Which of the following is not a drawback to community reinforcement (CR) and contingency management (CM) approaches?

The effectiveness of community reinforcement (CR) and contingency management (CM) approaches often depends on the context in which they are applied. Option A correctly identifies that while CR and CM can be complementary, it is not necessarily a drawback that they are most effective when used together. In fact, this combined effectiveness can enhance treatment outcomes, making it a strategic advantage rather than a limitation.

In contrast, the other statements reflect genuine concerns related to CR and CM. These approaches can be resource-intensive, requiring significant effort and support from others (in the case of CR) and continuous rewards to sustain behavior change (in the case of CM), leading to potential accessibility and sustainability issues. Furthermore, there are concerns regarding the long-term effectiveness of these approaches, which might necessitate ongoing application and adjustment to maintain desired outcomes. Thus, while the integration of CR and CM is beneficial, the identification of their effectiveness as a paired approach is not a drawback, but rather a strategic consideration in treatment design.