Incorporating Nondrug Social & Recreational Activities in Outpatient Chemical Dependency Treatment

“Contingency Management programs (CMP) and non-drug social and recreational activities (NDSRA) are interventions premised
on behavior theory that rely on external sources of reinforcement alternative to drug-based forms to decrease drug use. CMP
usually employs vouchers as reinforcement for negative toxicologies. Despite research support, CMP alone may be insufficient
to achieve abstinence. Although evidence supporting NDSRA is limited, it is promising because it assists patients to employ
“fun” real world activities (e.g. films, plays, circus) as alternative sources of reinforcement. Both CMP and NDSRA are currently
used at Coney Island Hospital’s Outpatient Chemical Dependency Services (CIHCDS) in New York City. The NDSRA program is fairly
extensive (>40 events per year) and includes group excursions (868 patient participants in 2009) under the supervision of
one or more therapists. A description of program design and clinical observations of its impact follows a brief review of
relevant research.”