incentive motivational incentives激励动机激励

1、Adapting Evidence-based Treatment to Clinical Practice : How to use Low Cost Incentives Regional Dissemination Workshop June 3, 4, 2010 Baltimore, MD Workshop Agenda Reward vs. Reinforcement Choice/Magnitude of the Reinforcer Target Behavior/Target Population Different Kinds of Delivery Fiscal Conce

2、rns Successful Implementation Lori Peterson, Director Lane Treatment Center Design show proof of keeping your re-con appt. receive a $10 gift card. Delivery: immediate Followup- thank you note from administration w/keychain. Delivery Styles, Timing and Frequency Which will you choose? Fishbowl, Raff

3、le, Vouchers, Token Economy The token, point, or voucher is delivered when the target behavior is exhibited. How much money, staff resources and contact you have to offer will influence the frequency of delivery. Low cost prizes! You can order these on-line with your own recovery sayings! You can or

4、der these by the dozen, and the price goes down if you buy 3 dozen! Make it seasonal! As you get closer to the holiday, the price goes down! This is a craft item! 12 for $5.99 Consider buying different cost items to create escalation! Or, how about a treasure chest filled with prizes for clients to

5、choose their own prizes. Jim Bietings Recovery Cart filled with small prizes and 12 Step materials. Locked, rolling cart from Craftsman Tools. Or, how about: a bulletin board for new patients-recording their success, earning the chance to win a raffle as they climb the mountaintop! Or, how about. a

6、case management tic-tac-toe board charting both: kept appts. tasks to be completed, and honoring length of stay! With each of these efforts, what are we after? Time! Give clients time to internalize the recovery process and develop naturally re-occuring reinforcers. Lane Treatment Center The Lane Tr

7、eatment Center specializes in substance abuse and mental health treatment, offering individual counseling, traditional outpatient groups, and an intensive outpatient program. What is an incentive? How does one differ from a reward? Websters definition: Something that incites or tends to incite actio

8、n or greater effort, as a reward for increased productivity An incentive is a specific type of reward An incentive is given to a person for completing a desired behavior The person is told about the incentive before he completes the behavior The magnitude of the incentive should match the magnitude

9、of the effort to complete the behavior Attendance Spreadsheet Data Summary Table Total Patient Contacts Non-Incentive vs. Incentive Period AM Group (Tuesday, Wednesday, Friday ) June 2007 October 2008 Lane Treatment Center IOP Incentive Period Non-Incentive Period Incentive Period Non-Incentive Peri

10、od Average Patients Per Group Non-Incentive vs. Incentive Period AM Group (Tuesday, Wednesday, Friday ) June 2007 October 2008 Lane Treatment Center IOP Incentive Period Non-Incentive Period Average Groups Attended Per Patient Non-Incentive vs. Incentive Period AM Group (Tuesday, Wednesday, Friday )

11、 June 2007 October 2008 Lane Treatment Center IOP Income Incentive Cost Incentives Incentive Period Non-Incentive Period Monthly Insurance Income vs. Incentive Cost Non-Incentive vs. Incentive Period AM Group (Tuesday, Wednesday, Friday) June 2007 October 2008 Lane Treatment Center IOP Income vs. In

12、centive 24 “Applause” 8 Keep it Up! 12 Good Job 4 Keep Coming Back 8 Hear from your Peers“ 35 Small 15 Medium 5 Large 1 Jumbo“ (pts choice) 56 no-cost tickets, and 56 cost tickets for a total of 112. Fishbowl Method Motivational Incentives Fishbowl contains: Applause Hear from your peers Small Mediu

13、m Large Jumbo (patients choice) Prize cabinet is bookshelf kept in locked office. Prize cabinet is re-stocked with patient input, so prizes change to keep interest going. Target audience: IOP participants Target behavior: Consistent attendance Lessons Learned Data is invaluable to funding sources/ad

14、ministrative supervisors/Boards Importance of patients choice Element of surprise and positivity Immediate reinforcement (daily) Revenues generated greatly outweigh expenditures Ease of tracking, monitoring using charts/graphs Multiple levels of prizes used (small, medium, large, jumbo) is key for “

15、spending” vs. “saving” lessons Return to baseline periodically (non-incentive period) to re-assess effectiveness Break time! 3:15 -3:30 During the break, take some time to confer with others about whats percolating. Design & Implementation Pick a target behavior Pick a target population Pick an incentive Choose the frequency of the incentive Choose the timing of the incentive Estimate a cost schedule Start out small to keep it manageable! Tell us your ideas for a chance to win a prize! Presenter gets two draws. Each group member gets one draw. Stay Solution Focused! Lac