Case management and behavioral contracting - Components of rural substance abuse treatment

James J. Clark, Carl Leukefeld, Theodore Godlaski

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


This article presents a model of case management with rural clients entering drug and alcohol treatment. As part of a larger treatment protocol called Structured Behavioral Outpatient Rural Therapy, behavioral contracting is combined with strengths perspective case management to help rural clients motivate themselves to engage and complete drug and alcohol treatment. This combined approach is designed to continually communicate and teach an 'A-B-C' cognitive-behavioral approach to problem-solving and change. While not a panacea for addressing the myriad problems facing clients with drug use problems, such an approach promises to improve 'treatment as usual' formats, which often ignore the formidable obstacles to human change experienced by rural clients and clinicians.

Original languageEnglish
Pages (from-to)293-304
Number of pages12
JournalJournal of Substance Abuse Treatment
Issue number4
StatePublished - Dec 1999

Bibliographical note

Funding Information:
This article was developed with funding from the National Institute on Drug Abuse Grant No. RO 10101. We thank Cynthia Brown, LCSW and Lucy Letton for their contributions.


  • Alcohol treatment
  • Behavioral contracts
  • Case management
  • Cognitive-behavioral treatment
  • Drug treatment
  • Rural treatment

ASJC Scopus subject areas

  • Psychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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