Skip Navigation

Link to  the National Institutes of Health  
The Science of Drug Abuse and Addiction from the National Institute on Drug Abuse Archives of the National Institute on Drug Abuse web site
Go to the Home page
   

Home > Publications > A Community Reinforcement Approach: Treating Cocaine Addiction

A Community Reinforcement Approach: Treating Cocaine Addiction



Exhibit 26: Reciprocal Contract for Behavior Change

This contract is designed to assist you in achieving and maintaining positive changes in your relationship. During treatment, you will be asked to develop a number of these contracts that document reciprocal changes requested by you and your partner. By making public commitment and putting it in writing, you are actively taking steps toward achieving and maintaining positive changes in your relationship.

I, __________________________, agree to make every effort possible to make the following change(s) at my partner's request. I understand that this change is very important to my partner and therefore also very important to me.

Behavior change:

 

 

 

I, __________________________, agree to make every effort possible to make the following change(s) at my partner's request. I understand that this change is very important to my partner and therefore also very important to me.

Behavior change:

 

 

 

This contract will continue throughout treatment unless a new contract is substituted or until one or both parties decides to stop participating.

Patient:

_______________________________

Date:

 

Partner:

_______________________________

Date:

 

Therapist:

_______________________________

Date:

 

[Use the Back Button on Your Browser to Return to the Previous Page]


Therapy Manuals for Drug Abuse:
Manual 2

 



 
TX  
TX
 
 

Contents



Archive Home | Accessibility | Privacy | FOIA (NIH) | Current NIDA Home Page
National Institutes of Health logo_Department of Health and Human Services Logo The National Institute on Drug Abuse (NIDA) is part of the National Institutes of Health (NIH) , a component of the U.S. Department of Health and Human Services. Questions? See our Contact Information. . The U.S. government's official web portal