Therapeutic Education System (TES)
TES is an interactive, web-based psychosocial intervention for SUDs, grounded in:
Community Reinforcement Approach (CRA) + Contingency Management Behavior Therapy + HIV Prevention
Features of TES
- Consists of 65 interactive, multimedia modules
- Self-directed, evidence-based program includes skills training, interactive exercises, and homework
- Audio component accompanies all module content
- Electronic reports of patient activity available
- Contingency Management Component tracks earnings of incentives dependent on some defined outcome (e.g., urine results confirming abstinence)
- New content can be readily added
- Uses incentive procedures including a virtual “fishbowl” using intermittent schedule of reinforcement based on abstinence, and module completion
Module Examples
- Conducting a functional analysis
- Effective problem solving
- Drug refusal skills training
- Managing negative thinking
- Steps for giving constructive criticism
- Giving and receiving compliments
- Communication skills
- Sharing feelings
- HIV and AIDS
- Drug use, HIV, and Hepatitis
- Increasing self-confidence in decision-making
TES Drug Refusal Skills Example
Module Categories
- Substance Use/Abuse
(drug refusal skills, coping with thoughts about using, identifying/managing triggers)
- Risk Reduction for HIV, AIDS & Sexually Transmitted Infections
(drug use, HIV and hepatitis, identifying/managing triggers for risky sexual behaviors)
- Cognitive and Emotional Regulation
(managing negative thinking, anger management)
- Psychosocial Functioning
(effective problem solving, communication skills)
(Optional modules provide more advanced information on risk reduction and psychosocial functioning)