Contingency Management

Despite the significant public health threat posed by stimulants (e.g., cocaine, methamphetamine), currently there are no FDA-approved medications available for the treatment of stimulant use disorders. However, there are effective behavioral treatments. Decades of research including multiple systematic reviews and meta-analyses have shown that Contingency Management (CM) is among the most effective treatments for stimulant use disorder and other substance use disorders (SUDs). In the CM treatment approach, people earn incentives for specific healthy behaviors according to a well-defined protocol.

Contingency Management Training Video

UVM CORA has developed educational resources on the use of CM for treatment providers, policymakers, health departments, health services, and clinicians.

Our UVM CORA Contingency Management Provider Training Video highlights:

• Basic elements of the CM treatment approach
• Why providers should consider CM for their patients who struggle with substance use
• Evidence supporting the use of CM
• Important steps and considerations for using CM
• Resources available through UVM CORA to help support these efforts

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Video: Contingency Management Provider Training

Professional Support and Educational Materials

See below for support and resources for any professionals seeking to further develop their knowledge and/or implementation of CM.

• One-on-one virtual consultation and coaching with UVM CORA Clinician Affiliates, who are community providers with deep expertise in treatment approaches for SUD
  • UVM CORA Clinician Office Hours Program
• Findings from a state-by-state review of laws related to providing incentives to patients for healthy behaviors
  • Read the laws – Interactive Map of US State Laws Relevant to Incentives for Health Behavior
  • Read the journal article – US State Laws Relevant to Incentives for Health Behavior: A Qualitative Analysis
  • View the poster presentation  – US State Laws Regulating Incentives Related to Substance Use (The College on Problems of Drug Dependence (CPDD) 85th Annual Scientific Meeting)
• Expert-led seminars and video curricula with CME credits available (UVM CORA Community Rounds)
  • Treatment of Stimulant Use Disorders

• • Smartphone-based Financial Incentives to Promote Smoking Cessation Among Pregnant Women
  • Recommendations for Culturally Recentering Reinforcement-Based Substance Use Disorder Interventions in Collaboration with Rural Tribal Communities
  • A Qualitative Analysis of US State Laws Regulating Incentives for Health Behavior

• A UVM CORA guide to evidence-based resources to learn more about CM

• • Contingency Management Resource Guide

• UVM CORA Research Spotlights on the latest publications relevant to rural providers

• • Financial Incentives for Smoking Cessation in Pregnancy
  • COVID-19 Vaccine Uptake in Rural Populations with Substance Use Disorder

• A UVM CORA scholarship-based program to facilitate in-person training for providers and their clinical teams on science-based practices for addiction treatment
  • UVM CORA Opioid and Substance Use Treatment Training Scholarship Program
• The U.S. Department of Health and Human Services (HHS) Workgroup on Implementation Strategies for Contingency Management Report to Congress on opportunities and considerations for entities overseeing CM implementation
  • Contingency Management for the Treatment of Substance Use Disorders: Enhancing Access, Quality, and Program Integrity for an Evidence-Based Intervention