and peak load pricing of high alpine peaks as a management tool to reduce environmental damage: a contingent valuation study.

    PubMed

    Loomis, John B; Keske, Catherine M

    2009-04-01

    High alpine peaks throughout the world are under increasing environmental pressure from hikers, trekkers, and climbers. Colorado's "Fourteeners", peaks with summits above 14,000 feet are no exception. Most of these peaks have no entrance fees, and reach ecological and social carrying capacity on weekends. This paper illustrates how a series of dichotomous choice contingent valuation questions can be used to evaluate substitutability between different alpine peaks and quantify the price responsiveness to an entrance fee. Using this approach, we find that peak load pricing would decrease use of popular Fourteeners in Colorado by 22%. This reduction is due almost entirely to substitution, rather than income effects. There is also price inelastic demand, as 60% of the hikers find no substitution for their specific Fourteener at the varying cost increases posed in the survey. The no substitute group has a mean net benefit of $294 per hiker, per trip, considerably higher than visitor net benefits in most recreational use studies. PMID:19111965

  15. School Management and Contingency Theory: An Emerging Perspective.

    ERIC Educational Resources Information Center

    Hanson, E. Mark

    An understanding of the "situational" characteristics of the organizational forces that influence the relationships between environmental, management, and performance variables is now coming to be seen as a key to understanding the management process itself. This paper is a synthesis of the contingency theory literature drawn from the public,…

  16. Management Styles Associated with Organizational, Task, Personal, and Interpersonal Contingencies

    ERIC Educational Resources Information Center

    Bass, Bernard M.; And Others

    1975-01-01

    Analyzes data from lengthy profile questionnaires completed by 78 managers and 407 of their subordinates and examines how five different management styles are related to various aspects of the contingent situation. (Available from Subscription Section, American Psychological Association, 1200 Seventeenth Street, N.W., Washington, D.C.; $30.00…

  17. A Contingency Model for Implementing a Classroom Management System.

    ERIC Educational Resources Information Center

    Hatch, Douglas D.

    An outline is presented of a contingency plan for developing sound classroom management practices. The plan revolves around a conceptual model of the different maturity levels of each individual staff member in relation to their classroom management skills. In the model, a group of peer observers monitors the progress of those staff members whose…

  18. School management and contingency theory: an emerging perspective.

    PubMed

    Hanson, E M

    1979-01-01

    In an article written for educational administrators, Hanson explains the assumptions, framework, and application of contingency theory. The author sees contingency theory as a way for organizations to adapt to uncertainty by developing a strategic plan with alternative scenarios. He urges school administrators to join businessmen and public managers in using a technique described as "the most powerful current sweeping over the organizational field." The theory assumes that: (1) a maze of goals govern the development of events; (2) different management approaches may be appropriate within the same organization; and (3) different leadership styles suit different situations. Contingency planning helps the organization to respond to uncertainty in the external environment by identifying possible events that may occur and by preparing alternative stratgies to deal with them. Hanson describes the purpose of this process as providing "a more effective match between an organization and its environment." He explains that contingency theory analyzes the internal adjustments of the organization (e.g., decision making process, structure, technology, instructional techniques) as it seeks to meet the shifting demands of its external or internal environments. According to the author, the intent of contingency theory is to establish an optimal "match" between environmental demands (and support) and the response capabilities of the organization including its structure, planning process, and leadership style. PMID:10247889

  19. A Randomized Trial of Contingency Management Delivered in the Context of Group Counseling

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Weinstock, Jeremiah; Alessi, Sheila M.

    2011-01-01

    Objective: Contingency management (CM) is efficacious in reducing drug use. Typically, reinforcers are provided on an individual basis to patients for submitting drug-negative samples. However, most treatment is provided in a group context, and poor attendance is a substantial concern. This study evaluated whether adding CM to group-based…

  20. Using the Experience Sampling Method in the Context of Contingency Management for Substance Abuse Treatment

    ERIC Educational Resources Information Center

    Husky, Mathilde M.; Mazure, Carolyn M.; Carroll, Kathleen M.; Barry, Danielle; Petry, Nancy M.

    2008-01-01

    Contingency management (CM) treatments have been shown to be effective in reducing substance use. This manuscript illustrates how the experience sampling method (ESM) can depict behavior and behavior change and can be used to explore CM treatment mechanisms. ESM characterizes idiosyncratic patterns of behavior and offers the potential to determine…

  1. Prize Reinforcement Contingency Management for Cocaine Dependence: Integration with Group Therapy in a Methadone Clinic

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Martin, Bonnie; Simcic, Francis

    2005-01-01

    In this study, the authors evaluated a low-cost contingency management (CM) procedure for reducing cocaine use and enhancing group therapy attendance in 77 cocaine-dependent methadone patients. Patients were randomly assigned to 12 weeks of standard treatment or standard treatment with CM, in which patients earned the opportunity to win prizes…

  2. Contingency Management for Adolescent Smokers: An Exploratory Study

    ERIC Educational Resources Information Center

    Tevyaw, Tracy O'Leary; Gwaltney, Chad; Tidey, Jennifer W.; Colby, Suzanne M.; Kahler, Christopher W.; Miranda, Robert; Barnett, Nancy P.; Rohsenow, Damaris J.; Monti, Peter M.

    2007-01-01

    This exploratory study investigated the efficacy and feasibility of a contingency management (CM) protocol for adolescent smokers that included use of a reduction phase. Using a within-participants design, 19 adolescents completed three 7-day phases: (1) reinforcement for attendance and provision of breath samples (RA) phase, (2) a washout phase,…

  3. A Web-Based Contingency Management Program with Adolescent Smokers

    ERIC Educational Resources Information Center

    Reynolds, Brady; Dallery, Jesse; Shroff, Palak; Patak, Michele; Leraas, Kristen

    2008-01-01

    The present study evaluated a new 30-day Web-based contingency management program for smoking abstinence with 4 daily-smoking adolescents. Participants made 3 daily video recordings of themselves giving breath carbon monoxide (CO) samples at home that were sent electronically to study personnel. Using a reversal design, participants could earn…

  4. A Randomized Trial of Contingency Management Delivered by Community Therapists

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Alessi, Sheila M.; Ledgerwood, David M.

    2012-01-01

    Objective: Contingency management (CM) is an evidence-based treatment, but few clinicians deliver this intervention in community-based settings. Method: Twenty-three clinicians from 3 methadone maintenance clinics received training in CM. Following a didactics seminar and a training and supervision period in which clinicians delivered CM to pilot…

  5. Home-Based Contingency Management Programs that Teachers Can Use.

    ERIC Educational Resources Information Center

    Taylor, Vincent L.; And Others

    1984-01-01

    Offers three guidelines to aid teachers in selecting effective contingency management programs, based on degree of positiveness, effectiveness, and costs to teachers and parents. Describes how to use a simple home-based program, which resulted in successful reduction of mild classroom disruptive behavior. (JAC)

  6. Resource Management and Contingencies in Aerospace Concurrent Engineering

    NASA Technical Reports Server (NTRS)

    Karpati, Gabe; Hyde, Tupper; Peabody, Hume; Garrison, Matthew

    2012-01-01

    significant concern in designing complex systems implementing new technologies is that while knowledge about the system is acquired incrementally, substantial financial commitments, even make-or-break decisions, must be made upfront, essentially in the unknown. One practice that helps in dealing with this dichotomy is the smart embedding of contingencies and margins in the design to serve as buffers against surprises. This issue presents itself in full force in the aerospace industry, where unprecedented systems are formulated and committed to as a matter of routine. As more and more aerospace mission concepts are generated by concurrent design laboratories, it is imperative that such laboratories apply well thought-out contingency and margin structures to their designs. The first part of this publication provides an overview of resource management techniques and standards used in the aerospace industry. That is followed by a thought provoking treatise on margin policies. The expose presents the actual flight telemetry data recorded by the thermal discipline during several recent NASA Goddard Space Flight Center missions. The margins actually achieved in flight are compared against pre-flight predictions, and the appropriateness and the ramifications of having designed with rigid margins to bounding stacked worst case conditions are assessed. The second half of the paper examines the particular issues associated with the application of contingencies and margins in the concurrent engineering environment. In closure, a discipline-by-discipline disclosure of the contingency and margin policies in use at the Integrated Design Center at NASA s Goddard Space Flight Center is made.

  7. Step 1: Human System Integration (HSI) FY05 Pilot-Technology Interface Requirements for Contingency Management

    NASA Technical Reports Server (NTRS)

    2005-01-01

    This document involves definition of technology interface requirements for Contingency Management. This was performed through a review of Contingency Management-related, HSI requirements documents, standards, and recommended practices. Technology concepts in use by the Contingency Management Work Package were considered. Beginning with HSI high-level functional requirements for Contingency Management, and Contingency Management technology elements, HSI requirements for the interface to the pilot were identified. Results of the analysis describe (1) the information required by the pilot to have knowledge of system failures and associated contingency procedures, and (2) the control capability needed by the pilot to obtain system status and procedure information. Fundamentally, these requirements provide the candidate Contingency Management technology concepts with the necessary human-related elements to make them compatible with human capabilities and limitations. The results of the analysis describe how Contingency Management operations and functions should interface with the pilot to provide the necessary Contingency Management functionality to the UA-pilot system. Requirements and guidelines for Contingency Management are partitioned into four categories: (1) Health and Status and (2) Contingency Management. Each requirement is stated and is supported with a rationale and associated reference(s).

  8. Contingency management: utility in the treatment of drug abuse disorders.

    PubMed

    Stitzer, M L; Vandrey, R

    2008-04-01

    Contingency management (CM) is a strategy that uses positive reinforcement to improve the clinical outcomes of substance abusers in treatment, especially sustained abstinence from drugs of abuse. Further, CM has been adopted to improve methodology and interpretation of outcomes in clinical trials testing new pharmacotherapies and to improve adherence to efficacious medications in substance abuse patients. Thus, CM has proven to be widely useful as a direct therapeutic intervention and as a tool in treatment development. PMID:18305456

  9. Prize-based Contingency Management for the Treatment of Substance Abusers: A Meta-analysis

    PubMed Central

    Benishek, L. A.; Dugosh, K. L.; Kirby, K. C.; Matejkowski, J.; Clements, N. T.; Seymour, B. L.; Festinger, D. S.

    2014-01-01

    Aim To review randomized controlled trials to assess efficacy of a prize-based contingency management procedure in reducing substance use (where a drug-free breath or urine sample provides a chance of winning a prize). Methods A meta-analysis was conducted on articles published from January 2000 to February 2013 to determine the effect size of studies comparing prize-based contingency management to a treatment-as-usual control condition (k=19 studies). Parallel analyses evaluated the efficacy of both short- (k=9 studies) and long-term outcomes (k=6 studies) of prize-based contingency management . Results The average end-of-treatment effect size (Cohen's d) was .46 [95% CI=0.37,0.54). This effect size decreased at the short-term (≤ 3-month) post-intervention follow-up to .33 (95% CI=0.12,0.54) and at the 6-month follow-up time point there was no detectable effect (d=-.09 (95% CI=−0.28,0.10)). Conclusion Adding prize-based contingency management to behavioral support for substance use disorders can increase short-term abstinence but the effect does not appear to persist to 6 months. PMID:24750232

  10. Consensus oriented fuzzified decision support for oil spill contingency management.

    PubMed

    Liu, Xin; Wirtz, Kai W

    2006-06-30

    Studies on multi-group multi-criteria decision-making problems for oil spill contingency management are in their infancy. This paper presents a second-order fuzzy comprehensive evaluation (FCE) model to resolve decision-making problems in the area of contingency management after environmental disasters such as oil spills. To assess the performance of different oil combat strategies, second-order FCE allows for the utilization of lexical information, the consideration of ecological and socio-economic criteria and the involvement of a variety of stakeholders. On the other hand, the new approach can be validated by using internal and external checks, which refer to sensitivity tests regarding its internal setups and comparisons with other methods, respectively. Through a case study, the Pallas oil spill in the German Bight in 1998, it is demonstrated that this approach can help decision makers who search for an optimal strategy in multi-thread contingency problems and has a wider application potential in the field of integrated coastal zone management. PMID:16343765

  11. Development of a Contingency Capillary Wastewater Management Device

    NASA Technical Reports Server (NTRS)

    Thomas, Evan A.

    2010-01-01

    The Personal Body .Attached Liquid Liquidator (PBALL) is conceived as a passive, capillary driven contingency wastewater disposal device. In this contingency scenario, the airflow system on the NASA Crew Exploration Vehicle (CEV) is assumed to have failed, leaving only passive hardware and vacuum vent to dispose of the wastewater. To meet these needs, the PBALL was conceived to rely on capillary action and urine wetting design considerations. The PBALL is designed to accommodate a range of wetting conditions, from 0deg < (theta)adv approx. 90deg, be adaptable for both male and female use, collect and retain up to a liter of urine, minimize splash-back, and allow continuous drain of the wastewater to vacuum while minimizing cabin air loss. A sub-scale PBALL test article was demonstrated on NASA's reduced gravity aircraft in April, 2010.

  12. Motivation and Contingency Management Treatments for Substance Use Disorders.

    PubMed

    Walter, Kimberly N; Petry, Nancy M

    2016-01-01

    Contingency management (CM) is a highly efficacious psychosocial treatment for substance use disorders based on the principles of behavioral analysis. CM involves delivering a tangible positive reinforcer following objective evidence of submission of a drug-negative urine sample. Although CM interventions primarily involve applying extrinsic rewards, a patient's intrinsic motivation to change substance use behavior may also be impacted by CM. This chapter provides an introduction to CM interventions for substance use disorders and examines the impact of CM on intrinsic motivation . It also addresses applications of this intervention to other conditions and patient populations. PMID:25762429

  13. Contingency Management Approaches for Adolescent Substance Use Disorders

    PubMed Central

    Stanger, Catherine; Budney, Alan J.

    2010-01-01

    The addition of contingency management (CM) to the menu of effective treatments for adolescent substance abuse has generated excitement in the research and treatment communities. CM interventions are based on extensive basic science and clinical research evidence demonstrating that drug use is sensitive to systematically applied consequences. This article provides (a) a review of basic CM principles, (b) implementation guidelines, (c) a review of the clinical CM research targeting adolescent substance abuse, and (d) a discussion of implementation successes and challenges. Although the research base for CM with adolescents is in its infancy, there are multiple reasons for high expectations. PMID:20682220

  14. Contingency Management to Increase Grade Point Average among Fraternity Members: A Feasibility Study

    ERIC Educational Resources Information Center

    Van Patten, Ryan A.; Irons, Jessica G.; Apple, Kevin J.

    2015-01-01

    Contingency management is an incentive-based intervention strategy that has been demonstrated to be effective for inducing behavior change among a variety of populations and for a variety of behaviors. The current study examined whether contingency management techniques can help students change behaviors in an effort to raise their grade point…

  15. Duration Effects in Contingency Management Treatment of Methamphetamine Disorders

    PubMed Central

    Roll, John M.; Chudzynski, Joy; Cameron, Jennifer M.; Howell, Donelle N.; McPherson, Sterling

    2013-01-01

    The primary aim of this study was to determine whether different durations of contingency management (CM) in conjunction with psychosocial treatment produced different rates of abstinence among methamphetamine dependent individuals. Participants were randomized to one of four 16-week treatment conditions: standard psychosocial treatment or psychosocial treatment plus one of three durations of CM (one-month, two-month, or four-month). A total of 118 participants were randomized to the four treatment conditions. There were significant differences across treatment conditions for number of consecutive days of methamphetamine abstinence (p < 0.05). These differences were in the hypothesized direction, as participants were more likely to remain abstinent through the 16-week trial as CM duration increased. A significant effect of treatment condition (p < 0.05) and time (p < 0.05) on abstinence over time was also found. Longer durations of CM were more effective for maintaining methamphetamine abstinence. PMID:23708468

  16. Comments on contingency management and conditional cash transfers.

    PubMed

    Higgins, Stephen T

    2010-10-01

    This essay discusses research on incentive-based interventions to promote healthy behavior change, contingency management (CM) and conditional cash transfers (CCT). The overarching point of the essay is that CM and CCT are often treated as distinct areas of inquiry when at their core they represent a common approach. Some potential bi-directional benefits of recognizing this commonality are discussed. Distinct intellectual traditions probably account for the separate paths of CM and CCT to date, with the former being rooted in behavioral psychology and the latter in microeconomics. It is concluded that the emerging field of behavioral economics, which is informed by and integrates principles of each of those disciplines, may provide the proper conceptual framework for integrating CM and CCT. PMID:19670269

  17. Comments on Contingency Management and Conditional Cash Transfers

    PubMed Central

    Higgins, Stephen T.

    2009-01-01

    This essay discusses research on incentive-based interventions to promote healthy behavior change, contingency management (CM) and conditional cash transfers (CCT). The overarching point of the essay is that CM and CCT are often treated as distinct areas of inquiry when at their core they represent a common approach. Some potential bi-directional benefits of recognizing this commonality are discussed. Distinct intellectual traditions probably account for the separate paths of CM and CCT to date, with the former being rooted in behavioral psychology and the latter in microeconomics. It is concluded that the emerging field of behavioral economics, which is informed by and integrates principles of each of those disciplines, may provide the proper conceptual framework for integrating CM and CCT. PMID:19670269

  18. A Randomized Trial Adapting Contingency Management Targets Based on Initial Abstinence Status of Cocaine-Dependent Patients

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Barry, Danielle; Alessi, Sheila M.; Rounsaville, Bruce J.; Carroll, Kathleen M.

    2012-01-01

    Objective: Contingency management (CM) reduces drug use, but questions remain regarding optimal targets and magnitudes of reinforcement. We evaluated the efficacy of CM reinforcing attendance in patients who initiated treatment with cocaine-negative samples, and of higher magnitude abstinence-based CM in patients who began treatment positive.…

  19. Differential Effectiveness of Interdependent and Dependent Group Contingencies in Reducing Disruptive Classroom Behavior

    ERIC Educational Resources Information Center

    Hartman, Kelsey; Gresham, Frank

    2016-01-01

    Disruptive behavior in the classroom negatively affects all students' academic engagement, achievement, and behavior. Group contingencies have been proven effective in reducing disruptive behavior as part of behavior interventions in the classroom. The Good Behavior Game is a Tier 1 classwide intervention that utilizes an interdependent group…

  20. The Relative Contribution of Economic Valence to Contingency Management Efficacy: A Pilot Study

    ERIC Educational Resources Information Center

    Roll, John M.; Howard, Joni T.

    2008-01-01

    We investigated the extent to which a contingency management (CM) procedure that deducted money from a grand total available at the end of the study compared to a procedure in which money accumulated with continued abstinence from cigarette smoking. Results suggested that the procedure in which money increased contingent on abstinence resulted in…

  1. Interdependent Group Contingency Management for Cocaine-Dependent Methadone Maintenance Patients

    ERIC Educational Resources Information Center

    Kirby, Kimberly C.; Kerwin, MaryLouise E.; Carpenedo, Carolyn M.; Rosenwasser, Beth J.; Gardner, Robert S.

    2008-01-01

    Contingency management (CM) for drug abstinence has been applied to individuals independently even when delivered in groups. We developed a group CM intervention in which the behavior of a single, randomly selected, anonymous individual determined reinforcement delivery for the entire group. We also compared contingencies placed only on cocaine…

  2. Prize Contingency Management for Smoking Cessation: A Randomized Trial

    PubMed Central

    Ledgerwood, David M.; Arfken, Cynthia L.; Petry, Nancy M.; Alessi, Sheila M.

    2016-01-01

    Background Adjunctive behavioral smoking cessation treatments have the potential to improve outcomes beyond standard care. The present study had two aims: 1) compare standard care (SC) for smoking (four weeks of brief counseling and monitoring) to SC plus prize-based contingency management (CM), involving the chance to earn prizes on days with demonstrated smoking abstinence (carbon monoxide (CO) ≤6ppm); and 2) compare the relative efficacy of two prize reinforcement schedules - one a traditional CM schedule, and the second an early enhanced CM schedule providing greater reinforcement magnitude in the initial week of treatment but equal overall reinforcement. Methods Participants (N = 81 nicotine-dependent cigarette smokers) were randomly assigned to one of the three conditions. Results Prize CM resulted in significant reductions in cigarette smoking relative to SC. These reductions were not apparent at follow-up. We found no meaningful differences between the traditional and enhanced CM conditions. Conclusions Our findings reveal that prize CM leads to significant reductions in smoking during treatment relative to a control intervention, but the benefits did not extend long-term. PMID:24793364

  3. Contingency management voucher redemption as an indicator of delayed gratification.

    PubMed

    Fletcher, Jesse B; Dierst-Davies, Rhodri; Reback, Cathy J

    2014-07-01

    This prospective analysis tested whether frequency of voucher redemptions during a contingency management (CM) substance use intervention was significantly associated with participants' ongoing substance use. Homeless, substance-dependent men who have sex with men (N=131) were randomized into either a "full" or "lite" voucher-based CM intervention. All participants earned vouchers for attendance and participation; participants in the CM-full condition also received vouchers for substance abstinence and enactment of prosocial and/or health-promoting behaviors. Multivariate longitudinal negative binomial regression analyses (n=118) assessed the association between substance use during the intervention and frequency of voucher redemptions. Participants who used methamphetamine (IRR=0.66; 95% CI=0.44-0.99) and/or opiates (IRR=0.60; 95% CI=0.40-0.99) during the intervention exhibited less time between voucher redemptions than individuals who achieved abstinence from these substances. Voucher redemption logs can be cost-effective and unobtrusive tools for measuring study participants' tendency to delay gratification. PMID:24674235

  4. Contingency management for cocaine treatment: cash vs. vouchers.

    PubMed

    Festinger, David S; Dugosh, Karen L; Kirby, Kimberly C; Seymour, Brittany L

    2014-08-01

    The efficacy of contingency management (CM) for treating drug abuse is well supported. The most widely used form of CM is voucher-based reinforcement therapy (VBRT), where clients receive an escalating schedule of vouchers that can be redeemed for goods and services for meeting treatment goals. Though generally rejected due to concerns about potential harms to drug using participants, research suggests that cash may be a more effective reinforcer. This three-group randomized trial compared the efficacy of cash-based reinforcement therapy (CBRT) to VBRT and a non-CM condition on cocaine abstinence and treatment attendance; and examined whether CBRT resulted in greater levels of harm than VBRT. Findings indicated that the CBRT was as effective as VBRT when compared to the non-CM condition and that it did not increase rates of drug use, cravings, or high-risk behaviors. Future research should examine potential cost savings associated with a cash-based CM approach as this could have important implications for the wider adoption of the CM model. PMID:24746956

  5. Group Contingencies, Randomization of Reinforcers, and Criteria for Reinforcement, Self-Monitoring, and Peer Feedback on Reducing Inappropriate Classroom Behavior

    ERIC Educational Resources Information Center

    Coogan, Brenda Anne; Kehle, Thomas J.; Bray, Melissa A.; Chafouleas, Sandra M.

    2007-01-01

    Considerable research has demonstrated the effectiveness of interdependent and unknown dependent group contingencies on reducing inappropriate classroom behavior. Several investigators have focused on the addition of self-monitoring and peer feedback to these interdependent and unknown dependent group contingencies in order to further improve…

  6. Psychometric properties of the contingency management competence scale.

    PubMed

    Petry, Nancy M; Alessi, Sheila M; Ledgerwood, David M; Sierra, Sean

    2010-06-01

    Contingency management (CM) is an evidence-based treatment, and clinicians are beginning to implement this intervention in practice. However, little research exists on methods for assuring appropriate implementation of CM. This study describes the development and psychometric properties of the 12-item CM Competence Scale (CMCS). Thirty-five therapists from nine community-based clinics participated; following a training period, a randomized trial evaluated the efficacy of CM in cocaine abusing patients. Analyses of the CMCS are based on ratings from 1613 audiotapes of therapist interactions with 78 patients enrolled in the training phase and 103 patients in the randomized phase. Inter-rater reliability from 11 raters and internal consistency of items on the CMCS was good to excellent. Items loaded onto two factors: one contained items specific to discussions of the outcomes of urine testing and reinforcement, and the other contained general items related to use of praise, communication of confidence, empathy, skillfulness, and maintaining session structure, as well as discussions of self-reports of drug use when they occurred. During the training phase in CM delivery, scores on the CMCS rose significantly between earlier and later training sessions, and during the randomized phase, CM sessions were rated more highly than non-CM sessions. Scores on the subscale assessing general items were significantly correlated with indices of the therapeutic alliance and predictive of durations of cocaine abstinence achieved. These data suggest that the CMCS is reliable and valid in assessing delivery of CM and that competence in CM delivery is associated with improved patient outcomes. PMID:20149950

  7. A Developmental Perspective on Neuroeconomic Mechanisms of Contingency Management

    PubMed Central

    Stanger, Catherine; Budney, Alan J.; Bickel, Warren K.

    2012-01-01

    This paper provides a developmental overview of relevant theory and research on delay discounting and neuroeconomics, and their implications for CM approaches to treatment. Recent advances in neuroscience, and in particular the neuroscience of decision making, have the potential to inform treatment development for adolescent substance use in general, and contingency management (CM) treatments in particular. CM utilizes abstinence-based reinforcement to enhance motivation to engage in treatment and engender abstinence. CM interventions may be informed by research on delay discounting, a type of decision making that reflects how individuals value immediate vs. delayed rewards. Delay discounting reliably distinguishes substance abusers from non abusers and is a significant predictor of individual differences in response to substance use treatments. Delay discounting is also of high potential importance in the development of substance use problems in adolescence. Discounting may also be important in predicting response to CM, as CM attempts to directly influence this decision making process, shifting the preference from the immediate rewards of use to delayed rewards for choosing not to use. Multiple neural processes underlie decision making, and those processes have implications for adolescent substance abuse. There are significant neurodevelopmental processes that differentiate adolescents from adults. These processes are implicated in delay discounting, suggesting that adolescence may reflect a period of plasticity in temporal decision making. Understanding the neural mechanisms of delay discounting has led to promising working memory interventions directly targeting the executive functions that underlie individual choices. These interventions may be particularly helpful in combination with CM interventions that offer immediate rewards for brief periods of abstinence, and may show particular benefit in adolescence due to the heightened neural plasticity of systems

  8. Dentist-implemented contingent escape for management of disruptive child behavior.

    PubMed

    Allen, K D; Loiben, T; Allen, S J; Stanley, R T

    1992-01-01

    We evaluated the effectiveness of a dentist-implemented intervention in which brief escape from dental treatment was provided to manage disruptive child behavior during restorative dental treatment. Within a multiple baseline design across subjects, 4 children, aged 3 to 7 years, were provided temporary escape from dental treatment contingent upon brief periods of cooperative behavior. Disruptive behavior decreased when the appropriate escape contingency was used at least 80% of the time. The escape contingency required no more time than traditional management procedures (e.g., tell-show-do, reprimands and loud commands, restraint) to bring disruptive behavior under control. Independent ratings by two dentists provided social validation of the efficacy of the escape contingency. PMID:1429316

  9. Internet-based group contingency management to promote smoking abstinence

    PubMed Central

    Dallery, Jesse; Meredith, Steven; Jarvis, Brantley; Nuzzo, Paul A.

    2015-01-01

    Internet-based group contingencies have been shown to promote brief periods of abstinence from cigarette smoking. Under a group contingency, small teams of smokers must collectively meet abstinence goals to receive monetary consequences. The present study investigated two arrangements, one in which all team members had to meet group treatment goals to receive monetary consequences (Full Group), and one in which team members had to meet some group goals and some individual goals to receive these consequences (Mixed Group). Mōtiv8 Systems, an Internet-based remote monitoring platform, was used to collect video-recorded breath carbon monoxide (CO) samples. All team members could communicate with each other via an online discussion forum. During baseline conditions, only 3.3% of CO samples were negative for smoking, which suggests that self-monitoring and access to the online discussion forum were insufficient to initiate abstinence. When the group contingencies were instituted 41.3% of CO samples were negative. There were no statistically significant differences between the two arrangements in the percentage of negative CO samples or point prevalence at the end of treatment or at the 3-month follow-up. Participants posted an average of 25 comments on the discussion forum, most of which were rated as positive by independent observers. The mean cost of vouchers per participant was lower in the Full Group ($33) relative to the Mixed group ($190). The present results replicate and extend previous findings on group contingencies to promote abstinence and social support. PMID:25821915

  10. Pinellas Plant contingency plan for the hazardous waste management facility

    SciTech Connect

    1988-04-01

    Subpart D of Part 264 (264.50 through .56) of the Resource Conservation and Recovery Act (RCRA) regulations require that each facility maintain a contingency plan detailing procedures to {open_quotes}minimize hazards to human health or the environment from fires, explosions, or any unplanned sudden or non-sudden release of hazardous waste or hazardous waste constituents to air, soil, or surface water.{close_quotes}

  11. Internet-based group contingency management to promote smoking abstinence.

    PubMed

    Dallery, Jesse; Meredith, Steven; Jarvis, Brantley; Nuzzo, Paul A

    2015-06-01

    Internet-based group contingencies have been shown to promote brief periods of abstinence from cigarette smoking. Under a group contingency, small teams of smokers must collectively meet abstinence goals to receive monetary consequences. The present study investigated 2 arrangements, 1 in which all team members had to meet group treatment goals to receive monetary consequences (full group), and 1 in which team members had to meet some group goals and some individual goals to receive these consequences (mixed group). Mo̅tiv8 Systems, an Internet-based remote monitoring platform, was used to collect video-recorded breath carbon monoxide (CO) samples. All team members could communicate with each other via an online discussion forum. During baseline conditions, only 3.3% of CO samples were negative for smoking, which suggests that self-monitoring and access to the online discussion forum were insufficient to initiate abstinence. When the group contingencies were instituted 41.3% of CO samples were negative. There were no statistically significant differences between the 2 arrangements in the percentage of negative CO samples or point prevalence at the end of treatment or at the 3-month follow-up. Participants posted an average of 25 comments on the discussion forum, most of which were rated as positive by independent observers. The mean cost of vouchers per participant was lower in the full group ($33) relative to the mixed group ($190). The present results replicate and extend previous findings on group contingencies to promote abstinence and social support. PMID:25821915

  12. Contingency management of reliable attendance of chronically unemployed substance abusers in a therapeutic workplace.

    PubMed

    Wong, Conrad J; Dillon, Erin M; Sylvest, Christine E; Silverman, Kenneth

    2004-02-01

    The Therapeutic Workplace is an effective drug abuse treatment that integrates abstinence reinforcement into a work setting by using a salary that drug abusers earn for work. Drug abuse patients are trained and hired to become data entry operators in a Therapeutic Workplace business. Despite the opportunity to earn a high wage, participants frequently arrive at work late and fail to work complete shifts. In the present study, a contingency management intervention to promote consistent and reliable attendance was evaluated in 4 participants. Participants were not allowed to work on days that they arrived late, and their pay was temporarily reduced each time they arrived late at work or failed to complete a work shift. A within-subject reversal design showed that the intervention increased the frequency with which participants arrived at work on time and completed work shifts. PMID:14769098

  13. Contingency Management for Patients with Cooccurring Disorders: Evaluation of a Case Study and Recommendations for Practitioners

    PubMed Central

    Adams, Claire E.; Rash, Carla J.; Burke, Randy S.; Parker, Jefferson D.

    2012-01-01

    Research indicates that contingency management (CM) has potential to improve a number of outcomes (e.g. substance use, treatment attendance, quality of life) among individuals with substance use and cooccurring disorders. However, multiple factors must be considered on a case-by-case basis in order to promote optimal treatment effects. The present study describes an individualized CM protocol for a US Veteran with substance dependence and cooccurring severe mental illness. CM targeted attendance at outpatient appointments and appropriate use of hospital resources. Effects of CM were assessed by comparing the 3-month baseline and CM periods. The CM intervention marginally reduced unnecessary hospital admissions, resulting in cost savings to the medical center of over $5,000 in three months for this individual. However, CM did not affect outpatient attendance. Several complications arose, highlighting challenges in using CM in populations with substance use and cooccurring disorders. Practical suggestions are offered for maximizing the effects of CM. PMID:22937413

  14. Expected Utility Theory as a Guide to Contingency (Allowance or Management Reserve) Allocation

    SciTech Connect

    Thibadeau, Barbara M

    2006-01-01

    In this paper, I view a project from the perspective of utility theory. I suggest that, by determining an optimal percent contingency (relative to remaining work) and identifying and enforcing a required change in behavior, from one that is risk-seeking to one that is risk-averse, a project's contingency can be managed more effectively. I argue that early on in a project, risk-seeking behavior dominates. During this period, requests for contingency are less rigorously scrutinized. As the design evolves, more accurate information becomes available. Once the designs have been finalized, the project team must transition from a free-thinking, exploratory mode to an execution mode. If projects do not transition fast enough from a risk-seeking to a risk-averse organization, an inappropriate allocation of project contingency could occur (too much too early in the project). I show that the behavioral patterns used to characterize utility theory are those that exist in the project environment. I define a project's utility and thus, provide project managers with a metric against which all gambles (requests for contingency) can be evaluated. I discuss other research as it relates to utility and project management. From empirical data analysis, I demonstrate that there is a direct correlation between progress on a project's design activities and the rate at which project contingency is allocated and recommend a transition time frame during which the rate of allocation should decrease and the project should transition from risk-seeking to risk-averse. I show that these data are already available from a project's earned value management system and thus, inclusion of this information in the standard monthly reporting suite can enhance a project manager's decision making capability.

  15. Implementation of a Contingency Management-Based Intervention in a Community Supervision Setting: Clinical Issues and Recommendations

    ERIC Educational Resources Information Center

    Trotman, Adria J.; Taxman, Faye S.

    2011-01-01

    A cognitive-behaviorally based substance abuse treatment program was implemented within a community supervision setting. This program included a goals group that used a contingency management component and included the probation agent as a part of the treatment. In this article, the authors describe the contingency management component of the…

  16. A Feasibility Study of Home-Based Contingency Management with Adolescent Smokers of Rural Appalachia

    PubMed Central

    Reynolds, Brady; Harris, Millie; Slone, Stacey A.; Shelton, Brent J.; Dallery, Jesse; Stoops, William; Lewis, Russell

    2015-01-01

    Cigarette smoking among adolescents remains a significant public health concern. This problem is compounded in regions such as rural Appalachia where rates of smoking are consistently higher than national averages and access to treatments is limited. The current research evaluated a home-based contingency management program completed over the Internet with adolescent smokers recruited from rural Appalachia. Participants (N = 62) submitted three video recordings per day showing their breath carbon monoxide (CO) levels using a handheld CO monitor. Participants were assigned to either an active treatment condition (AT: n = 31) in which reductions in breath CO were reinforced or a control treatment condition (CT: n = 31) in which providing timely video recordings were reinforced with no requirement to reduce breath CO. Results revealed that participants in the AT condition reduced their breath CO levels significantly more so during treatment than participants in the CT condition. Within-group comparisons revealed that participants in both conditions significantly reduced their breath CO, self-reported smoking, and nicotine dependence ratings during treatment. However, only participants in the AT condition significantly reduced urinary cotinine levels during treatment, and only participants in this condition maintained all reductions until six-week post treatment. Participants in the CT condition only maintained self-reported smoking reductions until post-treatment assessments. These results support the feasibility and initial efficacy of this incentive-based approach to smoking cessation with adolescent smokers living in rural locations. PMID:26280592

  17. A feasibility study of home-based contingency management with adolescent smokers of rural Appalachia.

    PubMed

    Reynolds, Brady; Harris, Millie; Slone, Stacey A; Shelton, Brent J; Dallery, Jesse; Stoops, William; Lewis, Russell

    2015-12-01

    Cigarette smoking among adolescents remains a significant public health concern. This problem is compounded in regions such as rural Appalachia where rates of smoking are consistently higher than national averages and access to treatments is limited. The current research evaluated a home-based contingency management program completed over the Internet with adolescent smokers recruited from rural Appalachia. Participants (N = 62) submitted 3 video recordings per day showing their breath carbon monoxide (CO) levels using a handheld CO monitor. Participants were assigned to either an active treatment condition (AT; n = 31) in which reductions in breath CO were reinforced or a control treatment condition (CT; n = 31) in which providing timely video recordings were reinforced with no requirement to reduce breath CO. Results revealed that participants in the AT condition reduced their breath CO levels significantly more so during treatment than participants in the CT condition. Within-group comparisons revealed that participants in both conditions significantly reduced their breath CO, self-reported smoking, and nicotine dependence ratings during treatment. However, only participants in the AT condition significantly reduced urinary cotinine levels during treatment, and only participants in this condition maintained all reductions until 6-week post treatment. Participants in the CT condition only maintained self-reported smoking reductions until posttreatment assessments. These results support the feasibility and initial efficacy of this incentive-based approach to smoking cessation with adolescent smokers living in rural locations. PMID:26280592

  18. The economic value of reducing environmental health risks: Contingent valuation estimates of the value of information

    SciTech Connect

    Krieger, D.J.; Hoehn, J.P.

    1999-05-01

    Obtaining economically consistent values for changes in low probability health risks continues to be a challenge for contingent valuation (CV) as well as for other valuation methods. One of the cited condition for economic consistency is that estimated values be sensitive to the scope (differences in quantity or quality) of a good described in a CV application. The alleged limitations of CV pose a particular problem for environmental managers who must often make decisions that affect human health risks. This paper demonstrates that a well-designed CV application can elicit scope sensitive values even for programs that provide conceptually complex goods such as risk reduction. Specifically, it finds that the amount sport anglers are willing to pay for information about chemical residues in fish varies systematically with informativeness--a relationship suggested by the theory of information value.

  19. Contingency Management Treatments: Reinforcing Abstinence Versus Adherence with Goal-Related Activities

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Alessi, Sheila M.; Carroll, Kathleen M.; Hanson, Tressa; MacKinnon, Stephen; Rounsaville, Bruce; Sierra, Sean

    2006-01-01

    Contingency management (CM) interventions usually reinforce submission of drug-negative specimens, but they can also reinforce adherence with goal-related activities. This study compared the efficacy of the 2 approaches. Substance-abusing outpatients (N = 131) were randomly assigned to 1 of 3 12-week treatments: standard treatment (ST), ST with CM…

  20. Vouchers Versus Prizes: Contingency Management Treatment of Substance Abusers in Community Settings

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Alessi, Sheila M.; Marx, Jacqueline; Austin, Mark; Tardif, Michelle

    2005-01-01

    Contingency management (CM) interventions usually use vouchers as reinforcers, but a new technique awards chances of winning prizes. This study compares these approaches. In community treatment centers, 142 cocaine- or heroin-dependent outpatients were randomly assigned to standard treatment (ST), ST with vouchers, or ST with prizes for 12 weeks.…

  1. Use of Self-Management with the CW-FIT Group Contingency Program

    ERIC Educational Resources Information Center

    Kamps, Debra; Conklin, Carl; Wills, Howard

    2015-01-01

    The purpose of the study was to determine the effects of self-management as a tier two enhancement to the group contingency intervention, Class-Wide Function-related Intervention Teams Program (CW-FIT). Two classrooms, first and fourth grade, and two students in each of the classrooms participated in the intervention. The group contingency…

  2. Preliminary Examination of Adolescent Spending in a Contingency Management-Based Smoking-Cessation Program

    ERIC Educational Resources Information Center

    Cavallo, Dana A.; Nich, Charla; Schepis, Ty S.; Smith, Anne E.; Liss, Thomas B.; McFetridge, Amanda K.; Krishnan-Sarin, Suchitra

    2010-01-01

    Contingency management (CM) utilizing monetary incentives is efficacious in enhancing abstinence in an adolescent smoking-cessation program, but how adolescents spend their money has not been examined. We assessed spending habits of 38 adolescent smokers in a CM-based smoking-cessation project prior to quitting and during treatment using a…

  3. The Use of Contingency Management to Affect Learning Performance in Adult Institutionalized Offenders.

    ERIC Educational Resources Information Center

    McKee, John M.

    A description is given of the development and application of contingency management (CM) techniques to the educational performance of a broad cross section of adult, male prison inmates. By most standards, these inmates are judged to be at the lowest rung of the motivational ladder. Draper Correctional Center experimental and demonstration…

  4. The Effect of Contingency Management Procedures on the Rate of Learning.

    ERIC Educational Resources Information Center

    McKee, John M.; And Others

    Two different groups of subjects--incarcerated adult offenders and freshman nursing students--participated in an academic experiment which employed an individually prescribed learning system. The system featured programmed instructional materials and contingency management procedures to obtain stable cumulative records of learning performance.…

  5. An Effectiveness Trial of Contingency Management in a Felony Preadjudication Drug Court

    ERIC Educational Resources Information Center

    Marlowe, Douglas B.; Festinger, David S.; Dugosh, Karen L.; Arabia, Patricia L.; Kirby, Kimberly C.

    2008-01-01

    This study evaluated a contingency management (CM) program in a drug court. Gift certificates for compliance were delivered at 4- to 6-week intervals (total value = $390.00). Participants in one condition earned gift certificates that escalated by $5.00 increments. Participants in a second condition began earning higher magnitude gift…

  6. Statewide Adoption and Initial Implementation of Contingency Management for Substance-Abusing Adolescents

    ERIC Educational Resources Information Center

    Henggeler, Scott W.; Chapman, Jason E.; Rowland, Melisa D.; Halliday-Boykins, Colleen A.; Randall, Jeff; Shackelford, Jennifer; Schoenwald, Sonja K.

    2008-01-01

    Four hundred thirty-two public sector therapists attended a workshop in contingency management (CM) and were interviewed monthly for the following 6 months to assess their adoption and initial implementation of CM to treat substance-abusing adolescent clients. Results showed that 58% (n = 131) of the practitioners with at least one…

  7. Dentist-Implemented Contingent Escape for Management of Disruptive Child Behavior.

    ERIC Educational Resources Information Center

    Allen, Keith D.; And Others

    1992-01-01

    This paper describes a dentist-implemented intervention in which brief escape from dental treatment (contingent on brief periods of cooperative behavior) was provided to manage disruptive child behavior during restorative dental treatment with four children, aged three to seven years. The procedure required no more time than traditional management…

  8. Behavior Modification for Obesity: The Evaluation of Exercise, Contingency Management, and Program Adherence.

    ERIC Educational Resources Information Center

    And Others; Stalonas, Peter M., Jr.

    1978-01-01

    Investigated behavioral programs for obesity. Exercise and self-managed contingency components were compared using obese subjects who were evaluated after treatment and follow-up. Significant weight loss was observed at termination. The influence of exercise at follow-up was noticeable. Subjects engaged in behaviors, yet behaviors were not related…

  9. A Contingency Management Intervention for Adolescent Marijuana Abuse and Conduct Problems.

    ERIC Educational Resources Information Center

    Kamon, Jody; Budney, Alan; Stanger, Catherine

    2005-01-01

    Objective: To describe an innovative treatment for adolescent marijuana abuse and provide initial information about its feasibility, acceptability, and potential efficacy. Method: Provided an intervention composed of (1) a clinic-administered, abstinence-based incentive program; (2) parent-directed contingency management targeting substance use…

  10. An Analysis of Organizational Behavior Management Research in Terms of the Three-Contingency Model of Performance Management

    ERIC Educational Resources Information Center

    Weatherly, Nicholas L.; Malott, Richard W.

    2008-01-01

    The three-contingency model of performance management (Malott, 1992, 1993, 1999) was used to analyze interventions in the "Journal of Organizational Behavior Management (JOBM)" from the years 1990 through 2005 (Volume 11[1]-Volume 25[4]). The current article extends previous reviews (Malott, Shimamune, & Malott, 1992; Otto & Malott, 2004) by…

  11. Using a contingent valuation approach for improved solid waste management facility: evidence from Kuala Lumpur, Malaysia.

    PubMed

    Afroz, Rafia; Masud, Muhammad Mehedi

    2011-04-01

    This study employed contingent valuation method to estimate the willingness to pay (WTP) of the households to improve the waste collection system in Kuala Lumpur, Malaysia. The objective of this study is to evaluate how household WTP changes when recycling and waste separation at source is made mandatory. The methodology consisted of asking people directly about their WTP for an additional waste collection service charge to cover the costs of a new waste management project. The new waste management project consisted of two versions: version A (recycling and waste separation is mandatory) and version B (recycling and waste separation is not mandatory). The households declined their WTP for version A when they were asked to separate the waste at source although all the facilities would be given to them for waste separation. The result of this study indicates that the households were not conscious about the benefits of recycling and waste separation. Concerted efforts should be taken to raise environmental consciousness of the households through education and more publicity regarding waste separation, reducing and recycling. PMID:21169007

  12. Using a contingent valuation approach for improved solid waste management facility: Evidence from Kuala Lumpur, Malaysia

    SciTech Connect

    Afroz, Rafia; Masud, Muhammad Mehedi

    2011-04-15

    This study employed contingent valuation method to estimate the willingness to pay (WTP) of the households to improve the waste collection system in Kuala Lumpur, Malaysia. The objective of this study is to evaluate how household WTP changes when recycling and waste separation at source is made mandatory. The methodology consisted of asking people directly about their WTP for an additional waste collection service charge to cover the costs of a new waste management project. The new waste management project consisted of two versions: version A (recycling and waste separation is mandatory) and version B (recycling and waste separation is not mandatory). The households declined their WTP for version A when they were asked to separate the waste at source although all the facilities would be given to them for waste separation. The result of this study indicates that the households were not conscious about the benefits of recycling and waste separation. Concerted efforts should be taken to raise environmental consciousness of the households through education and more publicity regarding waste separation, reducing and recycling.

  13. Computer-assisted Behavioral Therapy and Contingency Management for Cannabis Use Disorder

    PubMed Central

    Budney, Alan J.; Stanger, Catherine; Tilford, J. Mick; Scherer, Emily; Brown, Pamela C.; Li, Zhongze; Li, Zhigang; Walker, Denise

    2015-01-01

    Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), i.e., motivational enhancement therapy, cognitive-behavioral therapy, and abstinence-based contingency-management (MET/CBT/CM). An initial cost comparison was also performed. Seventy-five adult participants, 59% African Americans, seeking treatment for CUD received either, MET only (BRIEF), therapist-delivered MET/CBT/CM (THERAPIST), or computer-delivered MET/CBT/CM (COMPUTER). During treatment, the THERAPIST and COMPUTER conditions engendered longer durations of continuous cannabis abstinence than BRIEF (p < .05), but did not differ from each other. Abstinence rates and reduction in days of use over time were maintained in COMPUTER at least as well as in THERAPIST. COMPUTER averaged approximately $130 (p < .05) less per case than THERAPIST in therapist costs, which offset most of the costs of CM. Results add to promising findings that illustrate potential for computer-assisted delivery methods to enhance access to evidence-based care, reduce costs, and possibly improve outcomes. The observed maintenance effects and the cost findings require replication in larger clinical trials. PMID:25938629

  14. Computer-assisted behavioral therapy and contingency management for cannabis use disorder.

    PubMed

    Budney, Alan J; Stanger, Catherine; Tilford, J Mick; Scherer, Emily B; Brown, Pamela C; Li, Zhongze; Li, Zhigang; Walker, Denise D

    2015-09-01

    Computer-assisted behavioral treatments hold promise for enhancing access to and reducing costs of treatments for substance use disorders. This study assessed the efficacy of a computer-assisted version of an efficacious, multicomponent treatment for cannabis use disorders (CUD), that is, motivational enhancement therapy, cognitive-behavioral therapy, and abstinence-based contingency-management (MET/CBT/CM). An initial cost comparison was also performed. Seventy-five adult participants, 59% Black, seeking treatment for CUD received either, MET only (BRIEF), therapist-delivered MET/CBT/CM (THERAPIST), or computer-delivered MET/CBT/CM (COMPUTER). During treatment, the THERAPIST and COMPUTER conditions engendered longer durations of continuous cannabis abstinence than BRIEF (p < .05), but did not differ from each other. Abstinence rates and reduction in days of use over time were maintained in COMPUTER at least as well as in THERAPIST. COMPUTER averaged approximately $130 (p < .05) less per case than THERAPIST in therapist costs, which offset most of the costs of CM. Results add to promising findings that illustrate potential for computer-assisted delivery methods to enhance access to evidence-based care, reduce costs, and possibly improve outcomes. The observed maintenance effects and the cost findings require replication in larger clinical trials. PMID:25938629

  15. Dialectical Behavior Therapy and Eating Disorders: The Use of Contingency Management Procedures to Manage Dialectical Dilemmas.

    PubMed

    Wisniewski, Lucene; Ben-Porath, Denise D

    2015-01-01

    Several researchers have adapted and/or applied dialectical behavior therapy (DBT) for populations with eating disorders. There is a growing body of research that indicates that DBT is an effective treatment option for this population, including those who have co-occurring Axis II disorders. The goal of the current paper is to summarize the research conducted in the area of DBT with those individuals who present with eating disorders only as well as those who present with both eating disorders and Axis II disorders. We also describe a dialectical dilemma, apparent compliance vs. active defiance, which is commonly observed in the group with comorbidities A DBT change strategy, contingency management, is discussed as an intervention to target apparent compliance and active defiance. PMID:26160619

  16. Contingent valuation analysis of willingness to pay to reduce childhood obesity.

    PubMed

    Cawley, John

    2008-07-01

    Several recent surveys have asked Americans whether they support policies to reduce childhood obesity. There is reason for skepticism of such surveys because people are not confronted with the tax costs of such policies when they are asked whether they support them. This paper uses contingent valuation (CV), a method frequently used to estimate people's willingness to pay (WTP) for goods or services not transacted in markets, applied to unique survey data from New York State to estimate the willingness to pay to reduce childhood obesity. The willingness to pay data correlate in predictable ways with respondent characteristics. The mean WTP for a 50% reduction in childhood obesity is $46.41 (95% CI: $33.45, $59.15), which implies a total WTP by New York State residents of $690.6 million (95% CI: $497.7, $880.15), which is less than that implied by previous surveys that did not use CV methods but greater than current spending on policies to reduce childhood obesity and greater than the estimated savings in external costs. The findings provide policymakers with useful information about taxpayers' support for, and preferred budget for, anti-obesity policies. PMID:18619930

  17. The L-Type Calcium Channel Blocker Nifedipine Impairs Extinction, but Not Reduced Contingency Effects, in Mice

    ERIC Educational Resources Information Center

    Jami, Shekib; Barad, Mark; Cain, Christopher K.; Godsil, Bill P.

    2005-01-01

    We recently reported that fear extinction, a form of inhibitory learning, is selectively blocked by systemic administration of L-type voltage-gated calcium channel (LVGCC) antagonists, including nifedipine, in mice. We here replicate this finding and examine three reduced contingency effects after vehicle or nifedipine (40 mg/kg) administration.…

  18. Implementation of a Contingency Management-Based Intervention in a Community Supervision Setting: Clinical Issues and Recommendations

    PubMed Central

    TROTMAN, ADRIA J.; TAXMAN, FAYE S.

    2011-01-01

    A cognitive-behaviorally based substance abuse treatment program was implemented within a Community Supervision setting. This program included a goals group that included a contingency management component and included the probation agent as a part of treatment. This paper describes the contingency management component of the treatment and discusses, in detail, issues that arose throughout the course of the study. Possible causes and solutions to the issues are discussed from a contingency management perspective that can result in improved reinforcements to achieve better probationer outcomes. PMID:22235164

  19. Blowing in the (social) wind: implications of extrinsic esteem contingencies for terror management and health.

    PubMed

    Arndt, Jamie; Cox, Cathy R; Goldenberg, Jamie L; Vess, Matthew; Routledge, Clay; Cooper, Douglas P; Cohen, Florette

    2009-06-01

    In 4 studies, the role of extrinsic esteem contingencies in adjusting to shifting health-relevant standards when managing existential fears was examined. Study 1 demonstrated that after reminders of death, higher dispositional focus on extrinsic self-esteem contingencies predicted greater interest in tanning. Using a more domain-specific approach, Study 2 showed that, after being reminded of death, the more individuals smoke for social esteem reasons, the more compelling they find an antismoking commercial that exposes adverse social consequences of smoking. Study 3 explored how situational factors (i.e., priming a contingent relational schema) that implicate extrinsic contingencies facilitated the impact of shifting standard primes on tanning intentions after mortality salience. Finally, Study 4 found that mortality salience led to increased endorsement of exercise as a basis of self-worth when participants who derive self-esteem from extrinsic sources visualized someone who exercises. Together, these studies demonstrate that reminders of death interact with prevalent social standards to influence everyday health decisions. PMID:19469596

  20. Adaptability of Contingency Management in Justice Settings: Survey Findings on Attitudes Towards Using Rewards

    PubMed Central

    Murphy, Amy; Rhodes, Anne Giuranna; Taxman, Faye S.

    2011-01-01

    Contingency management (CM) is widely recognized as an evidence-based practice, but it is not widely used in either treatment settings or justice settings. CM is perceived as adaptable in justice settings given the natural inclination to use contingencies to improve compliance to desired behaviors. In the Justice Steps implementation study, five federal district court jurisdictions agreed to consider implementing CM in specialized problem-solving courts or probation settings. A baseline survey (n=186) examined the acceptance and feasibility of using rewards as a tool to manage offender compliance. The results of the survey revealed that the majority of respondents believe that rewards are acceptable, with little difference between social and material rewards. Survey findings also showed that female justice workers and those who were not Probation Officers were more accepting of material rewards than their counterparts. Findings are consistent with prior research in drug treatment settings where there is little concern about using rewards. PMID:22209658

  1. Adaptability of contingency management in justice settings: survey findings on attitudes toward using rewards.

    PubMed

    Murphy, Amy; Rhodes, Anne Giuranna; Taxman, Faye S

    2012-09-01

    Contingency management (CM) is widely recognized as an evidence-based practice, but it is not widely used in either treatment settings or justice settings. CM is perceived as adaptable in justice settings given the natural inclination to use contingencies to improve compliance to desired behaviors. In the Justice Steps implementation study, 5 federal district court jurisdictions agreed to consider implementing CM in specialized problem-solving courts or probation settings. A baseline survey (N = 186) examined the acceptance and feasibility of using rewards as a tool to manage offender compliance. The results of the survey revealed that most of the respondents believe that rewards are acceptable, with little difference between social and material rewards. Survey findings also showed that female justice workers and those who were not probation officers were more accepting of material rewards than their counterparts. Findings are consistent with prior research in drug treatment settings where there is little concern about using rewards. PMID:22209658

  2. Disseminating Contingency Management to Increase Attendance in Two Community Substance Abuse Treatment Centers: Lessons Learned

    PubMed Central

    Walker, Robrina; Rosvall, Traci; Field, Craig A.; Allen, Sean; McDonald, Daniel; Salim, Zeba; Ridley, Natalie; Adinoff, Bryon

    2010-01-01

    Although Contingency Management has been shown to be effective in substance use treatments, community adoption has been slow. In order to increase dissemination of contingency management (CM) into community practice, two community treatment programs collaborated with university faculty investigators to design, implement, and evaluate low-cost, prize-based CM interventions delivered by treatment staff using Petry’s (2000) fishbowl technique. A pre-post study design was used to evaluate the impact of CM on outpatient group attendance. All clients attending the targeted outpatient groups at both treatment programs were eligible to participate. Group attendance was significantly positively impacted after intervention implementation. This is one of the first studies demonstrating successful implementation of CM by community treatment program counselors within their existing treatment groups. The discussion focuses on practical lessons learned during the planning and implementation of the interventions. PMID:20598838

  3. Initial Abstinence Status and Contingency Management Treatment Outcomes: Does Race Matter?

    PubMed Central

    Montgomery, LaTrice; Carroll, Kathleen M.; Petry, Nancy M.

    2015-01-01

    Objective Limited research has evaluated African American substance users’ response to evidence-based treatments. This study examined the efficacy of contingency management (CM) in African American and White cocaine users. Method A secondary analysis evaluated effects of race, treatment condition, and baseline cocaine urine sample results on treatment outcomes of African American (n = 444) and White (n = 403) cocaine abusers participating in one of six randomized clinical trials comparing CM to standard care. Results African American and White patients who initiated treatment with a cocaine-negative urine sample remained in treatment for similar durations and submitted a comparable proportion of negative samples during treatment regardless of treatment type; CM was efficacious in both races in terms of engendering longer durations of abstinence in patients who began treatment abstinent. Whites who began treatment with a cocaine positive sample remained in treatment longer and submitted a higher proportion of negative samples when assigned to CM than standard care. African Americans who initiated treatment with a cocaine positive sample, however, did not remain in treatment longer with CM compared with standard care, and gains in terms of drug use outcomes were muted in nature relative to Whites. This interaction effect persisted through the 9-month follow-up period. Conclusions CM is not equally effective in reducing drug use among all subgroups, specifically African American patients who are using cocaine upon treatment entry. Future research on improving treatment outcomes in this population is needed. PMID:25798729

  4. Effectiveness of very low-cost contingency management in a community adolescent treatment program.

    PubMed

    Lott, David C; Jencius, Simon

    2009-06-01

    Controlled studies have shown that motivational incentives reduce drug use, but community implementation has been limited. This observational study examines the effect of a contingency management (CM) program on urine, attendance, and cost measures in a community substance abuse treatment program for adolescents. Treatment included elements of 12-step facilitation, cognitive behavioral therapy, and motivational enhancement. All urine tests included cannabinoids, opioids, benzodiazepines, cocaine, and amphetamines. Patients with negative urines or perfect attendance earned chances to draw weekly from a bag for prizes of varying value, and the number of draws increased with each consecutive negative urine test. Data were collected for those patients (age 12-18) treated immediately before (n=83) and after (n=264) the CM program was introduced to the treatment center, and positive urine rates were compared using chi-square tests. Patients treated with the CM program had lower rates of urines positive for opioids (p<0.005) and cocaine (p<0.05), and non-significantly but consistently lower rates of urines positive for all other drug classes. Altogether, the proportion of urines positive for any drug decreased from 33.3% to 23.4% (p<0.01). Pre- and post-CM comparisons of attendance reveal lower daily attendance rates but longer retention in treatment. Expenses were minimal at $0.39 per patient per day. These data yield additional evidence for the feasibility and effectiveness of CM methods in community adolescent treatment programs. PMID:19250774

  5. Interdependent Group Contingency Management for Cocaine-Dependent Methadone Maintenance Patients

    PubMed Central

    Kirby, Kimberly C; Kerwin, MaryLouise E; Carpenedo, Carolyn M; Rosenwasser, Beth J; Gardner, Robert S

    2008-01-01

    Contingency management (CM) for drug abstinence has been applied to individuals independently even when delivered in groups. We developed a group CM intervention in which the behavior of a single, randomly selected, anonymous individual determined reinforcement delivery for the entire group. We also compared contingencies placed only on cocaine abstinence (CA) versus one of four behaviors (CA, treatment attendance, group CM attendance, and methadone compliance) selected randomly at each drawing. Two groups were formed with 22 cocaine-dependent community-based methadone patients and exposed to both CA and multiple behavior (MB) conditions in a reversal design counterbalanced across groups for exposure order. The group CM intervention proved feasible and safe. The MB condition improved group CM meeting attendance relative to the CA condition. PMID:19192861

  6. Randomization of Group Contingencies and Reinforcers To Reduce Classroom Disruptive Behavior.

    ERIC Educational Resources Information Center

    Theodore, Lea A.; Bray, Melissa A.; Kehle, Thomas J.; Jenson, William R.

    2001-01-01

    Investigates the effect of randomizing both contingencies for reinforcement and reinforcers to decrease classroom disruptive behavior in five adolescent students with serious emotional disorder. Results reveal that the percentage of observed intervals of disruptive behaviors decreased immediately and dramatically in all students. (Contains 24…

  7. "Our Mystery Hero!" A Group Contingency Intervention for Reducing Verbally Disrespectful Behaviors

    ERIC Educational Resources Information Center

    Jones, Melissa; Boon, Richard T.; Fore, Cecil, III; Bender, William N.

    2008-01-01

    A reversal (ABAB) design was used to evaluate the effectiveness of a group contingency intervention on the verbally disrespectful behaviors of seven middle school students with specific learning disabilities and attention deficit disorders (ADHD) in a special education resource classroom setting for reading instruction. During the intervention…

  8. Preliminary Examination of Adolescent Spending in a Contingency Management Based Smoking Cessation Program.

    PubMed

    Cavallo, Dana A; Nich, Charla; Schepis, Ty S; Smith, Anne E; Liss, Thomas B; McFetridge, Amanda K; Krishnan-Sarin, Suchitra

    2010-09-01

    Contingency management (CM) utilizing monetary incentives is efficacious in enhancing abstinence in an adolescent smoking cessation program, but how adolescents spend their money has not been examined. We assessed spending habits of 38 adolescent smokers in a CM-based smoking cessation project prior to quitting and during treatment using a questionnaire about spending in a number of categories, including cigarettes, other addictive substances, durable goods, and disposable goods. Our preliminary results indicate that participation in a CM based program for smoking cessation did not lead to greater spending on cigarettes and other substances and may have produced more socially acceptable spending. PMID:20802850

  9. Facilitating the Adoption of Contingency Management for the Treatment of Substance Use Disorders

    PubMed Central

    Roll, John M; Madden, Gregory J; Rawson, Richard; Petry, Nancy M

    2009-01-01

    Contingency management (CM) is an effective treatment strategy for addressing many types of substance abuse disorders and associated problems. Nonetheless, CM protocols have not been widely embraced by community-based treatment providers. Exploration of the viability of CM outside of a research context remains largely an academic pursuit. In this paper, we outline several areas that may hinder the transfer of CM technology into community-based practice settings, review the literature that may address these barriers, and offer suggestions to researchers for overcoming them. PMID:22477692

  10. Contingency Software in Autonomous Systems: Technical Level Briefing

    NASA Technical Reports Server (NTRS)

    Lutz, Robyn R.; Patterson-Hines, Ann

    2006-01-01

    Contingency management is essential to the robust operation of complex systems such as spacecraft and Unpiloted Aerial Vehicles (UAVs). Automatic contingency handling allows a faster response to unsafe scenarios with reduced human intervention on low-cost and extended missions. Results, applied to the Autonomous Rotorcraft Project and Mars Science Lab, pave the way to more resilient autonomous systems.

  11. A Multi-Level Approach to Predicting Community Addiction Treatment Attitudes About Contingency Management

    PubMed Central

    Hartzler, Bryan; Donovan, Dennis; Tillotson, Carrie; Mongoue-Tchokote, Solange; Doyle, Suzanne; McCarty, Dennis

    2011-01-01

    Adoption of contingency management (CM) by the addiction treatment community is limited to date despite much evidence for its efficacy. This study examined systemic and idiographic staff predictors of CM adoption attitudes via archival data collected from treatment organizations affiliated with the National Drug Abuse Treatment Clinical Trials Network. Multilevel modeling analyses evaluated potential predictors from organizational, treatment unit, and workforce surveys. Among these were individual and shared perceptions of staff concerning aspects of their clinic culture and climate. Modeling analyses identified three systemic predictors (clinic provision of opiate agonist services, national accreditation, lesser shared perception of workplace stress) and five idiographic predictors (staff with a graduate degree, longer service tenure, managerial position, e-communication facility, and openness to change in clinical procedures). Findings are discussed as they relate to extant literature on CM attitudes and established implementation science constructs, and their practical implications are discussed. PMID:22138199

  12. Sex effects in cocaine using methadone patients randomized to contingency management interventions

    PubMed Central

    Burch, Ashley E.; Rash, Carla J.; Petry, Nancy M.

    2015-01-01

    Contingency management (CM) is an effective treatment for promoting cocaine abstinence in patients receiving methadone maintenance. However, few studies have examined the effect of sex on treatment outcomes in this population. This study evaluated the impact of sex on longest duration of abstinence (LDA) and percent negative urine samples in 323 cocaine-using methadone patients from four randomized clinical trials comparing CM to standard methadone care. Overall, women had better treatment outcomes compared to men, demonstrated by an increase in both LDA and percentages of negative samples. Patients receiving CM also had significantly higher LDA and percentages of negative samples compared to patients receiving standard care, but sex by treatment condition effects were not significant. These data suggest that cocaine using methadone patients who are women have better substance use outcomes than men in interventions that regularly monitor cocaine use, and CM is equally efficacious regardless of sex. PMID:26237326

  13. Adapting the Helpful Responses Questionnaire to assess communication skills involved in delivering contingency management: Preliminary psychometrics

    PubMed Central

    Hartzler, Bryan

    2015-01-01

    A paper/pencil instrument, adapted from Miller and colleagues’ (1991) Helpful Responses Questionnaire (HRQ), was developed to assess clinician skill with core communicative aspects involved in delivering contingency management (CM). The instrument presents a single vignette consisting of six points of client dialogue to which respondents write ‘what they would say next.’ In the context of an implementation/effectiveness hybrid trial, 19 staff clinicians at an opiate treatment program completed serial training outcome assessments before, following, and three months after CM training. Assessments included this adaptation of the HRQ, a multiple-choice CM knowledge test, and a recorded standardized patient encounter scored for CM skillfulness. Study results reveal promising psychometric properties for the instrument, including strong scoring reliability, internal consistency, concurrent and predictive validity, test-retest reliability and sensitivity to training effects. These preliminary findings suggest the instrument is a viable, practical method to assess clinician skill in communicative aspects of CM delivery. PMID:25770870

  14. Contingency management is effective across cocaine-dependent outpatients with different socioeconomic status.

    PubMed

    Secades-Villa, Roberto; García-Fernández, Gloria; Peña-Suárez, Elsa; García-Rodríguez, Olaya; Sánchez-Hervás, Emilio; Fernández-Hermida, José Ramón

    2013-03-01

    Contingency management (CM) has demonstrated its efficacy for treating cocaine dependence, but there is still some controversy with regard to its dissemination. Understanding how individual differences affect CM outcomes is important for detecting barriers to its dissemination. The aim of this study is to examine the impact of socioeconomic variables in cocaine-dependent outpatients on the effectiveness of CM in a community setting. Cocaine-dependent outpatients (N=118) were randomized to community reinforcement approach (CRA) treatment or a CRA plus vouchers program. The impact of baseline economic variables, alone and in combination with treatment conditions, on abstinence and retention outcomes after 6 months of treatment was assessed. Results showed that income had no effect on retention or abstinence outcomes after 6 months of treatment in either treatment condition. The addition of a CM component was beneficial for individuals with any socioeconomic status. These results support the generalizability of CM strategies with patients of different socioeconomic status in community settings. PMID:22999380

  15. Diffusion of Contingency Management and Attitudes Regarding Its Effectiveness and Acceptability

    PubMed Central

    Bride, Brian E.; Abraham, Amanda J.; Roman, Paul M.

    2010-01-01

    Substance abuse counselors are critical as the key arbiters of clients’ acceptance and use of innovative treatment techniques, with their potential support embedded in their knowledge of and attitudes towards particular innovations. In this analysis we examine the role of substance abuse counselors in the adoption of a psychosocial treatment innovation, contingency management (CM). Using data collected from 1140 counselors employed in a national sample of 318 public treatment centers, we examine theoretical predictors of counselors’ knowledge of CM, and their attitudes regarding CM's effectiveness and acceptability. Findings suggest that lack of exposure to CM through program use and innovation-specific training is the most salient barrier to CM adoption and diffusion. The study also highlights the importance of social networks in the diffusion and acceptance of treatment innovations. PMID:20687001

  16. Effect of Reinforcement Probability and Prize Size on Cocaine and Heroin Abstinence in Prize-Based Contingency Management

    ERIC Educational Resources Information Center

    Ghitza, Udi E.; Epstein, David H.; Schmittner, John; Vahabzadeh, Massoud; Lin, Jia-Ling; Preston, Kenzie L.

    2008-01-01

    Although treatment outcome in prize-based contingency management has been shown to depend on reinforcement schedule, the optimal schedule is still unknown. Therefore, we conducted a retrospective analysis of data from a randomized clinical trial (Ghitza et al., 2007) to determine the effects of the probability of winning a prize (low vs. high) and…

  17. A Comparison of Five Reinforcement Schedules for Use in Contingency Management-Based Treatment of Methamphetamine Abuse

    ERIC Educational Resources Information Center

    Roll, John M.; Huber, Alice; Sodano, Ruthlyn; Chudzynski, Joy E.; Moynier, Eugene; Shoptaw, Steve

    2006-01-01

    One variation of contingency management involves providing vouchers with monetary value for the provision of a biological sample indicating no recent drug use. These vouchers can be exchanged for goods or services. The schedule with which the vouchers are disbursed has been studied and results suggest that those schedules that incorporate…

  18. Internet-Based Contingency Management to Improve Adherence with Blood Glucose Testing Recommendations for Teens with Type 1 Diabetes

    ERIC Educational Resources Information Center

    Raiff, Bethany R.; Dallery, Jesse

    2010-01-01

    The current study used Internet-based contingency management (CM) to increase adherence with blood glucose testing to at least 4 times daily. Four teens diagnosed with Type 1 diabetes earned vouchers for submitting blood glucose testing videos over a Web site. Participants submitted a mean of 1.7 and 3.1 blood glucose tests per day during the 2…

  19. Developing a Measure of Therapist Adherence to Contingency Management: An Application of the Many-Facet Rasch Model

    ERIC Educational Resources Information Center

    Chapman, Jason E.; Sheidow, Ashli J.; Henggeler, Scott W.; Halliday-Boykins, Colleen A.; Cunningham, Phillippe B.

    2008-01-01

    A unique application of the Many-Facet Rasch Model (MFRM) is introduced as the preferred method for evaluating the psychometric properties of a measure of therapist adherence to Contingency Management (CM) treatment of adolescent substance use. The utility of psychometric methods based in Classical Test Theory was limited by complexities of the…

  20. Meta-Analysis of Day Treatment and Contingency-Management Dismantling Research: Birmingham Homeless Cocaine Studies (1990-2006)

    ERIC Educational Resources Information Center

    Schumacher, Joseph E.; Milby, Jesse B.; Wallace, Dennis; Meehan, Dawna-Cricket; Kertesz, Stefan; Vuchinich, Rudy; Dunning, Jonathan; Usdan, Stuart

    2007-01-01

    Four successive randomized clinical trials studying contingency management (CM), involving various treatment arms of drug-abstinent housing and work therapy and day treatment (DT) with a behavioral component, were compared on common drug abstinence outcomes at 2 treatment completion points (2 and 6 months). The clinical trials were conducted from…

  1. A Group Contingency plus Self-Management Intervention Targeting At-Risk Secondary Students' Class-Work and Active Engagement

    ERIC Educational Resources Information Center

    Trevino-Maack, Sylvia I.; Kamps, Debra; Wills, Howard

    2015-01-01

    The purpose of the present study is to show that an independent group contingency (GC) combined with self-management strategies and randomized-reinforcer components can increase the amount of written work and active classroom responding in high school students. Three remedial reading classes and a total of 15 students participated in this study.…

  2. Contingency management is efficacious in opioid-dependent outpatients not maintained on agonist pharmacotherapy.

    PubMed

    Petry, Nancy M; Carroll, Kathleen M

    2013-12-01

    Contingency management (CM) is an empirically supported intervention for substance dependence, but it has not been evaluated systematically in non maintained opioid-dependent patients. This retrospective analysis examined whether CM was effective in opioid-dependent patients initiating intensive outpatient psychosocial treatment. In the primary trial (Petry, N. M., Weinstock, J., & Alessi, S. M. [2011]. A randomized trial of contingency management delivered in the context of group counseling. Journal of Consulting and Clinical Psychology, 79, 686-696), substance-abusing patients (n = 239) at two community-based clinics were randomized to standard care (SC) or SC with CM for 12 weeks; in the CM condition, patients earned opportunities to win prizes for attending treatment and submitting drug-negative samples. For this analysis, patients were further classified as non-opioid-dependent (n = 159), opioid-dependent and not receiving maintenance therapy (n = 33), or opioid-dependent and on methadone or Suboxone maintenance therapy (n = 47). Main effects of opioid dependence/maintenance status, treatment condition, and their interaction were evaluated with respect to attendance and abstinence outcomes. Opioid-dependent patients receiving maintenance pharmacotherapy attended treatment on fewer days and achieved less abstinence than their opioid-dependent counterparts who were not on opioid agonist therapy, with Cohen's d effect sizes of 0.63 and 0.61 for attendance and abstinence outcomes, respectively. Nonmaintained opioid-dependent patients evidenced similar outcomes as substance abusing patients who were not opioid-dependent. CM also improved retention and abstinence (d = .26 and .40, respectively), with no interaction effects with opioid dependence/maintenance status noted. These data suggest that CM may be an effective psychosocial intervention potentially suitable for the growing population of opioid-dependent patients, including those not receiving maintenance

  3. Contingent observation: an effective and acceptable procedure for reducing disruptive behavior of young children in a group setting.

    PubMed Central

    Porterfield, J K; Herbert-Jackson, E; Risley, T R

    1976-01-01

    Since a major task of childhood is learning to get along in a group without disrupting other children's activities, caregivers need explicit guidelines for gentle but effective procedures for dealing with disruptive behaviors in child-care settings. In a day-care center for normal 1- and 2-yr.-old children, an effort was made to develop a procedure that appeared sufficiently humane and educational to be acceptable to parents and day-care workers, and yet effective in reducing disruptive play behaviors. Caregivers used the occasion of disruptive behavior to instruct the child in appropriate alternatives, then had the child sit on the periphery and observe the appropriate social behavior of the other children "sit and watch", for a brief period before inviting him or her to rejoin the play activities. The effectiveness of this procedure was compared with a method commonly recommended for the use with young children: instructing the child, then distracting or redirecting the child to an alternative toy or activity. Contingent observation, combining instruction with a brief timeout (from being a participant in an activity to becoming an observer of the activity), proved considerably more effective in maintaining low levels of disruptions and was considered by caregivers and parents to be an appropriate and socially acceptable method of dealing with young children's disruptive behaviors. Therefore, contingent observation can be recommended for general use in day-care programs for young children. PMID:1254542

  4. Impaired Contingent Attentional Capture Predicts Reduced Working Memory Capacity in Schizophrenia

    PubMed Central

    Mayer, Jutta S.; Fukuda, Keisuke; Vogel, Edward K.; Park, Sohee

    2012-01-01

    Although impairments in working memory (WM) are well documented in schizophrenia, the specific factors that cause these deficits are poorly understood. In this study, we hypothesized that a heightened susceptibility to attentional capture at an early stage of visual processing would result in working memory encoding problems. 30 patients with schizophrenia and 28 demographically matched healthy participants were presented with a search array and asked to report the orientation of the target stimulus. In some of the trials, a flanker stimulus preceded the search array that either matched the color of the target (relevant-flanker capture) or appeared in a different color (irrelevant-flanker capture). Working memory capacity was determined in each individual using the visual change detection paradigm. Patients needed considerably more time to find the target in the no-flanker condition. After adjusting the individual exposure time, both groups showed equivalent capture costs in the irrelevant-flanker condition. However, in the relevant-flanker condition, capture costs were increased in patients compared to controls when the stimulus onset asynchrony between the flanker and the search array was high. Moreover, the increase in relevant capture costs correlated negatively with working memory capacity. This study demonstrates preserved stimulus-driven attentional capture but impaired contingent attentional capture associated with low working memory capacity in schizophrenia. These findings suggest a selective impairment of top-down attentional control in schizophrenia, which may impair working memory encoding. PMID:23152783

  5. Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program.

    PubMed

    Hartzler, Bryan; Jackson, T Ron; Jones, Brinn E; Beadnell, Blair; Calsyn, Donald A

    2014-04-01

    Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed. PMID:24462242

  6. Disseminating contingency management: Impacts of staff training and implementation at an opiate treatment program

    PubMed Central

    Hartzler, Bryan; Jackson, T. Ron; Jones, Brinn E.; Beadnell, Blair; Calsyn, Donald A.

    2014-01-01

    Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study’s collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed. PMID:24462242

  7. Implementing the Contingent Valuation Method for supporting decision making in the waste management sector.

    PubMed

    Gaglias, A; Mirasgedis, S; Tourkolias, C; Georgopoulou, E

    2016-07-01

    This study presents an application of the Contingent Valuation Method (CVM) for valuing the environmental impacts associated with the operation of landfills for residues following waste treatment and depicts how the results of the analysis can be used for decision making in the field of waste management. The survey was conducted in Ikaria, Greece, a medium-sized island in the northern Aegean Sea, with a view to estimate the amount of compensatory benefits that are socially acceptable to be attributed to the hosting community of a new landfill for residues. The results showed that the mean willingness to pay per household to create a fund for financing social and environmental programs in the community that will host the landfill in question was estimated at €6.5-6.7 per 2-month and household taking into account all households of the sample. This estimate is at the same order of magnitude but at the lower band compared to the results of other relevant studies showing that the public in Ikaria is aware for the relatively limited environmental burdens associated with the operation of landfills for residues following an integrated waste management treatment. PMID:27114113

  8. Comparable Efficacy of Contingency Management for Cocaine Dependence Among African American, Hispanic and White Methadone Maintenance Clients

    PubMed Central

    Barry, Danielle; Sullivan, Brendan; Petry, Nancy M.

    2009-01-01

    Cocaine use is a significant problem among methadone maintenance clients. Contingency management (CM) is a reinforcement-based approach with demonstrated efficacy for reducing cocaine use. This study examines whether the efficacy of CM treatment for cocaine-dependent individuals receiving methadone maintenance for opioid dependence differs by ethnicity. Participants were 191 African American, Hispanic and White cocaine-dependent methadone maintenance clients, randomly assigned to standard methadone treatment or standard methadone treatment plus CM for 12 weeks. Hispanic participants were younger, less educated, and reported fewer years of cocaine use than African American and White participants and reported fewer years of heroin use than African American participants. African American participants were less likely to report a history of psychiatric symptoms or treatment compared to Hispanic and White participants. While CM was associated with longer duration of continuous cocaine abstinence and a greater proportion of submitted urine samples negative for cocaine, ethnicity was not related to treatment outcomes, and there was no significant interaction between treatment and ethnicity. CM appears to be an efficacious treatment for cocaine dependence among methadone maintenance clients, regardless of ethnicity. PMID:19290703

  9. A Randomized Trial of Contingency Management for Adolescent Marijuana Abuse and Dependence

    PubMed Central

    Stanger, Catherine; Budney, Alan J.; Kamon, Jody L.; Thostensen, Jeff

    2009-01-01

    An initial efficacy test of an innovative behavioral outpatient treatment model for adolescents with problematic use of marijuana enrolled 69 adolescents, aged 14–18, and randomly assigned them to one of two treatment conditions. Both conditions received individualized Motivational Enhancement and Cognitive Behavioral Therapy (MET/CBT) and a twice-weekly drug-testing program. The experimental contingency management condition involved a clinic delivered, abstinence-based incentive program, and weekly behavioral parent training sessions that included a parent-delivered, abstinence-based, substance monitoring contract. The comparison condition included an attendance-based incentive program, and weekly psychoeducational parent sessions. Follow-up assessments were performed at 3, 6, 9 months post-treatment. The experimental condition showed greater marijuana abstinence during treatment, e.g., 7.6 vs. 5.1 continuous weeks and 50% vs. 18% achieved ≥ 10 weeks of abstinence. Improvements were found in parenting and youth psychopathology across treatment conditions, and improvements in negative parenting uniquely predicted post treatment abstinence. The outcomes observed in the experimental condition are consistent with adult substance dependence treatment literature, and suggest that integrating CM abstinence-based approaches with other empirically-based outpatient interventions provides an alternative and efficacious treatment model for adolescent substance abuse/dependence. Replication and continued development of more potent interventions remain needed to further advance the development of effective substance abuse treatments for adolescents. PMID:19717250

  10. Interaction effects of age and contingency management treatments in cocaine-dependent outpatients.

    PubMed

    Weiss, Lindsay M; Petry, Nancy M

    2011-04-01

    As the American population ages, older adults are accounting for a larger percentage of the drug-abusing population, but little attention has been given to this age group especially in regards to evaluating responsivity to different treatment modalities. Contingency management (CM) is a highly effective behavioral treatment that provides positive tangible reinforcers for objective evidence of behavior change. The purpose of this study was to examine main and interactive effects of age on outcomes in cocaine-dependent patients receiving CM with standard care (SC) or SC alone. Patients (N = 393) participating in 1 of 3 randomized trials of CM for cocaine dependence were divided into young, middle, and older age cohorts. Baseline characteristics and outcomes were compared across the age groups. The oldest age group had more medical problems than the youngest and middle age groups but had fewer legal difficulties and psychiatric symptoms. The oldest age group remained in treatment significantly longer than the other age groups, regardless of the type of treatment received. Although all age groups benefited from CM in terms of retention and longest duration of abstinence achieved, a significant age by treatment interaction effect emerged, with the older cohort improving relatively less from CM than the younger age groups. These findings demonstrate that age may play a role in moderating intervention outcomes, and tailoring CM to the needs of older and middle-aged substance abusers may be important for improving outcomes in this growing population. PMID:21463074

  11. Lost in translation? Moving contingency management and cognitive behavioral therapy into clinical practice.

    PubMed

    Carroll, Kathleen M

    2014-10-01

    In the treatment of addictions, the gap between the availability of evidence-based therapies and their limited implementation in practice has not yet been bridged. Two empirically validated behavioral therapies, contingency management (CM) and cognitive behavioral therapy (CBT), exemplify this challenge. Both have a relatively strong level of empirical support but each has weak and uneven adoption in clinical practice. This review highlights examples of how barriers to their implementation in practice have been addressed systematically, using the Stage Model of Behavioral Therapies Development as an organizing framework. For CM, barriers such as cost and ideology have been addressed through the development of lower-cost and other adaptations to make it more community friendly. For CBT, barriers such as relative complexity, lack of trained providers, and need for supervision have been addressed via conversion to standardized computer-assisted versions that can serve as clinician extenders. Although these and other modifications have rendered both interventions more disseminable, diffusion of innovation remains a complex, often unpredictable process. The existing specialty addiction-treatment system may require significant reforms to fully implement CBT and CM, particularly greater focus on definable treatment goals and performance-based outcomes. PMID:25204847

  12. A Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV

    PubMed Central

    Moore, Brent A.; Rosen, Marc I.; Wang, Yan; Shen, Jie; Ablondi, Karen; Sullivan, Anna; Guerrero, Mario; Siqueiros, Lisa; Daar, Eric S.; Liu, Honghu

    2015-01-01

    Substance using HIV patients are at risk for non-adherence, and most prior interventions in this population have had only modest effects on adherence. Contingency Management (CM) is a promising intervention. The Centralized Off-site AdheRence Enhancement (CARE) program involved 12 telephone-delivered substance and adherence-targeted Cognitive Behavior Therapy (CBT) sessions coupled with CM for adherence to antiretroviral therapy (ART) and counseling participation. CM involved 6 weeks of escalating reinforcement for taking prescribed doses followed by 6 weeks of tapering variable rate reinforcement, and separate reinforcement for counseling ($806 possible). Participants’ adherence was measured by devices which wirelessly provided real-time notification of device-opening. HIV infected patients on ART (N=10) with recent stimulant or alcohol use completed 10.6 of 12 possible telephone sessions, spent 44 minutes/call, and rated the counseling 6.2 on a 1–7 scale. Medication adherence improved from 81% to 93% (p = .04). CARE appears to be acceptable and engaging. PMID:25645326

  13. Contingency management improves outcomes in cocaine-dependent outpatients with depressive symptoms.

    PubMed

    García-Fernández, Gloria; Secades-Villa, Roberto; García-Rodríguez, Olaya; Peña-Suárez, Elsa; Sánchez-Hervás, Emilio

    2013-12-01

    Despite depressive symptoms being very common among patients seeking treatment for cocaine dependence, few studies have examined the effects of depressive symptoms on cocaine outpatient treatment outcomes, and there is even less research in the context of Contingency Management (CM). The purpose of this study was to assess the main and interactive effects of co-occurring depressive symptoms on CM outcomes. Cocaine-dependent individuals (N = 108) were randomized to Community Reinforcement Approach (CRA) or CRA plus CM in two outpatient community clinical settings. Participants were categorized according to depression symptoms, self-reported by means of the BDI at treatment entry. Outcome measures included treatment retention and documented cocaine abstinence over a 6-month treatment period. Depressive symptoms were more commonly found in females and in unemployed participants, and were associated with more drug-related, social, and psychiatric problems at treatment entry. Individuals with baseline depressive symptoms had poorer treatment outcomes than patients without depressive symptoms. The addition of CM to CRA made the program more effective than with CRA alone, regardless of depressive symptoms. CM was associated with better abstinence treatment outcomes, while the interaction between unemployment and depressive symptoms was associated with negative retention treatment outcomes. This study supports the efficacy of CM for cocaine-dependent outpatients with and without depressive symptoms, and highlights its importance for improving treatment for unemployed and depressed cocaine-dependent individuals. PMID:24080020

  14. Efficacy of contingency management for cocaine dependence treatment: a review of the evidence.

    PubMed

    Schierenberg, Alwin; van Amsterdam, Jan; van den Brink, Wim; Goudriaan, Anna E

    2012-12-01

    Cocaine dependence causes serious individual and social harm and a considerable proportion of substance related treatment capacity is devoted to cocaine dependent persons. In the absence of approved pharmacotherapies, other treatments for cocaine dependence should be explored. In this review, the efficacy of Contingency Management (CM), a promising behavior therapy using operant conditioning, is evaluated for the treatment of cocaine dependence. A systematic evaluation of 19 studies with a total of 1,664 patients showed that CM - in combination with standard cognitive behavioral or other psychological interventions - (1) increases cocaine abstinence, (2) improves treatment retention during and after group-based or individual psychological treatment, (3) is of benefit in pharmacotherapy trials, and (4) that CM may act synergistically with pharmacotherapy. This suggests that CM is a promising add-on intervention for cocaine dependence treatment. Therefore, it is advocated to include CM in standard treatment programs for cocaine dependence and future pharmacotherapy research. Future larger studies are deemed necessary to replicate these promising results, now often lacking statistical significance. PMID:23244344

  15. If you build it, they will come: statewide practitioner interest in contingency management for youths.

    PubMed

    Henggeler, Scott W; Chapman, Jason E; Rowland, Melisa D; Halliday-Boykins, Colleen A; Randall, Jeff; Shackelford, Jennifer; Schoenwald, Sonja K

    2007-03-01

    Addressing the science-service gap, we examined in this study the amenability of a large heterogeneous sample of community-based therapists in the state mental health and substance abuse treatment sectors to learn about an evidence-based practice (EBP) for adolescent substance abuse (i.e., contingency management [CM]) when such learning was supported administratively and logistically. Leadership in most (44 of 50) public sector agencies supported practitioner recruitment, and 432 of 543 eligible practitioners subsequently attended a 1-day workshop in CM. Workshop attendance was predicted by organizational factors but not by practitioner demographic characteristics, professional background, attitudes toward EBPs, or service sector. Moreover, the primary reason for workshop attendance was to improve services for adolescent clients; the primary barriers to attendance, for those who did not attend, were practical in nature and not due to theoretical incompatibility. The findings demonstrate a considerable amount of interest practitioners showed in both the substance abuse and mental health sectors in learning about an EBP. PMID:17306721

  16. Lost in translation? Moving contingency management and cognitive behavioral therapy into clinical practice

    PubMed Central

    Carroll, Kathleen M.

    2014-01-01

    In the treatment of addictions, the gap between the availability of evidence-based therapies and their limited implementation in practice has not yet been bridged. Two empirically validated behavioral therapies, contingency management (CM) and cognitive behavioral therapy (CBT), exemplify this challenge. Both have a relatively strong level of empirical support but each has weak and uneven adoption in clinical practice. This review highlights examples of how barriers to their implementation in practice have been addressed systematically, using the Stage Model of Behavioral Therapies Development as an organizing framework. For CM, barriers such as cost and ideology have been addressed through the development of lower-cost and other adaptations to make it more community-friendly. For CBT, barriers such as relative complexity, lack of trained providers and need for supervision have been addressed via conversion to standardized computer-assisted versions that can serve as clinician extenders. Although these and other modifications have rendered both interventions more disseminable, diffusion of innovation remains a complex, often unpredictable process. The existing specialty addiction treatment system may require significant reforms to fully implement CBT and CM, particularly greater focus on definable treatment goals and performance-based outcomes. PMID:25204847

  17. Amount of earnings during prize contingency management treatment is associated with post-treatment abstinence outcomes

    PubMed Central

    Petry, Nancy M.; Roll, John M.

    2012-01-01

    Contingency management (CM) treatments that provide patients with the opportunity to earn chances of winning prizes of varying magnitudes are becoming increasingly popular. In the CM literature, magnitude of reinforcement is linked with effect sizes, such that CM treatments that provide larger magnitude reinforcement are more efficacious than those that provide lower magnitude reinforcement. With prize CM, even when magnitudes of overall expected prize earnings are constant, some patients win more prizes than others. Thus, patients who win larger overall amounts of prizes during treatment may have better outcomes than those who win fewer prizes. This study evaluated the impact of overall amounts of prizes won on long-term abstinence outcomes. The dollar amount of prizes won during prize CM treatments was determined from 78 cocaine abusing methadone maintenance patients who were randomized to prize CM treatments in three clinical trials. Abstinence three months following the end of the CM intervention was the primary dependent variable. The dollar amount of prizes won during CM treatment was a significant predictor of submission of cocaine-negative urine samples and self reports of cocaine abstinence at the follow-up evaluation, even after controlling for other variables associated with long-term abstinence such as pre-treatment urinalysis results and longest duration of abstinence achieved during treatment. These results suggest that magnitudes of earnings during prize CM may impact outcomes and call for further experimentation of parameters related to the efficacy of prize CM. PMID:21707189

  18. A randomized controlled trial of contingency management for psycho-stimulant use in community mental health outpatients with co-occurring serious mental illness

    PubMed Central

    McDonell, Michael G.; Srebnik, Debra; Angelo, Frank; McPherson, Sterling; Lowe, Jessica M.; Sugar, Andrea; Short, Robert A.; Roll, John M.; Ries, Richard K.

    2014-01-01

    Objective The primary objective of this study was to determine if contingency management was associated with increased stimulant drug abstinence in community mental health outpatients with serious mental illness and stimulant dependence. Secondary objectives were to determine if contingency management was associated with reductions in use of other substances, psychiatric symptoms, HIV-risk behavior, and inpatient service utilization. Method A randomized controlled design compared outcomes of 176 outpatients with serious mental illness and stimulant dependence. Participants were randomized to three months of contingency management for stimulant abstinence plus treatment-as-usual or treatment-as-usual with reinforcement for study participation only. Urine drug tests, self-report, clinician-report, and service utilization outcomes were assessed during three-month treatment and three-month follow-up periods. Results While participants in the contingency management condition were less likely to complete the treatment period (n=38; 42%) than those assigned to the control condition (n=55; 65%), X2(1)=9.8, p=0.02; those assigned to the contingency management condition were 2.4 (CI=1.9-3.0) times more likely to submit a stimulant-negative urine test during treatment. Participants assigned to contingency management experienced significantly lower levels of alcohol use, injection drug use, psychiatric symptoms, and were five times less likely than those assigned to the control condition to be admitted for psychiatric hospitalization, X2(1)=5.4, p=0.02. Contingency management participants reported significantly fewer days of stimulant drug use, relative to controls during the three-month follow-up. Conclusions When added to treatment-as-usual, contingency management is associated with large reductions in stimulant, injection drug, and alcohol use. Reductions in psychiatric symptoms and hospitalizations were important secondary benefits. PMID:23138961

  19. Reducing Absenteeism and Rescheduling among Grocery Store Employees with Point-Contingent Rewards

    ERIC Educational Resources Information Center

    Camden, Matt C.; Price, Virginia A.; Ludwig, Timothy D.

    2011-01-01

    The purpose of this research was to evaluate a reward program designed to reduce absenteeism among staff (N = 38) at a grocery store. The intervention included public feedback and a credit reward system whereby participants got store dollars for attendance and authorized rescheduling of work assignments. Results showed that absenteeism decreased…

  20. Contingency Management Facilitates the Use of Postexposure Prophylaxis Among Stimulant-Using Men Who Have Sex With Men

    PubMed Central

    Landovitz, Raphael J.; Fletcher, Jesse B.; Shoptaw, Steven; Reback, Cathy J.

    2015-01-01

    Background. Stimulant-using men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) acquisition. Contingency Management (CM) is a robust substance abuse intervention that provides voucher-based incentives for stimulant-use abstinence. Methods. We conducted a randomized controlled trial of CM with postexposure prophylaxis (PEP) among stimulant-using MSM. Participants were randomized to CM or a noncontingent “yoked” control (NCYC) intervention and observed prospectively. Generalized linear models were used to estimate the effect of CM on PEP course completion, medication adherence, stimulant use, and sexual risk behaviors. Results. At a single site in Los Angeles, 140 MSM were randomized to CM (n = 70) or NCYC (n = 70). Participants were 37% Caucasian, 37% African American, and 18% Latino. Mean age was 36.8 (standard deviation = 10.2) years. Forty participants (29%) initiated PEP after a high-risk sexual exposure, with a mean exposure-to-PEP time of 32.9 hours. PEP course completion was greater in the CM group vs the NCYC group (adjusted odds ratio [AOR] 7.2; 95% confidence interval {CI}, 1.1–47.9), with a trend towards improved medication adherence in the CM group (AOR, 4.3; 95% CI, 0.9–21.9). Conclusions. CM facilitated reduced stimulant use and increased rates of PEP course completion, and we observed a trend toward improved adherence. Participants in the CM group reported greater reductions in stimulant use and fewer acts of condomless anal intercourse than the control group. This novel application of CM indicated the usefulness of combining a CM intervention with PEP to produce a synergistic HIV prevention strategy that may reduce substance use and sexual risk behaviors while improving PEP parameters. PMID:25884003

  1. Multi-Component Smoking Cessation Treatment including Mobile Contingency Management for Smoking Cessation in Homeless Veteran Smokers

    PubMed Central

    Carpenter, Vickie L.; Hertzberg, Jeffrey S.; Kirby, Angela C.; Calhoun, Patrick S.; Moore, Scott D.; Dennis, Michelle F.; Dennis, Paul A.; Dedert, Eric A.; Hair, Lauren P.; Beckham, Jean C.

    2015-01-01

    Introduction Smoking rates are 80% among persons who are homeless, and these smokers have decreased odds of quitting smoking. Little is known about relapse rates among homeless smokers, but the dearth of research indicates that more information regarding quit rates in this population is needed. Furthermore, innovative methods are needed to treat smoking cessation among homeless smokers. Web-based contingency management (CM) approaches have been found helpful in reducing smoking among other difficult-to-treat smoker populations but have been generally limited by the need for computers or frequent clinic based carbon monoxide (CO) monitoring. This pilot study builds on a web-based CM approach by evaluating a smart phone based application for CM named mobile CM (mCM). Methods Following a one-week training period, 20 homeless veteran smokers participated in a multi-component smoking cessation intervention including 4 weeks of mCM. All smokers received 4 smoking cessation counseling sessions, nicotine replacement and bupropion (if medically eligible). Participants could earn up to $815 ($480 for mCM, $100 for CO readings showing abstinence at posttreatment and follow up, and $35 for equipment return). Mean compensation for the mCM component was $286 of a possible $480. Results Video transmission compliance was high during the one-week training (97%) and the four-week treatment period (87%). Bioverified 7-day point prevalence abstinence was 50% at four weeks. Follow up bioverified single assessment point prevalence abstinence was 65% at three months and 60% at six months. Conclusions mCM may be a useful adjunctive smoking cessation treatment component for reducing smoking among homeless smokers. PMID:25699616

  2. A randomized trial of Assertive Continuing Care and Contingency Management for adolescents with substance use disorders

    PubMed Central

    Godley, Mark D.; Godley, Susan H.; Dennis, Michael L.; Funk, Rodney R.; Passetti, Lora L.; Petry, Nancy M.

    2014-01-01

    Objective Most adolescents relapse within 90 days of discharge from residential substance use treatment. We hypothesized that Contingency Management (CM), Assertive Continuing Care (ACC), and their combination (CM+ACC) would each be more effective than Usual Continuing Care (UCC). Method 337 adolescents were randomized to 4 continuing care conditions following residential treatment: UCC alone, CM, ACC, or CM+ACC. UCC was available across all conditions. Outcome measures over 12 months included percentage of days abstinent from alcohol, heavy alcohol, marijuana, and any alcohol or other drugs (AOD) using self-reports and toxicology testing and remission status at 12 months. Results CM had significantly higher rates of abstinence than UCC for heavy alcohol use (t(297)= 2.50, p<.01, d = 0.34), any alcohol use (t(297)= 2.58, p<.01, d = 0.36), any AOD use (t(297)= 2.12, p=.01, d = 0.41), and had a higher rate in remission (Odds Ratio [OR]=2.45 [90% CI: 1.18 to 5.08], p=.02). ACC had significantly higher rates of abstinence than UCC from heavy alcohol use (t(297)= 2.66, p<.01, d = 0.31), any alcohol use (t(297)= 2.63, p<.01, d = 0.30), any marijuana use (t(297)= 1.95, p=.02, d = 0.28), any AOD use (t(297)= 1.88, p=.02, d = 0.30), and had higher rates in remission (OR=2.31 [90% CI: 1.10 to 4.85], p=.03). The ACC+CM condition was not significantly different from UCC on any outcomes. Conclusions CM and ACC are promising continuing care approaches after residential treatment. Future research should seek to further improve their effectiveness. PMID:24294838

  3. Contingency management in substance abuse treatment: A structured review of the evidence for its transportability

    PubMed Central

    Hartzler, Bryan; Lash, Steve; Roll, John

    2011-01-01

    Aims Extant literature on contingency management (CM) transportability, or its transition from academia to community practice, is reviewed. The Consolidated Framework for Implementation Research (CFIR; Damschroder et al., 2009) guides the examination of this material. Methods PsychInfo and Medline database searches identified 27 publications, with reviewed reference lists garnering 22 others. These 49 sources were examined according to CFIR domains of the intervention, outer setting, inner setting, clinicians, and implementation processes. Results Intervention characteristics were focal in 59% of the identified literature, with less frequent focus on clinicians (34%), inner setting (32%), implementation processes (18%), and outer setting (8%). As intervention characteristics, adaptability and trialability most facilitate transportability whereas non-clinical origin, perceived inefficacy or disadvantages, and costs are impediments. Clinicians with a managerial focus and greater clinic tenure and CM experience are candidates to curry organizational readiness for implementation, and combat staff disinterest or philosophical objection. A clinic’s technology comfort, staff continuity, and leadership advocacy are inner setting characteristics that prompt effective implementation. Implementation processes in successful demonstration projects include careful fiscal/logistical planning, role-specific staff engagement, practical adaptation in execution, and evaluation via fidelity-monitoring and cost-effectiveness analyses. Outer setting characteristics—like economic policies and inter-agency networking or competition—are salient, often unrecognized influences. Conclusions As most implementation constructs are still moving targets, CM transportability is in its infancy and warrants further scientific attention. More effective dissemination may necessitate that future research weight emphasis on external validity, and utilize models of implementation science. PMID

  4. Contingent Valuation and Pharmacists' Acceptable Levels of Compensation for Medication Therapy Management Services

    PubMed Central

    Wang, Junling; Hong, Song Hee

    2012-01-01

    Background Pharmacists' acceptable level of compensation for medication therapy management (MTM) services needs to be determined using various economic evaluation techniques. Objectives Using contingent valuation method, determine pharmacists' acceptable levels of compensation for MTM services. Methods A mailing survey was used to elicit Tennessee (US) pharmacists' acceptable levels of compensation for a 30-minute MTM session for a new patient with 2 medical conditions, 8 medications, and an annual drug cost of $2,000. Three versions of a series of double-bounded, closed-ended, binary discrete choice questions were asked of pharmacists for their willingness-to-accept (WTA) for an original monetary value ($30, $60, or $90) and then follow-up higher or lower value depending on their responses to the original value. A Kaplan-Meier approach was taken to analyze pharmacists' WTA, and Cox's proportional hazards model was used to examine the effects of pharmacist characteristics on their WTA. Results Three hundred and forty-eight pharmacists responded to the survey. Pharmacists' WTA for the given MTM session had a mean of $63.31 and median of $60. The proportions of pharmacists willing to accept $30, $60, and $90 for the given MTM session were 30.61%, 85.19%, and 91.01%, respectively. Pharmacists' characteristics had statistically significant association with their WTA rates. Conclusions Pharmacists' WTA for the given MTM session is higher than current Medicare MTM programs' compensation levels of $15 to $50 and patients' willingness-to-pay of less than $40. Besides advocating for higher MTM compensation levels by third-party payers, pharmacists also may need to charge patients to reach sufficient compensation levels for MTM services. PMID:22436583

  5. Collegiate contingencies

    PubMed Central

    Lamal, P. A.; Rakos, Richard F.; Greenspoon, Joel

    2000-01-01

    We discuss contemporary trends and developments that affect colleges and universities and describe several central contingencies that have given rise to, maintain, and operate in response to these trends and developments. We identify the differential impacts of these contingencies on faculty, students, and administrators in various types of higher education institutions. These contingencies are sources of conflict between and among these three groups within the academy that, we argue, cause significant instability in contemporary academe. We discuss prominent domains of this dis-equilibrium and propose several general interventions to address the sources of the instability. PMID:22478348

  6. Behavioral research in preventive dentistry: educational and contingency management approaches to the problem of patient compliance.

    PubMed Central

    Iwata, B A; Becksfort, C M

    1981-01-01

    This study examined the effects of reinforcement on compliance with an oral hygiene education program. Patients 18 years of age or older who enrolled in an ongoing program at a periodontal practice received 3-5 sessions of instruction in preventive dental care. Using a between-subjects design, patients who entered the program during alternating months also had a portion of their fees refunded contingent upon improvements in their dental plaque scores. Pre- and posttreatment data showed that all subjects exhibited lower plaque levels following the program, but that greater improvements were seen in patients who were exposed to the fee reduction contingency. Plaque scores taken at a 6-month follow-up revealed some relapse for the Fee Reduction subjects. However, their scores were still substantially better than pretreatment, and better than those of the Education only subjects, whose data differed little from untreated Controls. Methodological and practical issues related to behavioral research in preventive dentistry are discussed. PMID:7287595

  7. Choosing between Two Objects Reduces 3-Year-Olds' Errors on a Reverse-Contingency Test of Executive Function

    ERIC Educational Resources Information Center

    Carroll, Daniel J.; Apperly, Ian A.; Riggs, Kevin J.

    2007-01-01

    In the present experiment, we used a reversed-contingency paradigm (the windows task: [Russell, J., Mauthner, N., Sharpe, S., & Tidswell, T. (1991). The windows task as a measure of strategic deception in preschoolers and autistic subjects. "British Journal of Developmental Psychology, 9," 331-349]) to explore the effect of alterations in the task…

  8. Lifetime Substance Use and HIV Sexual Risk Behaviors Predict Treatment Response to Contingency Management among Homeless, Substance-dependent MSM

    PubMed Central

    Reback, Cathy J; Peck, James A; Fletcher, Jesse B.; Nuno, Miriam; Dierst-Davies, Rhodri

    2016-01-01

    Homeless, substance-dependent MSM continue to suffer health disparities, including high rates of HIV. One-hundred and thirty one homeless, substance-dependent men who have sex with men (MSM) were randomized into a contingency management (CM) intervention to increase substance abstinence and health-promoting behaviors. Participants were recruited from a community-based, health education/risk reduction HIV prevention program and the research activities were also conducted at the community site. Secondary analyses were conducted to identify and characterize treatment responders (defined as participants in a contingency management intervention who scored at or above the median on three primary outcomes). Treatment responders were more likely to be Caucasian/white (p < .05); reported fewer years of lifetime methamphetamine, cocaine, and polysubstance use (p ≤ .05); and reported more recent sexual partners and high-risk sexual behaviors than non-responders (p < .05). The application of evidence-based interventions continues to be a public health priority, especially in the effort to implement effective interventions for use in community settings. The identification of both treatment responders and non-responders is important for intervention development tailored to specific populations, both in service programs and research studies, to optimize outcomes among highly impacted populations. PMID:22880545

  9. Reducing the risk, managing safety.

    PubMed

    Aldridge, Peter

    2016-02-01

    Fire safety in healthcare premises has always been a challenge to those that discharge this duty. Statutory compliance should be a matter of course, but in an ever increasingly challenged NHS, even this is not a given. While the NHS is driven by managing very complex risk to deliver cutting edge healthcare, providers cannot be risk averse. Which risk, however, takes priority? Here Peter Aldridge, fire and corporate services manager at Leeds Teaching Hospitals NHS Trust, and Secretary to the National Association of Healthcare Fire Officers (NAHFO)--which will this month and next jointly stage fire safety seminars with IHEEM; see page 8--considers the key issues, with input from a fire officer at a leading mental health and community Trust. PMID:27017658

  10. A Group Contingency Plus Self-Management Intervention Targeting At-Risk Secondary Students’ Class-Work and Active Engagement

    PubMed Central

    Trevino-Maack, Sylvia I.; Kamps, Debra; Wills, Howard

    2015-01-01

    The purpose of the present study is to show that an independent group contingency (GC) combined with self-management strategies and randomized-reinforcer components can increase the amount of written work and active classroom responding in high school students. Three remedial reading classes and a total of 15 students participated in this study. Students used self-management strategies during independent reading time to increase the amount of writing in their reading logs. They used self-monitoring strategies to record whether or not they performed expected behaviors in class. A token economy using points and tickets was included in the GC to provide positive reinforcement for target responses. The results were analyzed through visual inspection of graphs and effect size computations and showed that the intervention increased the total amount of written words in the students’ reading logs and overall classroom and individual student academic engagement. PMID:26617432

  11. RCRA hazardous waste contingency plans

    SciTech Connect

    Wagner, T.P. )

    1991-10-01

    This paper reports that the Resource Conservation and Recovery Act (RCRA) requires hazardous waste treatment, storage and disposal facilities (TSDFs) to prepare a contingency plan. The plan is a blueprint for emergency response, and must be designed to minimize health and environmental hazards resulting from fires, explosions or other unplanned hazardous releases. Hazardous waste contingency plans often are neglected and considered an unnecessary regulatory exercise by facility operators. However, an effective contingency plan is a valuable tool for reducing liability, protecting workers and the community, and avoiding costly shutdowns. The requirement under Title III of the Superfund Amendments and Reauthorization Act (SARA) that regulated facilities report to EPA annually on releases to the environment has caused regulators to renew emphasis on the importance of RCRA contingency plans. However, regulatory agencies historically have provided insufficient information on the elements of an adequate contingency plan. Nevertheless, facility operators seriously should consider going beyond minimum regulatory requirements and create a comprehensive contingency plan.

  12. Contingency plan improvement for managing oil spills in the coastal waters of Thailand.

    PubMed

    Singkran, Nuanchan

    2014-12-15

    The estimated risks of being impacted by oil spills in the coastal waters were used to improve the oil spill contingency plan of Thailand. Functional roles of local agencies are integrated into the plan. Intensive measures are suggested for the coastal provinces located in high-very high risk zones, whereas light and moderate measures are suggested for the coastal provinces located in low and moderate risk zones, respectively. The estimated percentage risks due to simulated oil slicks hitting the coast and/or important resources (PRoilspill) were used to guide the year-round water activities that should be carefully handled at a certain radius with a low-moderate PRoilspill, whereas they should be avoided at a certain radius with a high-very high PRoilspill. Important measures before, during, and post periods of an oil spill incident are suggested to prevent and monitor oil spill incidents and mitigate their impacts on the environment. PMID:25455821

  13. Synthetic cannabinoids to avoid urine drug screens: Implications for contingency management and other treatments for drug dependence.

    PubMed

    Ninnemann, Andrew L; Lechner, William V; Borges, Allison; Lejuez, C W

    2016-12-01

    Contingency management (CM) is an effective treatment for substance use dependence. Within CM, rewards or vouchers promote continued abstinence by acting as alternative reinforcers to substance use. However, CM relies on the use of accurate biochemical verification methods, such as urinalysis, to verify abstinence. Synthetic cannabinoids (SCs) pose a risk for CM treatment because they are not easily detected by common urinalysis techniques. Although SCs pose a risk, there is limited information regarding current rates of SC use within substance dependent populations as well as rates of substance use and psychiatric disorders among those who use SCs in treatment. We discuss emerging research on these topics and potential implications for CM treatments. Findings suggest CM researchers should test for and query SC use among those being treated for cannabis and cocaine use problems as well as among younger populations of substance users. Implications of other novel psychoactive substances for drug treatment and drug urinalysis are also discussed. PMID:27424166

  14. An Evaluation of a Classwide Intervention Package Involving Self-Management and a Group Contingency on Classroom Behavior of Middle School Students

    ERIC Educational Resources Information Center

    Chafouleas, Sandra M.; Hagermoser Sanetti, Lisa M.; Jaffery, Rose; Fallon, Lindsay M.

    2012-01-01

    The effectiveness of an intervention package involving self-management and a group contingency at increasing appropriate classroom behaviors was evaluated in a sample of middle school students. Participants included all students in each of the 3 eighth-grade general education classrooms and their teachers. The intervention package included…

  15. An experiment in contingent valuation: Willingness to pay for stormwater management. [Homeowners in Baltimore County

    SciTech Connect

    Lindsey, G.H.

    1992-01-01

    The contingent valuation (CV) method is a technique used frequently in benefit-cost analysis to estimate the economic value of non-market goods such as environmental quality. In CV, surveys are used to ask people about their willingness to pay for a good in a hypothetical market situation. In this application, homeowners in Baltimore County were asked about their willingness to pay (WTP) for programs to control pollutants in urban stormwater runoff designed to achieve, respectively, 4% and 1% reductions in nutrient loadings to the Chesapeake Bay. The main variation comprised alternate descriptions of the payment vehicle. Tests show that the mean WTP by means of property taxes does not differ significantly from mean WTP via user charges. This result was somewhat surprising because of other evidence that the respondents believe strongly that user charges are fairer than property taxes. A best estimate of the benefits to homeowners in Baltimore County of controlling nutrient loads for urban stormwater is from $1.2 to $4.2 million annually, depending on the reduction objective.

  16. Contingency contracting and systematic desensitization for heroin addicts in methadone maintenance programs.

    PubMed

    Piane, G

    2000-01-01

    The use and effectiveness of contingency contracting and systematic desensitization with heroin addicts being treated in methadone maintenance programs are discussed. Both behavior therapies can be practically implemented in methadone maintenance programs to supplement methadone pharmacotherapy. Contingency contracting has been effectively employed to reduce illicit drug use and to manage patients in the clinic. Systematic desensitization has less effect on actual heroin usage yet effectively reduces the fear of withdrawal and general anxiety, while improving self-image, assertiveness, and adjustment in the community. A clinic protocol that incorporates all three therapies-methadone maintenance, contingency contracting, and systematic desensitization-is proposed. PMID:11061683

  17. Control, Contingency and Delegation in Decision-Making.

    ERIC Educational Resources Information Center

    Michael, Stephen R.

    1979-01-01

    Proposes a model which emphasizes the delegation of decision-making authority and managerial control of operations. Suggests that risks can be reduced by using (1) a contingency approach to delegation, (2) decision rules for consistency, (3) decision models for specific situations, (4) vital indicator reports, (5) management by objectives, and (6)…

  18. Poultry litter moisture management to reduce ammonia

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Ammonia generation in poultry houses results from the natural breakdown of litter (bedding material mixed with deposits of feces, feathers, spilled feed and water). Good management practices can reduce ammonia concentrations in poultry houses. This factsheet relates findings from a recent publicat...

  19. Income received during treatment does not affect response to contingency management treatments in cocaine-dependent outpatients

    PubMed Central

    Andrade, Leonardo F.; Petry, Nancy M.

    2013-01-01

    Background Prior studies find no effect of baseline income on response to contingency management (CM) interventions. However, income among substance disordered patients is variable, particularly at treatment entry. This study investigated the impact of during-treatment income, a more proximal estimate of economic resources at the time that CM is in effect, on response to standard treatment or the standard treatment plus CM. Method These secondary analyses included 418 cocaine dependent participants initiating community intensive outpatient treatment. We examined whether differences were present in pretreatment and during-treatment overall income, as well as specific income sources. We then conducted a series of regression models to investigate the impact of during-treatment income on treatment outcome. Results Participants’ during-treatment income was significantly lower compared to pretreatment income, and this difference was largely attributable to decreases in earned income, illegal income, and support from friends and family. Neither the main effect of income, nor the interaction of income and treatment condition, was significantly associated with treatment outcome. CM, however, was a significant predictor of improved treatment outcome relative to standard treatment. Income sources and some demographic characteristics were also significant predictors of outcomes; public assistance income was associated with improved outcomes and illegal income was associated with poorer outcomes. Conclusions These results suggest that substance abusers benefit from CM regardless of their income level, and these data add to the growing literature supporting the generalizability of CM across a variety of patient characteristics. PMID:23631869

  20. Do PTSD Symptoms and Course Predict Continued Substance Use for Homeless Individuals in Contingency Management for Cocaine Dependence?

    PubMed Central

    Burns, Michelle Nicole; Lehman, Kenneth A.; Milby, Jesse B.; Wallace, Dennis; Schumacher, Joseph E.

    2010-01-01

    Homeless individuals (n = 187) entering contingency management (CM) for cocaine dependence were assessed for PTSD diagnosis, and a subset of 102 participants reporting traumatic exposure also periodically completed a self-report measure of PTSD symptoms. Patients with PTSD in full remission at 6 months (end of active treatment) and 12 months (end of aftercare) used substances much less frequently during aftercare than those with no PTSD diagnosis. Those whose PTSD diagnosis improved to full remission status during active treatment, and remained in full remission at 12 months, also had superior substance use outcomes. Severity of PTSD symptoms at 6 months, but not baseline or 2 months, was associated with substance use across treatment phases. Substance use during aftercare, however, was better predicted by changes in PTSD symptom severity. Patients whose PTSD symptoms improved more during active treatment fared better during aftercare than those with less improvement. Findings suggest homeless individuals with comorbid PTSD entering CM for cocaine dependence are not necessarily at increased risk for substance use compared to those without the comorbidity. However, course of PTSD does predict substance use, with the potential for CM to be unusually effective for those who respond with substantial, lasting improvements in PTSD. PMID:20363465

  1. Wind Turbine Contingency Control Through Generator De-Rating

    NASA Technical Reports Server (NTRS)

    Frost, Susan; Goebel, Kai; Balas, Mark

    2013-01-01

    Maximizing turbine up-time and reducing maintenance costs are key technology drivers for wind turbine operators. Components within wind turbines are subject to considerable stresses due to unpredictable environmental conditions resulting from rapidly changing local dynamics. In that context, systems health management has the aim to assess the state-of-health of components within a wind turbine, to estimate remaining life, and to aid in autonomous decision-making to minimize damage to the turbine. Advanced contingency control is one way to enable autonomous decision-making by providing the mechanism to enable safe and efficient turbine operation. The work reported herein explores the integration of condition monitoring of wind turbines with contingency control to balance the trade-offs between maintaining system health and energy capture. The contingency control involves de-rating the generator operating point to achieve reduced loads on the wind turbine. Results are demonstrated using a high fidelity simulator of a utility-scale wind turbine.

  2. Examining Longitudinal Stimulant Use and Treatment Attendance as Parallel Outcomes in Two Contingency Management Randomized Clinical Trials.

    PubMed

    McPherson, Sterling; Brooks, Olivia; Barbosa-Leiker, Celestina; Lederhos, Crystal; Lamp, Amanda; Murphy, Sean; Layton, Matthew; Roll, John

    2016-02-01

    The primary aim of this study was to examine stimulant use and longitudinal treatment attendance in one 'parallel outcomes' model in order to determine how these two outcomes are related to one another during treatment, and to quantify how the intervention impacts these two on- and off-target outcomes differently. Data came from two multi-site randomized clinical trials (RCTs) of contingency management (CM) that targeted stimulant use. We used parallel multilevel modeling to examine the impact of multiple pre-specified covariates, including selected Addiction Severity Index (ASI) scores, age and sex, in addition to CM on concurrent attendance and stimulant use in two separate analyses, i.e., one per trial. In one trial, CM was positively associated with attending treatment throughout the trial (β=0.060, p<0.05). In the second trial, CM predicted negative urinalysis ((-)UA) over the 12-week treatment period (β=0.069, p<0.05). In both trials, there was a significant, positive relationship between attendance and (-)UA submission, but in the first trial a (-)UA at both baseline and over time was related to attendance over time (r=0.117; r=0.013, respectively) and in the second trial, a (-)UA submission at baseline was associated with increased attendance over time (r=0.055). These findings indicate that stimulant use and treatment attendance over time are related but distinct outcomes that, when analyzed simultaneously, portray a more informative picture of their predictors and the separate trajectories of each. This 'indirect reinforcement' between two clinically meaningful on-target (directly reinforced behavior) and off-target (indirectly reinforced behavior) outcomes is in need of further examination in order to fully exploit the potential clinical benefits that could be realized in substance use disorder treatment trials. PMID:26456717

  3. Behavioral contingency analysis.

    PubMed

    Mechner, Francis

    2008-06-01

    This paper presents a formal symbolic language, with its own specialized vocabulary and grammar, for codifying any behavioral contingency, including the complex multiparty contingencies encountered in law, economics, business, public affairs, sociology, education, and psychotherapy. This language specifies the "if, then" and temporal relationships between acts and their consequences for the parties involved. It provides for the notation of the probabilities, magnitudes, positive or negative valences, or time delays of the consequences for the parties, and for the parties that would perceive, misperceive, not perceive, predict, mispredict, or not predict events. The language's fractal-like hierarchical and recursive grammar provides for the flexible combination and permutation of the modifiers of the language's four nouns: acts, consequences, time intervals, and agents of acts; and its four verbs: consequate, prevent, perceive, and predict-thereby giving the language the ability to describe and codify various nuances of such complex contingencies as fraud, betting, blackmail, various types of games, theft, crime and punishment, contracts, family dynamics, racing, competition, mutual deterrence, feuding, bargaining, deception, borrowing, insurance, elections, global warming, tipping for service, vigilance, sexual overtures, decision making, and mistaken identity. Applications to the management of practical situations and techniques for doing so, as well as applications in current behavior analysis research and neuroscience, are discussed. PMID:18329187

  4. An Evidence-based Approach to Developing a Management Strategy for Medical Contingencies on the Lunar Surface: The NASA/Haughton-Mars Project (HMP) 2006 Lunar Medical Contingency Simulation at Devon Island

    NASA Technical Reports Server (NTRS)

    Scheuring, R. A.; Jones, J. A.; Lee, P.; Comtois, J. M.; Chappell, S.; Rafiq, A.; Braham, S.; Hodgson, E.; Sullivan, P.; Wilkinson, N.; Bach, D.; Torney, S.

    2007-01-01

    The lunar architecture for future sortie and outpost missions will require humans to serve on the lunar surface considerably longer than the Apollo moon missions. Although the Apollo crewmembers sustained few injuries during their brief lunar surface activity, injuries did occur and are a concern for the longer lunar stays. Interestingly, lunar medical contingency plans were not developed during Apollo. In order to develop an evidence-base for handling a medical contingency on the lunar surface, a simulation using the moon-Mars analog environment at Devon Island, Nunavut, high Canadian Arctic was conducted. Objectives of this study included developing an effective management strategy for dealing with an incapacitated crewmember on the lunar surface, establishing audio/visual and biomedical data connectivity to multiple centers, testing rescue/extraction hardware and procedures, and evaluating in suit increased oxygen consumption. Methods: A review of the Apollo lunar surface activities and personal communications with Apollo lunar crewmembers provided the knowledge base of plausible scenarios that could potentially injure an astronaut during a lunar extravehicular activity (EVA). Objectives were established to demonstrate stabilization and transfer of an injured crewmember and communication with ground controllers at multiple mission control centers. Results: The project objectives were successfully achieved during the simulation. Among these objectives were extraction from a sloped terrain by a two-member crew in a 1 g analog environment, establishing real-time communication to multiple centers, providing biomedical data to flight controllers and crewmembers, and establishing a medical diagnosis and treatment plan from a remote site. Discussion: The simulation provided evidence for the types of equipment and methods for performing extraction of an injured crewmember from a sloped terrain. Additionally, the necessary communications infrastructure to connect

  5. Access to TV contingent on physical activity: effects on reducing TV-viewing and body-weight.

    PubMed

    Jason, L A; Brackshaw, E

    1999-06-01

    One child was recruited for a study assessing the effectiveness of a device aimed at reducing excessive television viewing and increasing exercising. The device was comprised of a control box which attaches to the electrical cord of a television set, and two sensors which attached to the wheel and corresponding wheel rim of a stationary bicycle. The child in this study was watching an excessive amount of TV (averaging over 4 hours per day), and she had a weight problem. An ABAB design was used in the study. After collecting baseline data, the child was required to ride a bicycle for 60 minutes to watch 60 minutes of TV, and this program successfully reduced TV viewing. Reductions in TV viewing and weight loss were found at a follow-up. PMID:10489090

  6. The Use of Contingency Management and Motivational/Skills-Building Therapy to Treat Young Adults with Marijuana Dependence

    ERIC Educational Resources Information Center

    Carroll, Kathleen M.; Easton, Caroline J.; Nich, Charla; Hunkele, Karen A.; Neavins, Tara M.; Sinha, Rajita; Ford, Haley L.; Vitolo, Sally A.; Doebrick, Cheryl A.; Rounsaville, Bruce J.

    2006-01-01

    Marijuana-dependent young adults (N = 136), all referred by the criminal justice system, were randomized to 1 of 4 treatment conditions: a motivational/skills-building intervention (motivational enhancement therapy/cognitive-behavioral therapy; MET/CBT) plus incentives contingent on session attendance or submission of marijuana-free urine…

  7. Fisheries management to reduce contaminant consumption

    SciTech Connect

    Stow, C.A.; Jackson, L.J.; Eby, L.A.

    1995-12-01

    Lake Michigan is a microcosm of global environmental issues. A history of problems has plagued the lake, arising from the wide range of human activities the basin supports. Much of Lake Michigan`s watershed is agriculturally developed, and the shoreline is dotted with major urban, industrial centers. The lake has supported important commercial shipping and fishing industries for more than a century. In the 1960s and 1970s eutrophication was a concern. More recently toxic contaminants, particularly PCBs, and invasions by exotic species, such as the zebra mussel (Dreissena polymorpha), have captured headlines. More than 200 years of development and exploitation have taken Lake Michigan far from a pristine state. The Lake Michigan fishery in intensively managed, and food web manipulation may more effectively reduce PCB exposure than cleanup activities do. Four management options are discussed in this article: trophic cascade; growth maximization; size of stocked fish; and selective species stocking. The most promising option, well supported by data is in many ways the simplist: selective stocking of species that accumulate contaminants at the lowest levels. 51 refs., 6 figs., 1 tab.

  8. LeRC reduced gravity fluid management technology program

    NASA Technical Reports Server (NTRS)

    Aydelott, J. C.; Symons, E. P.

    1980-01-01

    A survey of the reduced gravity fluid management technology program is presented. Information on reduced gravity fluid behavior, techniques for thermal control of cryogenic tankage, and design for fluid management systems are discussed. The development of Spacelab experiments, propellant management systems for orbit transfer vehicles, and computer techniques for simulating reduced gravity fluid dynamic processes is reported.

  9. Motivating Reluctant Learners: Innovative Contingency Packages.

    ERIC Educational Resources Information Center

    Raschke, Donna; And Others

    1987-01-01

    Contingency packages can be incorporated into classroom management techniques for reluctant learners (who may have already experienced failure in education) to encourage enthusiasm and motivation for learning. Suggestions are provided for implementing programs using a robot or football concepts. (CB)

  10. Contingency and behavior analysis

    PubMed Central

    Lattal, Kennon A.

    1995-01-01

    The concept of contingency is central to theoretical discussions of learned behavior and in the application of learning research to problems of social significance. This paper reviews three aspects of the contingency concept as it has been developed by behavior analysts. The first is the empirical analysis of contingency through experimental studies of both human and nonhuman behavior. The second is the synthesis of experimental studies in theoretical and conceptual frameworks to yield a more general account of contingency and to integrate the concept with other behavioral processes. The third aspect is one of practical considerations in the application of the contingency concept in both laboratory and applied settings. PMID:22478219

  11. Training elementary aged peer behavior managers to control small group programmed mathematics1

    PubMed Central

    Greenwood, Charles R.; Sloane, Howard N.; Baskin, Arlene

    1974-01-01

    The effects of a training procedure and two maintenance contingencies on consequence-dispensing behavior were investigated. Four peer behavior managers were trained to supervise small groups of subjects (four to six per group) working in programmed math materials and were compared with a teacher skilled in the use of social and point reinforcement and response cost. Manager training was differentially effective in accelerating manager's rates of appropriate social and point dispensing. Having manager reinforcement contingent upon manager consequence-dispensing resulted in moderately higher rates of appropriate social and point dispensing for three of four subjects than did having manager reinforcement contingent upon group study behavior. Two managers exposed to the group performance contingency before the manager performance contingency increased inappropriate social and point-dispensing behaviors to pretraining baseline levels. Subsequent change to the manager performance contingency was effective in reducing the inappropriate dispensing behavior of only one of the two managers. PMID:16795460

  12. Visual analytics for power grid contingency analysis.

    PubMed

    Pak Chung Wong; Zhenyu Huang; Yousu Chen; Mackey, Patrick; Shuangshuang Jin

    2014-01-01

    Contingency analysis employs different measures to model scenarios, analyze them, and then derive the best response to any threats. A proposed visual-analytics pipeline for power grid management can transform approximately 100 million contingency scenarios to a manageable size and form. Grid operators can examine individual scenarios and devise preventive or mitigation strategies in a timely manner. Power grid engineers have applied the pipeline to a Western Electricity Coordinating Council power grid model. PMID:24808167

  13. Real-time contingency handling in MAESTRO

    NASA Technical Reports Server (NTRS)

    Britt, Daniel L.; Geoffroy, Amy L.

    1992-01-01

    A scheduling and resource management system named MAESTRO was interfaced with a Space Station Module Power Management and Distribution (SSM/PMAD) breadboard at MSFC. The combined system serves to illustrate the integration of planning, scheduling, and control in a realistic, complex domain. This paper briefly describes the functional elements of the combined system, including normal and contingency operational scenarios, then focusses on the method used by the scheduler to handle real-time contingencies.

  14. The Effects of Reduced Cigarette Smoking on Discounting Future Rewards: An Initial Evaluation

    ERIC Educational Resources Information Center

    Yi, Richard; Johnson, Matthew W.; Giordano, Louis A.; Landes, Reid D.; Badger, Gary J.; Bickel, Warren K.

    2008-01-01

    To determine whether reduction of smoking via contingency management in dependent smokers would decrease the discounting of delayed reinforcers compared with smokers who did not reduce their smoking, moderate to heavy cigarette smokers were randomly assigned to one of two conditions: a contingency management condition and a control condition. In…

  15. Managing biogeochemical cycles to reduce greenhouse gases

    SciTech Connect

    Post, Wilfred M; Venterea, Rodney

    2012-01-01

    This special issue focuses on terrestrial biogeochemical cycles as they relate to North America-wide budgeting and future projection of biogenic greenhouse gases (GHGs). Understanding the current magnitude and providing guidance on the future trajectories of atmospheric concentrations of these gases requires investigation of their (i) biogeochemical origins, (ii) response to climate feedbacks and other environmental factors, and (iii) susceptibility to management practices. This special issue provides a group of articles that present the current state of continental scale sources and sinks of biogenic GHGs and the potential to better manage them in the future.

  16. New system reduces sludge management costs

    SciTech Connect

    Roll, R.R. ); Koser, M.R. )

    1993-06-01

    This article describes a recently completed a $2.7-million project to upgrade the sludge dewatering and stabilizing system at a 48-mgd wastewater treatment facility in Niagara Fall, New York. The work was necessitated by the deteriorated condition of the plant's original vacuum filters and increasing costs to landfill the dewatered sludge. The new equipment has restored sludge production capacity while reducing the final material's moisture content. The Niagara Falls plant is one of the few municipal physical-chemical treatment plants built in this country, and is the largest still functioning. Constructed in the mid-1970s, it was designed to treat a combination of domestic sewage and industrial wastes. One third of the flow and one half of the solids are industrial in nature. The changes made reduced electrical power consumption and sanitary landfill costs.

  17. Contingent valuation study of the value of reducing fire hazards to old-growth forests in the Pacific northwest. Forest Service research paper

    SciTech Connect

    Loomis, J.B.; Gonzalez-Caban, A.; Gregory, R.

    1996-07-01

    A contingent valuation methodology was applied to old-growth forests and critical habitat units for the Northern Spotted Owl in Oregon to esimate the economic value to the public in knowing that rare and unique ecosystems will be protected from fire for current and future generations. Generalizing to the whole state, the total annual willingness-to-pay of Oregon residents ranges from $49.6 to $99 million. In terms of old-growth forests protected from fire, the value is $28 per acre.

  18. Investigating Group Contingencies to Promote Brief Abstinence from Cigarette Smoking

    PubMed Central

    Meredith, Steven E.; Dallery, Jesse

    2013-01-01

    In contingency management (CM), monetary incentives are contingent on evidence of drug abstinence. Typically, incentives (e.g., “vouchers” exchangeable for goods or services) are contingent on individual performance. We programmed vouchers contingent on group performance to investigate whether these contingencies would promote brief abstinence from cigarette smoking. Thirty-two participants were divided into small teams (n = 3 per team). During three 5-day within-subject experimental conditions, participants submitted video recordings of breath carbon monoxide (CO) measures twice daily via Mōtiv8 Systems™, an Internet-based remote monitoring application. During the interdependent contingency condition, participants earned vouchers each time they and their teammates submitted breath CO samples indicative of abstinence (i.e., negative samples). During the independent contingency condition, participants earned vouchers each time they submitted negative samples, regardless of their teammates' performance. During the no vouchers condition, no monetary incentives were contingent on abstinence. In addition, half of the participants (n = 16) could communicate with their teammates through an online peer support forum. Although forum access did not appear to promote smoking abstinence, monetary incentives did promote brief abstinence. Significantly more negative samples were submitted when vouchers were contingent on individual performance (56%) or team performance (53%) relative to when no vouchers were available (35%; F = 6.9, p = 0.002). The results show that interdependent contingencies can promote brief abstinence from cigarette smoking. Moreover, the results suggest that these contingencies may help lower treatment costs and promote social support. PMID:23421358

  19. Fisheries management to reduce contaminant consumption

    USGS Publications Warehouse

    Stow, Craig A.; Carpenter, Stephen R.; Madenjian, Charles P.; Eby, Lisa A.; Jackson, Leland J.

    1995-01-01

    This paper concludes that contaminants in Lake Michigan fishes are likely to remain above detectable levels for some time. Some interest groups have called for measures ranging from additional effluent controls to a ban on the industrial use of chlorine. Such measures, however well intended, are likely to have little impact on many of the contaminants of primary concern. PCBs, in particular, are largely the legacy of past activities and are not likely to be substantially affected by additional regulation. The authors review several options for reducing human exposure to PCBs, using relatively simple fisheries manipulations, although they do not propose that these measures are the ultimate solution to the contaminant problem. Of the options presented, the most promising is the replacement of lake trout with less-contaminated species, such as rainbow trout.

  20. The Effects of Contingency Contract Negotiation and Management on the Academic Achievement and Self Concept of Community College Students.

    ERIC Educational Resources Information Center

    Lewis, James M.; Wall, Shavaun M.

    1979-01-01

    Instructor-made quizzes, the Tennessee Self-Concept Scale, and Miskimins' Self-Goal-Other Discrepancy Scale were used to measure achievement and self-concept in this study of contract procedures and contract management. Students in the negotiated contract and teacher-managed conditions obtained significantly higher final grades than those in other…

  1. Detecting contingencies: an infomax approach.

    PubMed

    Butko, Nicholas J; Movellan, Javier R

    2010-01-01

    The ability to detect social contingencies plays an important role in the social and emotional development of infants. Analyzing this problem from a computational perspective may provide important clues for understanding social development, as well as for the synthesis of social behavior in robots. In this paper, we show that the turn-taking behaviors observed in infants during contingency detection situations are tuned to optimally gather information as to whether a person is responsive to them. We show that simple reinforcement learning mechanisms can explain how infants acquire these efficient contingency detection schemas. The key is to use the reduction of uncertainty (information gain) as a reward signal. The result is an interesting form of learning in which the learner rewards itself for conducting actions that help reduce its own sense of uncertainty. This paper illustrates the possibilities of an emerging area of computer science and engineering that focuses on the computational understanding of human behavior and on its synthesis in robots. We believe that the theory of stochastic optimal control will play a key role providing a formal mathematical foundation for this newly emerging discipline. PMID:20951334

  2. Global Health, Geographical Contingency, and Contingent Geographies

    PubMed Central

    Herrick, Clare

    2016-01-01

    Health geography has emerged from under the “shadow of the medical” to become one of the most vibrant of all the subdisciplines. Yet, this success has also meant that health research has become increasingly siloed within this subdisciplinary domain. As this article explores, this represents a potential lost opportunity with regard to the study of global health, which has instead come to be dominated by anthropology and political science. Chief among the former's concerns are exploring the gap between the programmatic intentions of global health and the unintended or unanticipated consequences of their deployment. This article asserts that recent work on contingency within geography offers significant conceptual potential for examining this gap. It therefore uses the example of alcohol taxation in Botswana, an emergent global health target and tool, to explore how geographical contingency and the emergent, contingent geographies that result might help counter the prevailing tendency for geography to be side-stepped within critical studies of global health. At the very least, then, this intervention aims to encourage reflection by geographers on how to make explicit the all-too-often implicit links between their research and global health debates located outside the discipline. PMID:27611662

  3. NextGen Flight Deck Surface Trajectory-Based Operations (STBO): Contingency Holds

    NASA Technical Reports Server (NTRS)

    Bakowski, Deborah Lee; Hooey, Becky Lee; Foyle, David C.; Wolter, Cynthia A.; Cheng, Lara W. S.

    2013-01-01

    The purpose of this pilot-in-the-loop taxi simulation was to investigate a NextGen Surface Trajectory-Based Operations (STBO) concept called "contingency holds." The contingency-hold concept parses a taxi route into segments, allowing an air traffic control (ATC) surface traffic management (STM) system to hold an aircraft when necessary for safety. Under nominal conditions, if the intersection or active runway crossing is clear, the hold is removed, allowing the aircraft to continue taxiing without slowing, thus improving taxi efficiency, while minimizing the excessive brake use, fuel burn, and emissions associated with stop-and-go taxi. However, when a potential traffic conflict exists, the hold remains in place as a fail-safe mechanism. In this departure operations simulation, the taxi clearance included a required time of arrival (RTA) to a specified intersection. The flight deck was equipped with speed-guidance avionics to aid the pilot in safely meeting the RTA. On two trials, the contingency hold was not released, and pilots were required to stop. On two trials the contingency hold was released 15 sec prior to the RTA, and on two trials the contingency hold was released 30 sec prior to the RTA. When the hold remained in place, all pilots complied with the hold. Results also showed that when the hold was released at 15-sec or 30-sec prior to the RTA, the 30-sec release allowed pilots to maintain nominal taxi speed, thus supporting continuous traffic flow; whereas, the 15-sec release did not. The contingency-hold concept, with at least a 30-sec release, allows pilots to improve taxiing efficiency by reducing braking, slowing, and stopping, but still maintains safety in that no pilots "busted" the clearance holds. Overall, the evidence suggests that the contingency-hold concept is a viable concept for optimizing efficiency while maintaining safety.

  4. A Group-Oriented Contingency Management Program: A Review of Research on the Good Behavior Game and Implications for Teachers.

    ERIC Educational Resources Information Center

    Tankersley, Melody

    1995-01-01

    Research on a team game designed to reinforce positive target behaviors is reviewed. Classroom organization, reinforcement criteria, when and how long to play the game, and reinforcement for winning teams are discussed, as are two variants on the original game. The game is found to be highly effective in reducing talking and out-of-seat behavior.…

  5. Optimal Limited Contingency Planning

    NASA Technical Reports Server (NTRS)

    Meuleau, Nicolas; Smith, David E.

    2003-01-01

    For a given problem, the optimal Markov policy over a finite horizon is a conditional plan containing a potentially large number of branches. However, there are applications where it is desirable to strictly limit the number of decision points and branches in a plan. This raises the question of how one goes about finding optimal plans containing only a limited number of branches. In this paper, we present an any-time algorithm for optimal k-contingency planning. It is the first optimal algorithm for limited contingency planning that is not an explicit enumeration of possible contingent plans. By modelling the problem as a partially observable Markov decision process, it implements the Bellman optimality principle and prunes the solution space. We present experimental results of applying this algorithm to some simple test cases.

  6. Building the human component into contingency plans.

    PubMed

    Donaho, John

    2014-01-01

    In the 'who, what, when, where and how' approach to disaster and contingency planning, the 'who' component often receives less attention than it should. It is relatively easy to determine the appropriate amounts of feed and bedding to store for emergencies or how to stage a replacement generator for electricity, whereas planning for the people who will respond to the emergency is more difficult. Understanding the issues involving 'who' designs and implements the contingency plan for disaster response can help facility managers to build a more effective plan, ultimately ensuring faster recovery and long-term success. PMID:24356019

  7. Reducing uncertainty about objective functions in adaptive management

    USGS Publications Warehouse

    Williams, B.K.

    2012-01-01

    This paper extends the uncertainty framework of adaptive management to include uncertainty about the objectives to be used in guiding decisions. Adaptive decision making typically assumes explicit and agreed-upon objectives for management, but allows for uncertainty as to the structure of the decision process that generates change through time. Yet it is not unusual for there to be uncertainty (or disagreement) about objectives, with different stakeholders expressing different views not only about resource responses to management but also about the appropriate management objectives. In this paper I extend the treatment of uncertainty in adaptive management, and describe a stochastic structure for the joint occurrence of uncertainty about objectives as well as models, and show how adaptive decision making and the assessment of post-decision monitoring data can be used to reduce uncertainties of both kinds. Different degrees of association between model and objective uncertainty lead to different patterns of learning about objectives. ?? 2011.

  8. Superior–subordinate dyads: Dependence of leader effectiveness on mutual reinforcement contingencies

    PubMed Central

    Rao, Ram K.; Mawhinney, T. C.

    1991-01-01

    Task contingencies were modeled from bureaucratic organizations in which vague job descriptions provide incomplete contingency specifications. Response rates within dyads were examined using two nonsocial, two social, and two control contingencies. In the first social contingency, responses by the superior produced monetary reinforcement for a subordinate while the superior received no reinforcement from his subordinate. A second social contingency was identical to the first except that the subordinate's rate of responding determined the rate of reinforcement delivered to his superior. Within this contingency, mutual reinforcement occurred whenever rates of superior and subordinate responding were correlated. Two control contingencies were identical to the second social contingency except that either the superior or the subordinate received a rate of response-independent reinforcement virtually identical to the rate received during the second social contingency. Leadership, in this context, was the difference between rates of subordinate responding produced by a nonsocial contingency and rates produced by each of the two social contingencies. The two nonsocial contingencies supported almost no responding among subjects. The first social contingency produced minimal levels of leadership within every dyad. The second social contingency produced high levels of leadership. Response-independent reinforcement generally reduced or eliminated responding. PMID:16812640

  9. A Novel Combination HIV Prevention Strategy: Post-Exposure Prophylaxis with Contingency Management for Substance Abuse Treatment Among Methamphetamine-Using Men Who Have Sex with Men

    PubMed Central

    Fletcher, Jesse B.; Inzhakova, Galina; Lake, Jordan E.; Shoptaw, Steven; Reback, Cathy J.

    2012-01-01

    Abstract Methamphetamine use has been associated with HIV transmission among men who have sex with men (MSM). However, providers have been hesitant to utilize post-exposure prophylaxis (PEP) in populations of stimulant users. This single-arm, open label pilot study sought to demonstrate the safety, feasibility, and acceptability of PEP combined with the drug abstinence intervention of contingency management (CM) in methamphetamine-using MSM. HIV-uninfected MSM reporting recent methamphetamine use were recruited to a CM intervention. Those who reported a recent high-risk sexual or injection drug exposure to an HIV-infected or serostatus unknown source were initiated on tenofovir/emtricitabine (Truvada)-based PEP. Participants were followed over 3 months for infectious/biologic, behavioral, and drug use outcomes. Fifty-three participants enrolled in the study; 35 participants (66%) initiated PEP after a high-risk exposure. The median time from exposure to medication administration was 37.8 h (range 12.5–68.0 h). Twenty-five (71.4%) PEP initiators successfully completed the treatment course. Median medication adherence was 96% (IQR 57–100%), and medication was generally well tolerated. Methamphetamine abstinence during CM treatment increased PEP adherence (2% [95% CI +1–+3%]) per clean urine toxicology sample provided), and increased the odds of PEP course completion (OR 1.17, 95% CI 1.04–1.31). One incident of HIV seroconversion was observed in a participant who did not complete PEP treatment, and reported multiple subsequent exposures. Findings demonstrate that PEP, when combined with CM, is safe, feasible, and acceptable as an HIV prevention strategy in methamphetamine-using MSM. PMID:22680280

  10. How performance (non-)contingent reward modulates cognitive control.

    PubMed

    Fröber, Kerstin; Dreisbach, Gesine

    2016-07-01

    Reward has repeatedly been shown to influence cognitive control. More precisely, performance contingent reward is known to increase preparatory, proactive control. In comparison, performance non-contingent reward, that is, reward that is not dependent on a pre-specified performance criterion but is given unconditional for any response, even errors, is a rather understudied topic. Recently, Fröber and Dreisbach (2014) compared performance contingent and non-contingent reward in a single experiment. They found that non-contingent reward seems to modulate cognitive control in an oppositional way than contingent reward, namely by reducing proactive control. In the present paper, the authors further investigate this dissociation in two experiments with a reward manipulation that facilitated adaptations to changes in reward availability: reward - with performance contingency varying between subjects - was manipulated not trial-by-trial but in mini-blocks of 20 consecutive trials in an AX-Continuous Performance Task. Performance contingent reward significantly increased proactive control. The repeated experience of non-contingent reward even for errors did not result in increased error rates, but instead was indicative of stable compliance with task rules over time and with less reliance on proactive control. PMID:27160060

  11. Manure management in reduced tillage and grassland systems: A review

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Managing manure in reduced tillage systems remains a major concern, because tillage has traditionally been used to incorporate manure. Surface applied manure that is not incorporated into soil provides inefficient delivery of manure nutrients to crops due to environmental losses of nutrients and ser...

  12. Reducing Pesticide and Nutrient Runoff from Fairways Using Management Practices

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We designed experiments to measure the quantity of fertilizers and pesticides transported with runoff from golf course fairway turf, and to evaluate the ability of management practices to reduce the transport of applied chemicals with runoff. Overall aeratation of fairway turf with hollow tines redu...

  13. Peer-Assisted Leadership: Reducing Educational Managers' Professional Isolation.

    ERIC Educational Resources Information Center

    Dussault, Marc; Barnett, Bruce G.

    1996-01-01

    Presents a study that verified the effects of the peer-assisted leadership program (PAL) on communication networks and professional isolation of 41 Quebec educational managers, using a one-group pretest posttest design. Results showed that PAL significantly reduced professional isolation without widening participants' communication networks. (34…

  14. Supervisory Styles: A Contingency Framework

    ERIC Educational Resources Information Center

    Boehe, Dirk Michael

    2016-01-01

    While the contingent nature of doctoral supervision has been acknowledged, the literature on supervisory styles has yet to deliver a theory-based contingency framework. A contingency framework can assist supervisors and research students in identifying appropriate supervisory styles under varying circumstances. The conceptual study reported here…

  15. Contingency diagrams as teaching tools

    PubMed Central

    Mattaini, Mark A.

    1995-01-01

    Contingency diagrams are particularly effective teaching tools, because they provide a means for students to view the complexities of contingency networks present in natural and laboratory settings while displaying the elementary processes that constitute those networks. This paper sketches recent developments in this visualization technology and illustrates approaches for using contingency diagrams in teaching. ImagesFigure 2Figure 3Figure 4 PMID:22478208

  16. Significant others and contingencies of self-worth: activation and consequences of relationship-specific contingencies of self-worth.

    PubMed

    Horberg, E J; Chen, Serena

    2010-01-01

    Three studies tested the activation and consequences of contingencies of self-worth associated with specific significant others, that is, relationship-specific contingencies of self-worth. The results showed that activating the mental representation of a significant other with whom one strongly desires closeness led participants to stake their self-esteem in domains in which the significant other wanted them to excel. This was shown in terms of self-reported contingencies of self-worth (Study 1), in terms of self-worth after receiving feedback on a successful or unsatisfactory performance in a relationship-specific contingency domain (Study 2), and in terms of feelings of reduced self-worth after thinking about a failure in a relationship-specific contingency domain (Study 3). Across studies, a variety of contingency domains were examined. Furthermore, Study 3 showed that failing in an activated relationship-specific contingency domain had negative implications for current feelings of closeness and acceptance in the significant-other relationship. Overall, the findings suggest that people's contingencies of self-worth depend on the social situation and that performance in relationship-specific contingency domains can influence people's perceptions of their relationships. PMID:20053033

  17. Incremental Contingency Planning

    NASA Technical Reports Server (NTRS)

    Dearden, Richard; Meuleau, Nicolas; Ramakrishnan, Sailesh; Smith, David E.; Washington, Rich

    2003-01-01

    There has been considerable work in AI on planning under uncertainty. However, this work generally assumes an extremely simple model of action that does not consider continuous time and resources. These assumptions are not reasonable for a Mars rover, which must cope with uncertainty about the duration of tasks, the energy required, the data storage necessary, and its current position and orientation. In this paper, we outline an approach to generating contingency plans when the sources of uncertainty involve continuous quantities such as time and resources. The approach involves first constructing a "seed" plan, and then incrementally adding contingent branches to this plan in order to improve utility. The challenge is to figure out the best places to insert contingency branches. This requires an estimate of how much utility could be gained by building a contingent branch at any given place in the seed plan. Computing this utility exactly is intractable, but we outline an approximation method that back propagates utility distributions through a graph structure similar to that of a plan graph.

  18. Space Flight Decompression Sickness Contingency Plan

    NASA Technical Reports Server (NTRS)

    Dervay, Joseph; Gernhardt, Michael L.; Ross, Charles E.; Hamilton, Douglas; Homick, Jerry L. (Technical Monitor)

    2000-01-01

    The purpose was to develop an enhanced plan to diagnose, treat, and manage decompression sickness (DCS) during extravehicular activity (EVA). This plan is merited by the high frequency of upcoming EVAs necessary to construct and maintain the International Space Station (ISS). The upcoming ISS era will demand a significant increase in EVA. The DCS Risk and Contingency Plan provided a new and improved approach to DCS reporting, treatment, management, and training.

  19. Visual Analytics for Power Grid Contingency Analysis

    SciTech Connect

    Wong, Pak C.; Huang, Zhenyu; Chen, Yousu; Mackey, Patrick S.; Jin, Shuangshuang

    2014-01-20

    Contingency analysis is the process of employing different measures to model scenarios, analyze them, and then derive the best response to remove the threats. This application paper focuses on a class of contingency analysis problems found in the power grid management system. A power grid is a geographically distributed interconnected transmission network that transmits and delivers electricity from generators to end users. The power grid contingency analysis problem is increasingly important because of both the growing size of the underlying raw data that need to be analyzed and the urgency to deliver working solutions in an aggressive timeframe. Failure to do so may bring significant financial, economic, and security impacts to all parties involved and the society at large. The paper presents a scalable visual analytics pipeline that transforms about 100 million contingency scenarios to a manageable size and form for grid operators to examine different scenarios and come up with preventive or mitigation strategies to address the problems in a predictive and timely manner. Great attention is given to the computational scalability, information scalability, visual scalability, and display scalability issues surrounding the data analytics pipeline. Most of the large-scale computation requirements of our work are conducted on a Cray XMT multi-threaded parallel computer. The paper demonstrates a number of examples using western North American power grid models and data.

  20. Can managed care reduce employers' retiree medical liability?

    PubMed

    Taylor, R S; Newton, B

    1991-01-01

    The Financial Accounting Standards Board (FASB) has forced U.S. companies to look squarely at their current retiree health obligations and their future commitments. Accounting Statement No. 106 (FAS 106) requires employers to accrue liabilities for retiree health benefits during employees' active service, rather than record the costs as benefits are paid. Employers are scrambling to find ways to reduce the statement's effect on corporate balance sheets. While managed health care has been increasingly employed to control benefit costs in active employee health plans, it has not been as popular in retiree plans. This article reviews important demographic and health trends in the retiree population and summarizes employers' early responses to FAS 106. It explores why managed health care has thus far played a limited role in reducing employers' postretirement medical liability, and offers insight into how that role could be increased in the future. PMID:10116958

  1. Some contingencies of spelling

    PubMed Central

    Lee, Vicki L.; Sanderson, Gwenda M.

    1987-01-01

    This paper presents some speculation about the contingencies that might select standard spellings. The speculation is based on a new development in the teaching of spelling—the process writing approach, which lets standard spellings emerge collateral to a high frequency of reading and writing. The paper discusses this approach, contrasts it with behavior-analytic research on spelling, and suggests some new directions for this latter research based on a behavioral interpretation of the process writing approach to spelling. PMID:22477529

  2. Graphical Contingency Analysis Tool

    SciTech Connect

    2010-03-02

    GCA is a visual analytic tool for power grid contingency analysis to provide more decision support for power grid operations. GCA allows power grid operators to quickly gain situational awareness of power grid by converting large amounts of operational data to graphic domain with a color contoured map; identify system trend and foresee and discern emergencies by performing trending analysis; identify the relationships between system configurations and affected assets by conducting clustering analysis; and identify the best action by interactively evaluate candidate actions.

  3. Some contingencies of spelling.

    PubMed

    Lee, V L; Sanderson, G M

    1987-01-01

    This paper presents some speculation about the contingencies that might select standard spellings. The speculation is based on a new development in the teaching of spelling-the process writing approach, which lets standard spellings emerge collateral to a high frequency of reading and writing. The paper discusses this approach, contrasts it with behavior-analytic research on spelling, and suggests some new directions for this latter research based on a behavioral interpretation of the process writing approach to spelling. PMID:22477529

  4. Forest management strategies for reducing carbon emissions, the French case

    NASA Astrophysics Data System (ADS)

    Valade, Aude; Luyssaert, Sebastiaan; Bellassen, Valentin; Vallet, Patrick; Martin, Manuel

    2015-04-01

    International agreements now recognize the role of forest in the mitigation of climate change through the levers of in-situ sequestration, storage in products and energy and product substitution. These three strategies of carbon management are often antagonistic and it is still not clear which strategy would have the most significant impact on atmospheric carbon concentrations. With a focus on France, this study compares several scenarios of forest management in terms of their effect on the overall carbon budget from trees to wood-products. We elaborated four scenarios of forest management that target different wood production objectives. One scenario is 'Business as usual' and reproduces the current forest management and wood production levels. Two scenarios target an increase in bioenergy wood production, with either long-term or short-term goals. One scenario aims at increasing the production of timber for construction. For this, an empirical regression model was developed building on the rich French inventory database. The model can project the current forest resource at a time horizon of 20 years for characteristic variables diameter, standing volume, above-ground biomass, stand age. A simplified life-cycle analysis provides a full carbon budget for each scenario from forest management to wood use and allows the identification of the scenario that most reduces carbon emissions.

  5. Reputation management: evidence for ability but reduced propensity in autism.

    PubMed

    Cage, Eilidh; Pellicano, Elizabeth; Shah, Punit; Bird, Geoffrey

    2013-10-01

    Previous research has reported that autistic adults do not manage their reputation, purportedly due to problems with theory of mind [Izuma, Matsumoto, Camerer, & Adolphs]. The current study aimed to test alternative explanations for this apparent lack of reputation management. Twenty typical and 19 autistic adults donated to charity and to a person, both when alone and when observed. In an additional manipulation, for half of the participants, the observer was also the recipient of their donations, and participants were told that this observer would subsequently have the opportunity to donate to them (motivation condition). This manipulation was designed to encourage an expectation of a reciprocal "tit-for-tat" strategy in the participant, which may motivate participants to change their behavior to receive more donations. The remaining participants were told that the person watching was just observing the procedure (no motivation condition). Our results replicated Izuma et al.'s finding that autistic adults did not donate more to charity when observed. Yet, in the motivation condition, both typical and autistic adults donated significantly more to the observer when watched, although this effect was significantly attenuated in autistic individuals. Results indicate that, while individuals with autism may have the ability to think about reputation, a reduced expectation of reciprocal behavior from others may reduce the degree to which they engage in reputation management. PMID:23836550

  6. [Preoperative management to reduce morbidity and mortality of hip fracture].

    PubMed

    Ferré, F; Minville, V

    2011-10-01

    Hip femur is extremely common in the elderly and is one of the most common reasons for admission in trauma care. The main reported causes of death after hip fracture were cardiovascular (29%), neurological (20%) and pulmonary. Large epidemiological studies have shown a relatively small decrease in mortality for 20 years despite an active approach to medical and surgical management. Yet 57% of deaths occurring within 30 days post-surgery are preventable because they are not related to a pre-existing disease. Preoperative management to optimize these patients could help to reduce morbidity and mortality and is thus a crucial issue. The anesthesia consultation is used to evaluate the perioperative risk, treat pain, manage treatment and stabilize the patient. An operative delay of more than 48hours after admission increases mortality. This period should not be prolonged by unnecessary investigations that will not change the perioperative management. The preoperative period is a key moment because it allows to choose the anesthetic technique. Even if this choice is controversial, continuous spinal anesthesia (titrated) do not modify the cardiovascular and neurological physiological balance of these precarious patients. PMID:21945704

  7. Reducing Wildlife Damage with Cost-Effective Management Programmes.

    PubMed

    Krull, Cheryl R; Stanley, Margaret C; Burns, Bruce R; Choquenot, David; Etherington, Thomas R

    2016-01-01

    Limiting the impact of wildlife damage in a cost effective manner requires an understanding of how control inputs change the occurrence of damage through their effect on animal density. Despite this, there are few studies linking wildlife management (control), with changes in animal abundance and prevailing levels of wildlife damage. We use the impact and management of wild pigs as a case study to demonstrate this linkage. Ground disturbance by wild pigs has become a conservation issue of global concern because of its potential effects on successional changes in vegetation structure and composition, habitat for other species, and functional soil properties. In this study, we used a 3-year pig control programme (ground hunting) undertaken in a temperate rainforest area of northern New Zealand to evaluate effects on pig abundance, and patterns and rates of ground disturbance and ground disturbance recovery and the cost effectiveness of differing control strategies. Control reduced pig densities by over a third of the estimated carrying capacity, but more than halved average prevailing ground disturbance. Rates of new ground disturbance accelerated with increasing pig density, while rates of ground disturbance recovery were not related to prevailing pig density. Stochastic simulation models based on the measured relationships between control, pig density and rate of ground disturbance and recovery indicated that control could reduce ground disturbance substantially. However, the rate at which prevailing ground disturbance was reduced diminished rapidly as more intense, and hence expensive, pig control regimes were simulated. The model produced in this study provides a framework that links conservation of indigenous ecological communities to control inputs through the reduction of wildlife damage and suggests that managers should consider carefully the marginal cost of higher investment in wildlife damage control, relative to its marginal conservation return. PMID

  8. Reducing Wildlife Damage with Cost-Effective Management Programmes

    PubMed Central

    Krull, Cheryl R.; Stanley, Margaret C.; Burns, Bruce R.; Choquenot, David; Etherington, Thomas R.

    2016-01-01

    Limiting the impact of wildlife damage in a cost effective manner requires an understanding of how control inputs change the occurrence of damage through their effect on animal density. Despite this, there are few studies linking wildlife management (control), with changes in animal abundance and prevailing levels of wildlife damage. We use the impact and management of wild pigs as a case study to demonstrate this linkage. Ground disturbance by wild pigs has become a conservation issue of global concern because of its potential effects on successional changes in vegetation structure and composition, habitat for other species, and functional soil properties. In this study, we used a 3-year pig control programme (ground hunting) undertaken in a temperate rainforest area of northern New Zealand to evaluate effects on pig abundance, and patterns and rates of ground disturbance and ground disturbance recovery and the cost effectiveness of differing control strategies. Control reduced pig densities by over a third of the estimated carrying capacity, but more than halved average prevailing ground disturbance. Rates of new ground disturbance accelerated with increasing pig density, while rates of ground disturbance recovery were not related to prevailing pig density. Stochastic simulation models based on the measured relationships between control, pig density and rate of ground disturbance and recovery indicated that control could reduce ground disturbance substantially. However, the rate at which prevailing ground disturbance was reduced diminished rapidly as more intense, and hence expensive, pig control regimes were simulated. The model produced in this study provides a framework that links conservation of indigenous ecological communities to control inputs through the reduction of wildlife damage and suggests that managers should consider carefully the marginal cost of higher investment in wildlife damage control, relative to its marginal conservation return. PMID

  9. Contingency Software in Autonomous Systems

    NASA Technical Reports Server (NTRS)

    Lutz, Robyn; Patterson-Hine, Ann

    2006-01-01

    This viewgraph presentation reviews the development of contingency software for autonomous systems. Autonomous vehicles currently have a limited capacity to diagnose and mitigate failures. There is a need to be able to handle a broader range of contingencies. The goals of the project are: 1. Speed up diagnosis and mitigation of anomalous situations.2.Automatically handle contingencies, not just failures.3.Enable projects to select a degree of autonomy consistent with their needs and to incrementally introduce more autonomy.4.Augment on-board fault protection with verified contingency scripts

  10. Modeling and simulation of cascading contingencies

    NASA Astrophysics Data System (ADS)

    Zhang, Jianfeng

    This dissertation proposes a new approach to model and study cascading contingencies in large power systems. The most important contribution of the work involves the development and validation of a heuristic analytic model to assess the likelihood of cascading contingencies, and the development and validation of a uniform search strategy. We model the probability of cascading contingencies as a function of power flow and power flow changes. Utilizing logistic regression, the proposed model is calibrated using real industry data. This dissertation analyzes random search strategies for Monte Carlo simulations and proposes a new uniform search strategy based on the Metropolis-Hastings Algorithm. The proposed search strategy is capable of selecting the most significant cascading contingencies, and it is capable of constructing an unbiased estimator to provide a measure of system security. This dissertation makes it possible to reasonably quantify system security and justify security operations when economic concerns conflict with reliability concerns in the new competitive power market environment. It can also provide guidance to system operators about actions that may be taken to reduce the risk of major system blackouts. Various applications can be developed to take advantage of the quantitative security measures provided in this dissertation.

  11. Management to reduce nitrogen losses in animal production.

    PubMed

    Rotz, C A

    2004-01-01

    Reduction of nitrogen loss in animal production requires whole-farm management. Reduced loss from one farm component is easily negated in another if all components are not equally well managed. Animal excretion of manure N can be decreased by improving the balance of protein or amino acids fed to that required by individual animals or animal groups or by improving production efficiency. Management to increase milk, meat, or egg production normally improves efficiency by reducing the maintenance protein required per unit of production. Large losses of manure nitrogen occur through the ammonia and nitrous oxide that are emitted into the atmosphere and the nitrate leached into groundwater. Up to half of the excreted nitrogen is lost from the housing facility, but this loss can be decreased through frequent manure removal and by avoiding deep litter systems and feedlots. Techniques such as acid treatment of manure, scrubbing of ventilation air, and floor designs for separating feces and urine substantially reduce ammonia emissions, but these practices are often impractical or uneconomical for general use. Manure storage units improve nutrient utilization by allowing better timing of nutrient application with crop needs. At least 70% of the nitrogen entering anaerobic lagoons is typically lost, but a less than 10% loss can be maintained using slurry storage with a natural crust or other cover, or by drying poultry manure to at least 50% dry matter. Irrigation and surface spreading of manure without soil incorporation often ensures the loss of all remaining nonorganic nitrogen (typically, 20 to 40% of remaining nitrogen). Rapid incorporation and shallow injection methods decrease this loss by at least 50%, and deep injection into the soil essentially eliminates this loss. For grazing animals, excessive loss can be avoided by not overstocking pastures and avoiding late fall and winter grazing. Reducing emissions between the animal and the soil can lead to greater leaching

  12. Rotorcraft contingency power study

    NASA Technical Reports Server (NTRS)

    Hirschkron, R.; Haynes, J. F.; Goldstein, D. N.; Davis, R. H.

    1984-01-01

    Twin helicopter engines are often sized by the power requirement of a safe mission completion after the failure of one of the two engines. This study was undertaken for NASA Lewis by General Electric Co. to evaluate the merits of special design features to provide a 2-1/2 Contingency Power rating, permitting an engine size reduction. The merits of water injection, turbine cooling airflow modulation, throttle push, and a propellant auxiliary power plant were evaluated using military Life Cycle Cost (LCC) and commercial helicopter Direct Operating Cost (DOC) merit factors in a rubber engine and a rubber aircraft scenario.

  13. Cassini launch contingency effort

    NASA Astrophysics Data System (ADS)

    Chang, Yale; O'Neil, John M.; McGrath, Brian E.; Heyler, Gene A.; Brenza, Pete T.

    2002-01-01

    On 15 October 1997 at 4:43 AM EDT, the Cassini spacecraft was successfully launched on a Titan IVB/Centaur on a mission to explore the Saturnian system. It carried three Radioisotope Thermoelectric Generators (RTGs) and 117 Light Weight Radioisotope Heater Units (LWRHUs). As part of the joint National Aeronautics and Space Administration (NASA)/U.S. Department of Energy (DoE) safety effort, a contingency plan was prepared to address the unlikely events of an accidental suborbital reentry or out-of-orbital reentry. The objective of the plan was to develop procedures to predict, within hours, the Earth impact footprints (EIFs) for the nuclear heat sources released during the atmospheric reentry. The footprint predictions would be used in subsequent notification and recovery efforts. As part of a multi-agency team, The Johns Hopkins University Applied Physics Laboratory (JHU/APL) had the responsibility to predict the EIFs of the heat sources after a reentry, given the heat sources' release conditions from the main spacecraft. (No ablation burn-through of the heat sources' aeroshells was expected, as a result of earlier testing.) JHU/APL's other role was to predict the time of reentry from a potential orbital decay. The tools used were a three degree-of-freedom trajectory code, a database of aerodynamic coefficients for the heat sources, secure links to obtain tracking data, and a high fidelity special perturbation orbit integrator code to predict time of spacecraft reentry from orbital decay. In the weeks and days prior to launch, all the codes and procedures were exercised. Notional EIFs were derived from hypothetical reentry conditions. EIFs predicted by JHU/APL were compared to those by JPL and US SPACECOM, and were found to be in good agreement. The reentry time from orbital decay for a booster rocket for the Russian Progress M-36 freighter, a cargo ship for the Mir space station, was predicted to within 5 minutes more than two hours before reentry. For the

  14. Graphical Contingency Analysis Tool

    Energy Science and Technology Software Center (ESTSC)

    2010-03-02

    GCA is a visual analytic tool for power grid contingency analysis to provide more decision support for power grid operations. GCA allows power grid operators to quickly gain situational awareness of power grid by converting large amounts of operational data to graphic domain with a color contoured map; identify system trend and foresee and discern emergencies by performing trending analysis; identify the relationships between system configurations and affected assets by conducting clustering analysis; and identifymore » the best action by interactively evaluate candidate actions.« less

  15. Cooperative Learning Contingencies: Unrelated versus Related Individual and Group Contingencies

    ERIC Educational Resources Information Center

    Carroll, Erin; Williams, Robert L.; Hautau, Briana

    2006-01-01

    College students operating under related cooperative contingencies (students had to earn individual credit before being considered for group credit) showed more consistent individual and group improvement on exam performance than students operating under unrelated contingencies (individual credit and group credit were independently determined). A…

  16. Reducing uncertainty in managing respiratory tract infections in primary care

    PubMed Central

    Stanton, Naomi; Francis, Nick A; Butler, Chris C

    2010-01-01

    Respiratory tract infections (RTIs) remain the commonest reason for acute consultations in primary care in resource-rich countries. Their spectrum and severity has changed from the time that antibiotics were discovered, largely from improvements in the socioeconomic determinants of health as well as vaccination. The benefits from antibiotic treatment for common RTIs have been shown to be largely overstated. Nevertheless, serious infections do occur. Currently, no clinical features or diagnostic test, alone or in combination, adequately determine diagnosis, aetiology, prognosis, or response to treatment. This narrative review focuses on emerging evidence aimed at helping clinicians reduce and manage uncertainty in treating RTIs. Consultation rate and prescribing rate trends are described, evidence of increasing rates of complications are discussed, and studies and the association with antibiotic prescribing are examined. Methods of improving diagnosis and identifying those patients who are at increased risk of complications from RTIs, using clinical scoring systems, biomarkers, and point of care tests are also discussed. The evidence for alternative management options for RTIs are summarised and the methods for changing public and clinicians' beliefs about antibiotics, including ways in which we can improve clinician–patient communication skills for management of RTIs, are described. PMID:21144191

  17. Invited review: reduced milking frequency: milk production and management implications.

    PubMed

    Stelwagen, K; Phyn, C V C; Davis, S R; Guinard-Flament, J; Pomiès, D; Roche, J R; Kay, J K

    2013-06-01

    Most dairy cows throughout the world are milked twice daily. In intensive dairying systems, however, it is not uncommon to increase milking frequency to between 3 and 6 times daily to increase milk production. Reducing milking frequency is much less common; however, once-daily milking of dairy cows, practiced either strategically during certain parts of the lactation or for the entire lactation, is not uncommon in key dairying countries where less emphasis is placed on milk production per cow. The practice fits well with more extensive dairy production systems, particularly those based on grazed pasture. A feature of once-daily milking is that it reduces milk yield by approximately 22%, depending on stage of lactation, breed, and parity, and it may adversely affect lactation length and persistency. However, it can offer several positive farm management options, especially related to labor requirements and farm working expenses. In addition, it may provide a tool to better manage the metabolism and energy balance of cows during early lactation or during periods of pasture deficit, and it may help to improve reproductive performance and animal health and welfare. Once-daily milking, representing one extreme of the mammary function spectrum, has attracted considerable research interest over the years. Consequently, substantial scientific information is available on its effects on mammary function, at both the physiological and molecular levels. This review focuses instead on the management of the cow milked once daily, covering the production response in relation to breed, stage of lactation, and parity, and its effect on energy status, reproduction, health and welfare, as well as on milk composition and processability. PMID:23548302

  18. Contingencies promote delay tolerance.

    PubMed

    Ghaemmaghami, Mahshid; Hanley, Gregory P; Jessel, Joshua

    2016-09-01

    The effectiveness of functional communication training as treatment for problem behavior depends on the extent to which treatment can be extended to typical environments that include unavoidable and unpredictable reinforcement delays. Time-based progressive delay (TBPD) often results in the loss of acquired communication responses and the resurgence of problem behavior, whereas contingency-based progressive delay (CBPD) appears to be effective for increasing tolerance for delayed reinforcement. No direct comparison of TBPD and CBPD has, however, been conducted. We used single-subject designs to compare the relative efficacy of TBPD and CBPD. Four individuals who engaged in problem behavior (e.g., aggression, vocal and motor disruptions, self-injury) participated. Results were consistent across all participants, and showed lower rates of problem behavior and collateral responses during CBPD than during TBPD. The generality of CBPD treatment effects, including optimal rates of communication and compliance with demands, was demonstrated across a small but heterogeneous group of participants, reinforcement contingencies, and contexts. PMID:27449401

  19. Use of Integrated Malaria Management Reduces Malaria in Kenya

    PubMed Central

    Okech, Bernard A.; Mwobobia, Isaac K.; Kamau, Anthony; Muiruri, Samuel; Mutiso, Noah; Nyambura, Joyce; Mwatele, Cassian; Amano, Teruaki; Mwandawiro, Charles S.

    2008-01-01

    insecticide treated bed net and 81% reported buying the nets within the last 5 years. The community also used mosquito reduction measures including, in order of preference, environmental management (35%), mosquito repellent and smoke (31%) insecticide canister sprays (11%), and window and door screens (6%). These methods used by the community comprise an integrated malaria management (IMM) package. Over the last 4 years prior to this study, the malaria cases in the community hospital reduced from about 40% in 2000 to less than 10% by 2004 and by the year 2007 malaria cases decreased to zero. In addition, a one time cross-sectional malaria parasite survey detected no Plasmodium infection in 300 primary school children in the area. Mosquito vector populations were variable in the six villages but were generally lower in villages that did not engage in irrigation activities. The malaria risk as estimated by EIR remained low and varied by village and proximity to irrigation areas. The average EIR in the area was estimated at 0.011 infectious bites per person per day. Conclusions The usage of a combination of malaria control tools in an integrated fashion by residents of Mwea division might have influenced the decreased malaria cases in the district hospital and in the school children. A vigorous campaign emphasizing IMM should be adopted and expanded in Mwea division and in other areas with different eco-epidemiological patterns of malaria transmission. With sustained implementation and support from community members integrated malaria management can reduce malaria significantly in affected communities in Africa. PMID:19115000

  20. Academic response rate as a function of teacher- and self-imposed contingencies1

    PubMed Central

    Lovitt, Thomas C.; Curtiss, Karen A.

    1969-01-01

    The purpose of this study was to assess the effects of the contingency manager (teacher or pupil) on a pupil's academic response rate. The results of two such experiments disclosed that higher academic rates occurred when the pupil arranged the contingency requirements than when the teacher specified them. A third study manipulated only reinforcement magnitude to ascertain whether amount of reinforcement had interacted with pupil-specified contingencies to produce the increase in academic response rate. The latter findings revealed that the contingency manager, not reinforcement magnitude, accounted for this subject's gain in performance. PMID:16795202

  1. Evaluation of a case management service to reduce sickness absence

    PubMed Central

    Smedley, Julia; Harris, E. Clare; Cox, Vanessa; Ntani, Georgia; Coggon, David

    2013-01-01

    Background It is unclear whether and to what extent intensive case management is more effective than standard occupational health services in reducing sickness absence in the healthcare sector. Aims To evaluate a new return to work service at an English hospital trust. Methods The new service entailed intensive case management for staff who had been absent sick for longer than four weeks, aiming to restore function through a goal-directed and enabling approach based on a bio-psycho-social model. Assessment of the intervention was by controlled before and after comparison with a neighbouring hospital trust at which there were no major changes in the management of sickness absence. Data on outcome measures were abstracted from electronic databases held by the two trusts. Results At the intervention trust, the proportion of 4-week absences which continued beyond 8 weeks fell from 51.7% in 2008 to 49.1% in 2009 and 45.9% in 2010. The reduction from 2008 to 2010 contrasted with an increase at the control trust from 51.2% to 56.1% – a difference in change of 10.7% (95%CI 1.5% to 20.0%). There was also a differential improvement in mean days of absence beyond four weeks, but this was not statistically significant (1.6 days per absence, 95%CI −7.2 to 10.3 days). Conclusion Our findings suggest that the intervention was effective, and calculations based on an annual running cost of £57,000 suggest that it was also cost-effective. A similar intervention should now be evaluated at a larger number of hospital trusts. PMID:23365116

  2. Contingent Attentional Capture

    NASA Technical Reports Server (NTRS)

    Remington, Roger; Folk, Charles L.

    1994-01-01

    Four experiments address the degree of top-down selectivity in attention capture by feature singletons through manipulations of the spatial relationship and featural similarity of target and distractor singletons in a modified spatial cuing paradigm. Contrary to previous studies, all four experiments show that when searching for a singleton target, an irrelevant featural singleton captures attention only when defined by the same feature value as the target. Experiments 2, 3, and 4 provide a potential explanation for this empirical discrepancy by showing that irrelevant singletons can produce distraction effects that are independent of shifts of spatial attention. The results further support the notion that attentional capture is contingent on top-down attention control settings but indicates that such settings can be instantiated at the level of feature values.

  3. Voucher-based contingent reinforcement of marijuana abstinence among individuals with serious mental illness.

    PubMed

    Sigmon, Stacey C; Higgins, Stephen T

    2006-06-01

    Previous studies by our group have used money given contingent on abstinence to reduce drug use by individuals with schizophrenia. In this study, we examined the sensitivity of marijuana use by individuals with serious mental illness to voucher-based contingent reinforcement, which represents the first study to date investigating the efficacy of voucher incentives with this population. This within-subject reversal design consisted of three conditions: 4-week baseline, 12-week voucher intervention, and 4-week baseline. During baseline periods, subjects received 10 US dollars vouchers per urine specimen, independent of urinalysis results. During voucher intervention, only specimens testing negative for marijuana earned vouchers, with total possible earnings of 930 US dollars. Seven adults with schizophrenia or other serious mental illnesses participated in the study. The percentage of marijuana-negative specimens was significantly greater during voucher intervention than during baseline periods. These results provide evidence that marijuana use among individuals with serious mental illness is sensitive to voucher-based incentives and further support the potential feasibility of using voucher-based contingency management to reduce substance abuse in this challenging population. PMID:16716843

  4. Endoscopic surgery and telemedicine in microgravity: developing contingency procedures for exploratory class spaceflight

    NASA Technical Reports Server (NTRS)

    Jones, J. A.; Johnston, S.; Campbell, M.; Miles, B.; Billica, R.

    1999-01-01

    OBJECTIVES: The risk of a urinary calculus during an extended duration mission into the reduced gravity environment of space is significant. For medical operations to develop a comprehensive strategy for the spaceflight stone risk, both preventive countermeasures and contingency management (CM) plans must be included. METHODS: A feasibility study was conducted to demonstrate the potential CM technique of endoscopic ureteral stenting with ultrasound guidance for the possible in-flight urinary calculus contingency. The procedure employed the International Space Station/Human Research Facility ultrasound unit for guide wire and stent localization, a flexible cystoscope for visual guidance, and banded, biocompatible soft ureteral stents to successfully stent porcine ureters bilaterally in zero gravity (0g). RESULTS: The study demonstrated that downlinked endoscopic surgical and ultrasound images obtained in 0g are comparable in quality to 1g images, and therefore are useful for diagnostic clinical utility via telemedicine transmission. CONCLUSIONS: In order to be successful, surgical procedures in 0g require excellent positional stability of the operating surgeon, assistant, and patient, relative to one another. The technological development of medical procedures for long-duration spaceflight contingencies may lead to improved terrestrial patient care methodology and subsequently reduced morbidity.

  5. 30 CFR 282.26 - Contingency Plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Contingency Plan. 282.26 Section 282.26 Mineral... § 282.26 Contingency Plan. (a) When required by the Director, a lessee shall include a Contingency Plan as part of its request for approval of a Delineation, Testing, or Mining Plan. The Contingency...

  6. 49 CFR 1544.301 - Contingency plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 9 2010-10-01 2010-10-01 false Contingency plan. 1544.301 Section 1544.301... COMMERCIAL OPERATORS Threat and Threat Response § 1544.301 Contingency plan. Each aircraft operator must adopt a contingency plan and must: (a) Implement its contingency plan when directed by TSA. (b)...

  7. Spaceflight Decompression Sickness Contingency Plan

    NASA Technical Reports Server (NTRS)

    Dervay, Joseph P.

    2007-01-01

    A viewgraph presentation on the Decompression Sickness (DCS) Contingency Plan for manned spaceflight is shown. The topics include: 1) Approach; 2) DCS Contingency Plan Overview; 3) Extravehicular Activity (EVA) Cuff Classifications; 4) On-orbit Treatment Philosophy; 5) Long Form Malfunction Procedure (MAL); 6) Medical Checklist; 7) Flight Rules; 8) Crew Training; 9) Flight Surgeon / Biomedical Engineer (BME) Training; and 10) DCS Emergency Landing Site.

  8. Contingency planning at the flotilla level in the United States Coast Guard Auxiliary: flotilla 81-a case study.

    PubMed

    Schooley, Shawn Erik

    2013-01-01

    This article presents a case study of United States Coast Guard Auxiliary Flotilla 81. Flotilla 81 created its first formal, single agency contingency plan. The research question addressed is "How can a flotilla successfully develop a contingency plan?" Five emergent themes are identified. They are offered as suggested promising practices for other flotillas in need of creating a contingency plan. Findings suggest successful contingency planning is a result of effective collaboration with community partners. Network management theory is a key to an effective contingency planning process. PMID:24340457

  9. Accident Precursor Analysis and Management: Reducing Technological Risk Through Diligence

    NASA Technical Reports Server (NTRS)

    Phimister, James R. (Editor); Bier, Vicki M. (Editor); Kunreuther, Howard C. (Editor)

    2004-01-01

    Almost every year there is at least one technological disaster that highlights the challenge of managing technological risk. On February 1, 2003, the space shuttle Columbia and her crew were lost during reentry into the atmosphere. In the summer of 2003, there was a blackout that left millions of people in the northeast United States without electricity. Forensic analyses, congressional hearings, investigations by scientific boards and panels, and journalistic and academic research have yielded a wealth of information about the events that led up to each disaster, and questions have arisen. Why were the events that led to the accident not recognized as harbingers? Why were risk-reducing steps not taken? This line of questioning is based on the assumption that signals before an accident can and should be recognized. To examine the validity of this assumption, the National Academy of Engineering (NAE) undertook the Accident Precursors Project in February 2003. The project was overseen by a committee of experts from the safety and risk-sciences communities. Rather than examining a single accident or incident, the committee decided to investigate how different organizations anticipate and assess the likelihood of accidents from accident precursors. The project culminated in a workshop held in Washington, D.C., in July 2003. This report includes the papers presented at the workshop, as well as findings and recommendations based on the workshop results and committee discussions. The papers describe precursor strategies in aviation, the chemical industry, health care, nuclear power and security operations. In addition to current practices, they also address some areas for future research.

  10. Task-Contingent Conscientiousness as a Unit of Personality at Work

    ERIC Educational Resources Information Center

    Minbashian, Amirali; Wood, Robert E.; Beckmann, Nadin

    2010-01-01

    The present study examined the viability of incorporating task-contingent units into the study of personality at work, using conscientiousness as an illustrative example. We used experience-sampling data from 123 managers to show that (a) momentary conscientiousness at work is contingent on the difficulty and urgency demands of the tasks people…

  11. The Efficacy of Contingency Models of Reinforcement on Group Expectations and Reading Achievement

    ERIC Educational Resources Information Center

    Wilder, Valerie Kristine

    2011-01-01

    Social learning theory contends that group contingent reinforcement can be used as a means of shaping problematic behavior in both academic and nonacademic settings. Prior research has focused on contingent management of academic behaviors with older populations at the college level and younger students both with and without disabilities in the…

  12. Randomized Trial of Contingent Prizes versus Vouchers in Cocaine-Using Methadone Patients

    ERIC Educational Resources Information Center

    Petry, Nancy M.; Alessi, Sheila M.; Hanson, Tressa; Sierra, Sean

    2007-01-01

    Contingency management (CM) interventions frequently utilize vouchers as reinforcers, but a prize-based system is also efficacious. This study compared these approaches. Seventy-four cocaine-dependent methadone outpatients were randomly assigned to standard treatment (ST), ST plus a maximum of $585 in contingent vouchers, or ST plus an expected…

  13. Voucher-Based Contingent Reinforcement of Smoking Abstinence among Methadone-Maintained Patients: A Pilot Study

    ERIC Educational Resources Information Center

    Dunn, Kelly E.; Sigmon, Stacey C.; Thomas, Colleen S.; Heil, Sarah H.; Higgins, Stephen T.

    2008-01-01

    This study evaluated the efficacy of a contingency management (CM) intervention to promote smoking cessation in methadone-maintained patients. Twenty participants, randomized into contingent (n = 10) or noncontingent (n = 10) experimental conditions, completed the 14-day study. Abstinence was determined using breath carbon monoxide and urine…

  14. Reducing watershed scale phosphorus export through integrated management practices

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Phosphorus losses from golf course have been documented and are comparable to losses from agriculture and urban areas. Integrated management practices are required to address the problem. An integrated management approach using filter socks and limiting the amount of phosphorus applied to the golf c...

  15. Reducing environmental noise impacts: A USAREUR noise management program handbook

    NASA Astrophysics Data System (ADS)

    Feather, Timothy D.; Shekell, Ted K.

    1991-06-01

    Noise pollution is a major environmental problem faced by the U.S. Army in Europe. Noise-related complaints from German citizens can escalate into intense political issues in German communities. This in turn hampers efficient operation of military training and often times threatens the Army's mission. In order to remedy these problems, USAREUR has developed a noise management program. A successful noise management program will limit the impact of unavoidable noise on the populace. This report, a component of the noise management program, is a reference document for noise management planning. It contains guidelines and rules-of-thumb for noise management. This document contains procedures which operation and training level personnel can understand and apply in their day to day noise management planning. Noise mitigation tips are given. Basic technical information that will aid in understanding noise mitigation is provided along with noise management through land use planning. Noise management for specific components of the military community, (airfields, base operations, training areas, and housing and recreation areas) are addressed. The nature of noise generated, means of noise abatement at the source, path, and receiver (both physical and organizational/public relations methods), and a case study example are described.

  16. Inevitability, contingency, and epistemic humility.

    PubMed

    Kidd, Ian James

    2016-02-01

    This paper offers an epistemological framework for the debate about whether the results of scientific enquiry are inevitable or contingent. I argue in Sections 2 and 3 that inevitabilist stances are doubly guilty of epistemic hubris--a lack of epistemic humility--and that the real question concerns the scope and strength of our contingentism. The latter stages of the paper-Sections 4 and 5-address some epistemological and historiographical worries and sketch some examples of deep contingencies to guide further debate. I conclude by affirming that the concept of epistemic humility can usefully inform critical reflection on the contingency of the sciences and the practice of history of science. PMID:26774064

  17. 47 CFR 73.3517 - Contingent applications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ....3517 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.3517 Contingent applications. Contingent... will otherwise increase the area of interference-free service. The applications must state that...

  18. Contingency Theories of Leadership: A Study.

    ERIC Educational Resources Information Center

    Saha, Sunhir K.

    1979-01-01

    Some of the major contingency theories of leadership are reviewed; some results from the author's study of Fiedler's contingency model are reported; and some thoughts for the future of leadership research are provided. (Author/MLF)

  19. Management Can Reduce Contamination Potential of Beef Backgrounding

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Producers who want to “background” beef cattle on karst landscapes face great challenges. This is because without proper management, manure-borne contaminants from backgrounding sites can quickly degrade water quality in karst regions. Western Kentucky University and USDA-ARS reported on three-year ...

  20. Management Science/Industrial Engineering Techniques to Reduce Food Costs.

    ERIC Educational Resources Information Center

    Greenberg, Murray

    This paper examines the contributions of Industrial Engineering and Management Science toward reduction in the cost of production and distribution of food. Food processing firms were requested to respond to a questionnaire which asked for examples of their use of various operations research tools and information on the number of operations…

  1. Can weight management programs in worksites reduce the obesity epidemic?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Worksites can potentially be important locations for weight management programs that contribute to curbing the national obesity epidemic. In published studies, weight loss programs targeting overweight and obese employees have been relatively more effective for weight loss than programs for preventi...

  2. 40 CFR 51.152 - Contingency plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Episodes § 51.152 Contingency plans. (a) Each contingency plan must— (1) Specify two or more stages of... forth in appendix L.) (b) Each contingency plan for a Priority I region must provide for the following... emergency agencies and news media. (c) Each plan for a Priority IA and II region must include a...

  3. 49 CFR 1542.301 - Contingency plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 9 2014-10-01 2014-10-01 false Contingency plan. 1542.301 Section 1542.301 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY AIRPORT SECURITY Contingency Measures § 1542.301 Contingency plan. (a) Each...

  4. 40 CFR 51.152 - Contingency plans.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 2 2012-07-01 2012-07-01 false Contingency plans. 51.152 Section 51... FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Prevention of Air Pollution Emergency Episodes § 51.152 Contingency plans. (a) Each contingency plan must— (1) Specify two or more stages...

  5. 40 CFR 51.152 - Contingency plans.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 2 2013-07-01 2013-07-01 false Contingency plans. 51.152 Section 51... FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Prevention of Air Pollution Emergency Episodes § 51.152 Contingency plans. (a) Each contingency plan must— (1) Specify two or more stages...

  6. 47 CFR 73.3517 - Contingent applications.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 4 2012-10-01 2012-10-01 false Contingent applications. 73.3517 Section 73.3517 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.3517 Contingent applications. Contingent applications for new stations and for...

  7. 48 CFR 18.201 - Contingency operation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Contingency operation. 18... METHODS AND CONTRACT TYPES EMERGENCY ACQUISITIONS Emergency Acquisition Flexibilities 18.201 Contingency operation. (a) Contingency operation is defined in 2.101. (b) Micro-purchase threshold. The...

  8. Contingent Faculty across the Disciplines

    ERIC Educational Resources Information Center

    Jacobe, Monica F.

    2006-01-01

    This article reports the findings of a 1999 survey conducted by the Coalition on the Academic Workforce (CAW), a group of higher education and disciplinary associations concerned about the dramatic rise in contingent faculty, to examine the staffing practices across eleven humanities and social science disciplines. The comprehensive report showed…

  9. Contingent Faculty and Student Outcomes

    ERIC Educational Resources Information Center

    Jaeger, Audrey J.

    2008-01-01

    While it may provide greater economic efficiency, the increased use of part-time faculty in colleges and universities has been strongly criticized. The criticisms of increased employment of contingent faculty are based on research that supports the idea that faculty-student interaction leads to positive outcomes, including increased cognitive and…

  10. The Contingency Theory of Education.

    ERIC Educational Resources Information Center

    Goodnow, Wilma Elizabeth

    1982-01-01

    Develops a conceptual framework for determining the appropriateness of various methodologies. Concludes that educators should stop switching from one to another and recognize that the best methodology is contingent upon the circumstances. (Falmer Press, Falmer House, Barcombe, Nr Lewes, East Sussex, BN8 5DL, UK) (JOW)

  11. The Psychophysics of Contingency Assessment

    ERIC Educational Resources Information Center

    Allan, Lorraine G.; Hannah, Samuel D.; Crump, Matthew J. C.; Siegel, Shepard

    2008-01-01

    The authors previously described a procedure that permits rapid, multiple within-participant evaluations of contingency assessment (the "streamed-trial" procedure, M. J. C. Crump, S. D. Hannah, L. G. Allan, & L. K. Hord, 2007). In the present experiments, they used the streamed-trial procedure, combined with the method of constant stimuli and a…

  12. Contingency Teaching during Close Reading

    ERIC Educational Resources Information Center

    Fisher, Douglas; Frey, Nancy

    2015-01-01

    12 teachers were interviewed and observed as they engaged students in close reading. We analyzed their responses and instruction to determine the scaffolds that were used as well as the contingency teaching plans they implemented when students were unable to understand the text.

  13. Contingency Planning for Planetary Rovers

    NASA Technical Reports Server (NTRS)

    Dearden, Richard; Meuleau, Nicolas; Ramakrishnan, Sailesh; Smith, David; Washington, Rich; Clancy, Daniel (Technical Monitor)

    2002-01-01

    There has been considerable work in AI on planning under uncertainty. But this work generally assumes an extremely simple model of action that does not consider continuous time and resources. These assumptions are not reasonable for a Mars rover, which must cope with uncertainty about the duration of tasks, the power required, the data storage necessary, along with its position and orientation. In this paper, we outline an approach to generating contingency plans when the sources of uncertainty involve continuous quantities such as time and resources. The approach involves first constructing a "seed" plan, and then incrementally adding contingent branches to this plan in order to improve utility. The challenge is to figure out the best places to insert contingency branches. This requires an estimate of how much utility could be gained by building a contingent branch at any given place in the seed plan. Computing this utility exactly is intractable, but we outline an approximation method that back propagates utility distributions through a graph structure similar to that of a plan graph.

  14. New Horizons Launch Contingency Effort

    NASA Astrophysics Data System (ADS)

    Chang, Yale; Lear, Matthew H.; McGrath, Brian E.; Heyler, Gene A.; Takashima, Naruhisa; Owings, W. Donald

    2007-01-01

    On 19 January 2006 at 2:00 PM EST, the NASA New Horizons spacecraft (SC) was launched from the Cape Canaveral Air Force Station (CCAFS), FL, onboard an Atlas V 551/Centaur/STAR™ 48B launch vehicle (LV) on a mission to explore the Pluto Charon planetary system and possibly other Kuiper Belt Objects. It carried a single Radioisotope Thermoelectric Generator (RTG). As part of the joint NASA/US Department of Energy (DOE) safety effort, contingency plans were prepared to address the unlikely events of launch accidents leading to a near-pad impact, a suborbital reentry, an orbital reentry, or a heliocentric orbit. As the implementing organization. The Johns Hopkins University Applied Physics Laboratory (JHU/APL) had expanded roles in the New Horizons launch contingency effort over those for the Cassini mission and Mars Exploration Rovers missions. The expanded tasks included participation in the Radiological Control Center (RADCC) at the Kennedy Space Center (KSC), preparation of contingency plans, coordination of space tracking assets, improved aerodynamics characterization of the RTG's 18 General Purpose Heat Source (GPHS) modules, and development of spacecraft and RTG reentry breakup analysis tools. Other JHU/APL tasks were prediction of the Earth impact footprints (ElFs) for the GPHS modules released during the atmospheric reentry (for purposes of notification and recovery), prediction of the time of SC reentry from a potential orbital decay, pre-launch dissemination of ballistic coefficients of various possible reentry configurations, and launch support of an Emergency Operations Center (EOC) on the JHU/APL campus. For the New Horizons launch, JHU/APL personnel at the RADCC and at the EOC were ready to implement any real-time launch contingency activities. A successful New Horizons launch and interplanetary injection precluded any further contingency actions. The New Horizons launch contingency was an interagency effort by several organizations. This paper

  15. Bayesian Full Rank Marginalization for Two-Way Contingency Tables.

    ERIC Educational Resources Information Center

    Leonard, Tom; Novick, Melvin R.

    A general approach is proposed for modeling the structure of a two-way contingency table, and for drawing inferences about the marginal and interaction effects, cell parameters, and conditional probabilities. The prior distribution expresses uncertainty in a simple reduced model, in particular the independence model. The posterior estimates of the…

  16. 81 FR 8504 - Recommendations for Donor Screening, Deferral, and Product Management To Reduce the Risk of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2016-02-19

    ... applicable disclosure law. For more information about FDA's posting of comments to public dockets, see 80 FR... Management To Reduce the Risk of Transfusion-Transmission of Zika Virus; Guidance for Industry; Availability... Screening, Deferral, and Product Management to Reduce the Risk of Transfusion-Transmission of Zika...

  17. Reducing the variability of compound management delivery using visual management systems.

    PubMed

    Spencer, Philip; Ratcliffe, Stuart; Cole, Shaun

    2014-04-01

    The globalization and externalization of a pharmaceutical company's research and development (R&D) places considerable demands on its underpinning compound management (CM) capability. More robust CM workflows are needed to support higher demands and cross-continent supply chains. The tracking and visibility of compound orders progressing through CM processes has become crucial to ensure prompt and reliable delivery to customers and project timelines worldwide. AstraZeneca at Alderley Park UK has successfully introduced and integrated a visual management system into its CM processes to support the company's global R&D strategy. A simple, low-cost approach has been employed to track solid processing and solubilization orders. This reduced variability and end-to-end cycle times by decreasing waiting time between processing steps. The visual tracking system has been quick to implement, adaptable to change, and able to be owned and run by delivery teams. Introduction of the visual tracking system has resulted in significant improvements in order processing, both in terms of variability and speed. The percentage of orders processed within 24 h rose from 81.5% to 92.5%, and reductions of 50% and 17.5% in the average processing time were seen for solid dispense and solubilization orders, respectively. PMID:23918922

  18. Management strategies to reduce risk of postoperative infections

    PubMed Central

    Galor, Anat; Goldhardt, Raquel; Wellik, Sarah R.; Gregori, Ninel Z.; Flynn, Harry W.

    2013-01-01

    Postoperative infections, although rare, are still of great concern to the ophthalmologist. The incidence of post-cataract endophthalmitis is low, with a range of .28 per 1,000 to 2.99 per 1000. In addition to intraoperative considerations such as poor wound construction, vitreous loss, topical anesthesia, and prolonged surgical time, other risk factors include preoperative factors such as a diseased ocular surface and systemic immunosuppression. Potential methods of reducing risk of endophthalmitis after anterior segment surgery are discussed and available literature is summarized. PMID:24319649

  19. Waste management: how reducing partiality can promote efficient resource allocation.

    PubMed

    Choshen-Hillel, Shoham; Shaw, Alex; Caruso, Eugene M

    2015-08-01

    Two central principles that guide resource-allocation decisions are equity (providing equal pay for equal work) and efficiency (not wasting resources). When these two principles conflict with one another, people will often waste resources to avoid inequity. We suggest that people wish to avoid inequity not because they find it inherently unfair, but because they want to avoid the appearance of partiality associated with it. We explore one way to reduce waste by reducing the perceived partiality of inequitable allocations. Specifically, we hypothesize that people will be more likely to favor an efficient (albeit inequitable) allocation if it puts them in a disadvantaged position than if it puts others in a disadvantaged position. To test this hypothesis, we asked participants to choose between giving some extra resource to one person (thereby creating inequity between this person and equally deserving others) and not giving the resource to anyone (thereby wasting the resource). Six studies, using realistic scenarios and behavioral paradigms, provide robust evidence for a self-disadvantaging effect: Allocators were consistently more likely to create inequity to avoid wasting resources when the resulting inequity would put them at a relative disadvantage than when it would put others at a relative disadvantage. We further find that this self-disadvantaging effect is a direct result of people's concern about appearing partial. Our findings suggest the importance of impartiality even in distributive justice, thereby bridging a gap between the distributive and procedural justice literatures. PMID:26075794

  20. Radiological Contingency Planning for the Mars Science Laboratory Launch

    SciTech Connect

    Paul Guss, Robert Augdahl, Bill Nickels, Cassandra Zellers

    2008-04-16

    This paper describes the contingency planning for the launch of the Mars Science Laboratory scheduled for the 21-day window beginning on September 15, 2009. National Security Technologies, LLC (NSTec), based in Las Vegas, Nevada, will support the U.S. Department of Energy (DOE) in its role for managing the overall radiological contingency planning support effort. This paper will focus on new technologies that NSTec’s Remote Sensing Laboratory (RSL) is developing to enhance the overall response capability that would be required for a highly unlikely anomaly. This paper presents recent advances in collecting and collating data transmitted from deployed teams and sensors. RSL is responsible to prepare the contingency planning for a range of areas from monitoring and assessment, sample collection and control, contaminated material release criteria, data management, reporting, recording, and even communications. The tools RSL has available to support these efforts will be reported. The data platform RSL will provide shall also be compatible with integration of assets and field data acquired with other DOE, National Aeronautics and Space Administration, state, and local resources, personnel, and equipment. This paper also outlines the organizational structure for response elements in radiological contingency planning.

  1. Radiological Contingency Planning for the Mars Science Laboratory Launch

    SciTech Connect

    Paul P. Guss

    2008-04-01

    This paper describes the contingency planning for the launch of the Mars Science Laboratory scheduled for the 21-day window beginning on September 15, 2009. National Security Technologies, LLC (NSTec), based in Las Vegas, Nevada, will support the U.S. Department of Energy (DOE) in its role for managing the overall radiological contingency planning support effort. This paper will focus on new technologies that NSTec’s Remote Sensing Laboratory (RSL) is developing to enhance the overall response capability that would be required for a highly unlikely anomaly. This paper presents recent advances in collecting and collating data transmitted from deployed teams and sensors. RSL is responsible to prepare the contingency planning for a range of areas from monitoring and assessment, sample collection and control, contaminated material release criteria, data management, reporting, recording, and even communications. The tools RSL has available to support these efforts will be reported. The data platform RSL will provide shall also be compatible with integration of assets and field data acquired with other DOE, National Space and Aeronautics and Space Administration (NASA), state, and local resources, personnel, and equipment. This paper also outlines the organizational structure for response elements in radiological contingency planning.

  2. Reducing cold-start emissions by catalytic converter thermal management

    SciTech Connect

    Burch, S D; Potter, T F; Keyser, M A; Brady, M J; Michaels, K F

    1995-01-01

    Vacuum insulation and phase-change thermal storage have been used to enhance the heat retention of a prototype catalytic converter. Storing heat in the converter between trips allows exhaust gases to be converted more quickly, significantly reducing cold-start emissions. Using a small metal hydride, the thermal conductance of the vacuum insulation can be varied continuously between 0.49 and 27 W/m{sup 2}K (R-12 to R-0.2 insulation) to prevent overheating of the catalyst. A prototype was installed in a Dodge Neon with a 2.0-liter engine. Following a standard preconditioning and a 23-hour cold soak, an FTP (Federal Test Procedure) emissions test was performed. Although exhaust temperatures during the preconditioning were not hot enough to melt the phase-change material, the vacuum insulation performed well, resulting in a converter temperature of 146{degrees}C after the 23-hour cold soak at 27{degrees}C. Compared to the same converter at ambient conditions, overall emissions of CO and HC were reduced by 52 % and 29 %, to 0.27 and 0.037 g/mile, respectively. The maximum converter temperature during the FTP cycle was 720{degrees}C. This limited testing was performed with a nearly-fresh palladium-only catalyst, but demonstrates the potential of this vacuum insulation approach for emissions reduction and thermal control. Further testing is ongoing. An initial assessment of several production issues is made, including high-volume fabrication challenges, durability, and cost.

  3. Inpatient management protocols to reduce health care costs.

    PubMed

    Wachtel, T; Moulton, A W; Pezzullo, J; Hamolsky, M

    1986-01-01

    A group of 12 internists, members of a university-affiliated hospital, designed and implemented protocols for the general inpatient management of four medical problems (chest pain, stroke, pneumonia, and upper gastrointestinal hemorrhage). Hospital charges for the 63 cases were compared with charges generated by 64 controls who had been patients admitted to the same physicians with the same diagnoses during the same period of the preceding year, before the project was begun. A group of nonparticipating internists was similarly evaluated during the two time periods to control for changes in practice patterns extraneous to the intervention. Adjustment was made for inflation (6%) and differences in case mix. The program resulted in a 15% reduction in total average charge generated by the cases. Sizeable reductions were achieved in utilization of EKGs (34.8%), x-rays (15.4%), laboratory testing (20.4%), and drugs (11.4%). Given the prevailing attitude that health care costs are too high and that many services are unnecessary, the benefit of altering physician behavior by using standards established by them for themselves could be substantial, especially with the threat of more restrictive and less sympathetic modes of controlling costs. PMID:3084902

  4. Reducing the cognitive workload: Trouble managing power systems

    NASA Technical Reports Server (NTRS)

    Manner, David B.; Liberman, Eugene M.; Dolce, James L.; Mellor, Pamela A.

    1993-01-01

    The complexity of space-based systems makes monitoring them and diagnosing their faults taxing for human beings. Mission control operators are well-trained experts but they can not afford to have their attention diverted by extraneous information. During normal operating conditions monitoring the status of the components of a complex system alone is a big task. When a problem arises, immediate attention and quick resolution is mandatory. To aid humans in these endeavors we have developed an automated advisory system. Our advisory expert system, Trouble, incorporates the knowledge of the power system designers for Space Station Freedom. Trouble is designed to be a ground-based advisor for the mission controllers in the Control Center Complex at Johnson Space Center (JSC). It has been developed at NASA Lewis Research Center (LeRC) and tested in conjunction with prototype flight hardware contained in the Power Management and Distribution testbed and the Engineering Support Center, ESC, at LeRC. Our work will culminate with the adoption of these techniques by the mission controllers at JSC. This paper elucidates how we have captured power system failure knowledge, how we have built and tested our expert system, and what we believe are its potential uses.

  5. Parallel contingency statistics with Titan.

    SciTech Connect

    Thompson, David C.; Pebay, Philippe Pierre

    2009-09-01

    This report summarizes existing statistical engines in VTK/Titan and presents the recently parallelized contingency statistics engine. It is a sequel to [PT08] and [BPRT09] which studied the parallel descriptive, correlative, multi-correlative, and principal component analysis engines. The ease of use of this new parallel engines is illustrated by the means of C++ code snippets. Furthermore, this report justifies the design of these engines with parallel scalability in mind; however, the very nature of contingency tables prevent this new engine from exhibiting optimal parallel speed-up as the aforementioned engines do. This report therefore discusses the design trade-offs we made and study performance with up to 200 processors.

  6. Contingent plan structures for spacecraft

    NASA Technical Reports Server (NTRS)

    Drummond, M.; Currie, K.; Tate, A.

    1987-01-01

    Most current AI planners build partially ordered plan structures which delay decisions on action ordering. Such structures cannot easily represent contingent actions. A representation which can is presented. The representation has some other useful features: it provides a good account of the causal structure of a plan, can be used to describe disjunctive actions, and it offers a planner the opportunity of even less commitment than the classical partial order on actions. The use of this representation is demonstrated in an on-board spacecraft activity sequencing problem. Contingent plan execution in a spacecraft context highlights the requirements for a fully disjunctive representation, since communication delays often prohibit extensive ground-based accounting for remotely sensed information and replanning on execution failure.

  7. Vision contingent auditory pitch aftereffects.

    PubMed

    Teramoto, Wataru; Kobayashi, Maori; Hidaka, Souta; Sugita, Yoichi

    2013-08-01

    Visual motion aftereffects can occur contingent on arbitrary sounds. Two circles, placed side by side, were alternately presented, and the onsets were accompanied by tone bursts of high and low frequencies, respectively. After a few minutes of exposure to the visual apparent motion with the tones, a circle blinking at a fixed location was perceived as a lateral motion in the same direction as the previously exposed apparent motion (Teramoto et al. in PLoS One 5:e12255, 2010). In the present study, we attempted to reverse this contingency (pitch aftereffects contingent on visual information). Results showed that after prolonged exposure to the audio-visual stimuli, the apparent visual motion systematically affected the perceived pitch of the auditory stimuli. When the leftward apparent visual motion was paired with the high-low-frequency sequence during the adaptation phase, a test tone sequence was more frequently perceived as a high-low-pitch sequence when the leftward apparent visual motion was presented and vice versa. Furthermore, the effect was specific for the exposed visual field and did not transfer to the other side, thus ruling out an explanation in terms of simple response bias. These results suggest that new audiovisual associations can be established within a short time, and visual information processing and auditory processing can mutually influence each other. PMID:23727883

  8. Suited Contingency Ops Food - 2

    NASA Technical Reports Server (NTRS)

    Glass, J. W.; Leong, M. L.; Douglas, G. L.

    2014-01-01

    The contingency scenario for an emergency cabin depressurization event may require crewmembers to subsist in a pressurized suit for up to 144 hours. This scenario requires the capability for safe nutrition delivery through a helmet feed port against a 4 psi pressure differential to enable crewmembers to maintain strength and cognition to perform critical tasks. Two nutritional delivery prototypes were developed and analyzed for compatibility with the helmet feed port interface and for operational effectiveness against the pressure differential. The bag-in-bag (BiB) prototype, designed to equalize the suit pressure with the beverage pouch and enable a crewmember to drink normally, delivered water successfully to three different subjects in suits pressurized to 4 psi. The Boa restrainer pouch, designed to provide mechanical leverage to overcome the pressure differential, did not operate sufficiently. Guidelines were developed and compiled for contingency beverages that provide macro-nutritional requirements, a minimum one-year shelf life, and compatibility with the delivery hardware. Evaluation results and food product parameters have the potential to be used to improve future prototype designs and develop complete nutritional beverages for contingency events. These feeding capabilities would have additional use on extended surface mission EVAs, where the current in-suit drinking device may be insufficient.

  9. Contingent post-closure plan, hazardous waste management units at selected maintenance facilities, US Army National Training Center, Fort Irwin, California

    SciTech Connect

    Not Available

    1992-01-01

    The National Training Center (NTC) at Fort Irwin, California, is a US Army training installation that provides tactical experience for battalion/task forces and squadrons in a mid- to high-intensity combat scenario. Through joint exercises with US Air Force and other services, the NTC also provides a data source for improvements of training doctrines, organization, and equipment. To meet the training and operational needs of the NTC, several maintenance facilities provide general and direct support for mechanical devices, equipment, and vehicles. Maintenance products used at these facilities include fuels, petroleum-based oils, lubricating grease, various degreasing solvents, antifreeze (ethylene glycol), transmission fluid, brake fluid, and hydraulic oil. Used or spent petroleum-based products generated at the maintenance facilities are temporarily accumulated in underground storage tanks (USTs), collected by the NTC hazardous waste management contractor (HAZCO), and stored at the Petroleum, Oil, and Lubricant (POL) Storage Facility, Building 630, until shipped off site to be recovered, reused, and/or reclaimed. Spent degreasing solvents and other hazardous wastes are containerized and stored on-base for up to 90 days at the NTC's Hazardous Waste Storage Facility, Building 703. The US Environmental Protection Agency (EPA) performed an inspection and reviewed the hazardous waste management operations of the NTC. Inspections indicated that the NTC had violated one or more requirements of Subtitle C of the Resource Conservation and Recovery Act (RCRA) and as a result of these violations was issued a Notice of Noncompliance, Notice of Necessity for Conference, and Proposed Compliance Schedule (NON) dated October 13, 1989. The following post-closure plan is the compliance-based approach for the NTC to respond to the regulatory violations cited in the NON.

  10. Contingent post-closure plan, hazardous waste management units at selected maintenance facilities, US Army National Training Center, Fort Irwin, California

    SciTech Connect

    Not Available

    1992-01-01

    The National Training Center (NTC) at Fort Irwin, California, is a US Army training installation that provides tactical experience for battalion/task forces and squadrons in a mid- to high-intensity combat scenario. Through joint exercises with US Air Force and other services, the NTC also provides a data source for improvements of training doctrines, organization, and equipment. To meet the training and operational needs of the NTC, several maintenance facilities provide general and direct support for mechanical devices, equipment, and vehicles. Maintenance products used at these facilities include fuels, petroleum-based oils, lubricating grease, various degreasing solvents, antifreeze (ethylene glycol), transmission fluid, brake fluid, and hydraulic oil. Used or spent petroleum-based products generated at the maintenance facilities are temporarily accumulated in underground storage tanks (USTs), collected by the NTC hazardous waste management contractor (HAZCO), and stored at the Petroleum, Oil, and Lubricant (POL) Storage Facility, Building 630, until shipped off site to be recovered, reused, and/or reclaimed. Spent degreasing solvents and other hazardous wastes are containerized and stored on-base for up to 90 days at the NTC`s Hazardous Waste Storage Facility, Building 703. The US Environmental Protection Agency (EPA) performed an inspection and reviewed the hazardous waste management operations of the NTC. Inspections indicated that the NTC had violated one or more requirements of Subtitle C of the Resource Conservation and Recovery Act (RCRA) and as a result of these violations was issued a Notice of Noncompliance, Notice of Necessity for Conference, and Proposed Compliance Schedule (NON) dated October 13, 1989. The following post-closure plan is the compliance-based approach for the NTC to respond to the regulatory violations cited in the NON.