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An Effective Model for Contingency Management

Helping Parents Establish and Maintain Contingencies: An Effective Model for Contingency Management

One of the most challenging aspects of being a parent is figuring out how to set and enforce effective rules. This is a challenging task because there is no ‘right’ answer or universal set of rules that every parent can establish. In addition to setting rules, parents also need to figure out effective contingencies. Contingencies are the rewards and consequences that help people shape their behavior toward a certain goal and often communicate “If I do this behavior, then this positive or negative consequence will occur”. We know that effective contingency management helps promote positive developmental capabilities in children, adolescents and adults. In families, parents often need to find rules and establish contingencies that fit within their family values and, at times, can feel like negotiations that should be taking place at the United Nations. Parenting children and adolescents with mental health needs can add an extra wrinkle, where parents can find themselves reinforcing behaviors that are often ineffective and sometimes dangerous.

At Paradigm Treatment Centers, we help parents collaborate and learn how to establish rules and set contingencies that yield impressive results and guide child and adolescent development. While individual families will need to figure out what the rules and contingencies are needed for each family system, the compassionate and expert staff at Paradigm help parents and adolescents reflect on patterns of reinforcement and contingencies that have worked in the past and coach families to shift ineffective ones. Through our innovative and nationally-recognized family program, parents and adolescents engage in 5 hours of support, skills, family dynamics and multi-family groups each week. Families arrive to our 30-45 day treatment programs seeking solutions for better communication and leave with the tools and ability needed to work as an effective family system.

Here are the principles to establishing effective contingencies. These guidelines can help families establish rules and contingencies that can serve as a building block for communication and effective family systems.

The CLICHÉ Model for Effective Contingency Management

C onsistent

L ivable

I ntuitive

C ollaborative

H olistic

E stablished


C onsistent

This is the foundation of contingency management! As we have learned from behaviorism, the most  powerful type of reinforcement is intermittent. This means that when we are inconsistent with our established contingencies, we are reinforcing the very behaviors that we want to eradicate. It also means that once we are not consistent with our contingencies, it demonstrates that, at some point, we may be inconsistent in the future. It is very difficult to help our kids gain acceptance of the contingencies when they are under the impression that they could change. This can be particularly difficult if we are inconsistent due to fear, anxiety or being word down.

L ivable

This is an important quality when establishing effective contingencies because our rewards and consequences have to be possible on a day to day basis. If we begin being frustrated with ourselves or resenting our own rules because holding the contingency makes our lives as parents miserable, they are not going to be effective because it will be difficult to remain consistent.

I nuitive

Contingencies should follow something that makes sense, both on the reward and consequence side, from the behavior that we are trying to positively reinforce or extinguish. It also allows us to hold a contingency that has some meaning or connection to the behavior itself. If the link between the behavior and reward/consequence is unclear, it will not serve as a good positive or negative reinforcer for the behavior.

C ollaborative

The more buy in that exists around a contingency, the more likelihood it will have an effect on behavior. This is where it is important to ensure that everyone who is expected to hold contingencies is in agreement. There is a good chance that every parent has had to hold a limit or manage a contingency where they are not in agreement. It feels miserable. The collaboration should extend to the children or adolescents who will be most affected by the rules and rewards. Inviting children and adolescents to establish fair rewards and consequences is an important step to collaboration and family buy in.

H olistic

This relates to both the people involved in the management part of contingency management, as well as ensuring that the expectations all work well together. Do any of the rules, rewards or consequences cross anyone’s values? Do the rewards or consequences interfere with other parts of life, making them unenforceable. A holistic approach ensures that contingencies are clear to everyone involved andsetting them is hard work, so try and set clear and behaviorally well-defined contingencies that will make the enforcement much easier.

E stablished

Imagine if societal expectations were supported by ‘in the moment’ rewards and consequences. Life would seem very chaotic. Family systems that do not take the time to establish logical, clear collaborative contingencies are operating in the same manner. The ongoing ‘prize’ of having well-established contingencies is that very little decision making has to occur in the moment of a success, struggle or when emotions are running high. Emotion-minded decisions often result in relieving anxiety or frustration through harsh and restrictive punishment that may not be logical once affect settles. It can also result in ‘eggshell parenting’, where families do not communicate or enforce/reinforce consequences or rewards. By having a clean and established contingency plan, it takes the pressure out of under- or over-reacting because the big decisions have already been made.

Remember:

There are times that, in spite of good planning and intentions, things come up. If a situation arises where a contingency must be changed in the moment based on unexpected circumstances, make the change in the reward/consequence in a transparent manner and explain why a parent is not able to be consistent. For more information on Paradigm’s acclaimed family programming or to view our outcome research, please visit us at www.paradigmmalibu.com


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