Abstract
Contingency management (CM) is an efficacious intervention for the treatment of substance use disorders that is widely applicable across a range of client populations and characteristics. Despite its strong evidence base, CM remains underutilized in real world practice. This article introduces CM for clinicians interested in adopting CM and briefly reviews this research evidence. In addition, CM protocols are described, with emphasis on the specific design considerations important to CM’s efficacy. The recent Department of Veterans Affairs (VA) initiative, which represents the first successful large-scale implementation effort, is presented. It provides a model for the training and supervision components that may be critical to implementation with fidelity. Continued research in this area, as well as further demonstrations of successful dissemination and implementation, will be critical for improving the adoption of this intervention in clinical, nonresearch settings.
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Acknowledgements
This work was supported in part by National Institutes of Health grants: R01-HD075630, R01-AA023502, P50-DA009241, P60-AA003510, R01-AA021446, R01-MD013550, T32-AA007290. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government, or the National Institutes of Health.
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Rash, C.J., DePhilippis, D. Considerations for Implementing Contingency Management in Substance Abuse Treatment Clinics: The Veterans Affairs Initiative as a Model. Perspect Behav Sci 42, 479–499 (2019). https://doi.org/10.1007/s40614-019-00204-3
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DOI: https://doi.org/10.1007/s40614-019-00204-3