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Reinforcement-Based Treatment (RBT)


Program Description

Reinforcement-Based Treatment (RBT) for substance use disorders is an intensive, behavioral treatment model that reinforces non-substance–using behaviors and teaches avoidance of substance use triggers. Treatment strategies include contingency management, motivational interviewing, and community reinforcement.

Patients attend counseling sessions daily, and later weekly, as the treatment progresses. The duration of treatment services varies by need. Examples of treatment services include social-skills training, individualized treatment planning, vocational counseling, recreational activities, group-skills building, and incentives for continued abstinence. Recovery housing is included whenever feasible as a component of  treatment.

RBT has been implemented with patients in a community-based, substance use treatment center and with pregnant women with substance use disorders. The treatment can be delivered by agencies and master’s-level mental health professionals. The average length of time for implementing the treatment is between 6 months to 1 year.

Program Snapshot
Evidence Ratings
Employment and Work Readiness
General Functioning and Well-Being
General Substance Use
Non-Specific Mental Health Disorders and Symptoms
Cocaine Use
Criminal and Delinquent Behavior
Depression and Depressive Symptoms
Opioid Use and Opioid Use Disorder
Alcohol Use and Alcohol Use Disorder
Disruptive Behavior Disorders and Symptoms
Physical Health Conditions and Symptoms
Pregnancies/Births
Social Competence
Program Contact
Maxine Stitzer, Ph.D.
Professor

410.550.4200
mstitzer@jhmi.edu


Dissemination/Implementation Contact
Michelle Tuten, Ph.D.
Assistant Professor

410.706-7519
mtuten@ssw.umaryland.edu


Program Type
Substance use disorder treatment

Gender
Male
Female

Age
18-25 (Young adult)
26-55 (Adult)


Geographic Locations
Urban


Settings
Outpatient Facility
Substance Abuse Treatment Center

Race/Ethnicity
Black or African American
White
Other

Implementation/Dissemination
Implementation materials available