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.