Promoting Awareness of Motivational Incentives (PAMI)
About Motivational Incentives/Contingency Management
In 2000, the National Institute on Drug Abuse (NIDA) formed the Clinical Trials Network.
This was a nationwide collaboration between scientiﬁc researchers in the addictions and community-based treatment programs. One of the ﬁrst interventions approved for study was an abstinence-incentive protocol based on Petry’s (Petry et al., 2000) work. Labeled MIEDAR (Motivational Incentives to Enhance Drug Abuse Recovery), this study was aimed at reducing cocaine use in patients receiving treatment in either methadone or medication-free community-based clinics. The success of this study (Peirce et al., 2006; Petry et al., 2005b) led to the launch of a national dissemination effort in collaboration with the network of Addiction Technology Transfer Centers (ATTC) supported by the Substance Abuse and Mental Health Services Administration.
This is a NIDA/SAMHSA Blending Initiative Product
The purpose of this training is to expose therapists to the basics of Motivational Incentives. PAMI is an awareness training and not a full course on using the model.
This training is offered in a 1.5, 3, and 6 hour training format. The six hour training is by far the most common.
Seven principles of contingency management
Building on the work of Kazdin (1994), there are seven core issues that all behavior modiﬁcation or token economy systems will need to address as they are created in terms of altering substance use behavior (Petry, 2000). These are:
(1) the target behavior;
(2) the target population;
(3) the type of reinforcer or incentive;
(4) the magnitude or amount of incentive;
(5) the frequency of the incentive distribution;
(6) the timing of the distribution of the reinforcement; and
(7) the duration of the reinforcement intervention.
This is a NIDA/SAMHSA Blending Product
We Provide Training in this Product
Accelerating the dissemination of research-based drug abuse treatment findings into community-based practice is a key priority for NIDA and represents the core mission of the NIDA/SAMHSA Blending Initiative. The Institute of Medicine reported that a 17-year gap exists between the publication of research results and its impact on treatment delivery. To reduce this gap, NIDA and SAMHSA have joined together to create the Blending Initiative.