Clients in detoxification programs for substance abuse disorders often are not reinforced for completing programs or receive follow-up services to prevent relapse. Tuten (psychiatry, Johns
Hopkins U. School of Medicine; Cornerstone Drug and Alcohol and Treatment Program, Baltimore) introduces the reinforcement- based treatment (RBT) model, an operant conditioning-based approach
to supporting behaviors incompatible with substance use. Clinicians and researchers discuss the features, goals, challenges, and implementation of RBT-based programs; working with special
client populations (e.g., pregnant women); and adaptations of RBT. The manual includes case examples, functional assessments of drug use and relapse, sample treatment plans and contracts, and a
client cost-benefit analysis of consequences of stopping drug use. Annotation 穢2011 Book News, Inc., Portland, OR (booknews.com)
