Search results for: contingency management

Contingency management (CM) is an evidence-based practice that uses behavioral reinforcement, like rewards, to shape client behavior toward a treatment goal, such as attending counseling sessions or abstinence. As a therapeutic approach, CM has been studied extensively in addiction treatment settings for half a century and found reliably effective in the treatment of both opioid use disorder and methamphetamine use disorder, two major contributors to the current overdose epidemic in the U.S.   Click on View Resource to read the full article.

Product Developed by the Contingency Management Task Force (CM Task Force) The Addiction Technology Transfer Center Network Coordinating Office (ATTC NCO) convened the Contingency Management Task Force (CM Task Force) in April 2023 at the request of the Substance Abuse and Mental Health Services Administration (SAMHSA). The purpose of this Contingency Management (CM) Task Force was to define the key components of CM that will facilitate consistent evidence-based training and implementation, and to scale CM in a manner that is meaningful, permissible, and scientific. The insights gathered will help SAMHSA’s [Training and Technical Assistance (TTA) Centers] to offer technical guidance, resources, partnerships, and infrastructure to support the expansion of CM to stakeholders in the field of addiction and recovery. This initial meeting is crucial in developing a shared vocabulary and an evidence based approach to CM education and training platforms, with the goal of incorporating metrics to measure effectiveness. Key information and components for facilitating CM TTA found in this report, include: 1. Key areas of considerations relating to implementation guidance (Section 2) 2. Recommendations pertaining to the development and rollout of implementation guidance (Section 3) 3. Proposed chapter titles and topics to be used in the possible development of a Contingency Management Implementation Guidance Document (Section 4) 4. Publicly available resources (Section 5) 5. Selected references (Section 6)

Contingency management is the evidence-based behavioral intervention associated with the most robust evidence for effectively treating individuals with a stimulant use disorder (StimUD). Contingency management provides monetary incentives (such as gift cards) for meeting treatment goals, including stimulant non-use as measured by negative point-of-care urine drug tests (UDTs), rewarding individuals for changing their behaviors. Substance use offers a powerful, immediate reinforcement. Contingency management confronts this challenge by offering immediate financial awards that can help activate the brain’s reward system, thus encouraging the replacement of stimulants with the incentive to achieve a dopamine release. This 90-minute webinar is designed to provide a broad overview of contingency management for treating individuals with a stimulant use disorder (StimUD). Ample time will be provided for group discussion and audience Q&A.   Learning Objectives: At the end of the course, participants will be able to: -Describe at least three (3) patterns and trends regarding the scope of stimulant use in the Western U.S. and beyond. -Identify at least three (3) acute and three (3) chronic effects of psychostimulant drugs on the brain. -Formulate a list of the four (4) essential elements of an evidence‐based, protocol‐driven contingency management program to address stimulant use. -Specify two (2) barriers to implementing contingency management and two (2) strategies to address the barriers.  

Contingency management is the evidence-based behavioral intervention associated with the most robust evidence for effectively treating individuals with a stimulant use disorder (StimUD). Contingency management provides monetary incentives (such as gift cards) for meeting treatment goals, including stimulant non-use as measured by negative point-of-care urine drug tests (UDTs), rewarding individuals for changing their behaviors. Substance use offers a powerful, immediate reinforcement. Contingency management confronts this challenge by offering immediate financial awards that can help activate the brain’s reward system, thus encouraging the replacement of stimulants with the incentive to achieve a dopamine release. This 90-minute webinar is designed to provide a broad overview of contingency management for treating individuals with a stimulant use disorder (StimUD). Ample time will be provided for group discussion and audience Q&A.    

The New England ATTC, in partnership with the Vermont Department of Health Division of Substance Use Programs (DSU) is providing targeted technical assistance in “Contingency Management Approaches” on 11/28/23 with subject matter expert Carla Rash. Contingency management (CM) is an effective behavioral intervention that provides tangible reinforcement when target behaviors are completed and objectively verified. This workshop will review the three major CM targets - abstinence, attendance, and treatment-related activities, focusing on the decision points important to selecting among these targets, as well as the scientific evidence for each. Specifically: 1) different types of CM programs (i.e., voucher, prize); 2) the 3 major behavioral targets (abstinence, attendance, activities); 3) evidence base for each; 4) most common deviations from evidence-based protocols and how to avoid them; and 5) practical considerations such as funding CM programs and COVID-related adaptations. [This is a private, targeted technical assistance (TA) event.  If you are interested in similar TA please contact [email protected]]

DESCRIPTION: This training will assist participants in understanding the fundamentals of contingency management (CM) and developing a plan for CM implementation in their organization or clinical setting. Special attention will be paid to the use of CM as a primary treatment for stimulant use disorders.     LEARNING OBJECTIVES: Learn the behavioral fundamentals foundational to CM. Learn the skills and tools needed to conduct CM. Plan for the implementation of a CM program in your practice setting.     CONTINUING EDUCATION: Registrants who fully attend this training will be eligible to receive 6 NAADAC-certified continuing education (CE) hours. CE certificates will be sent to qualifying participants via email within two weeks after the training.      TRAINER: Mat Roosa, LCSW-R Mat Roosa was a founding member of NIATx and has been a NIATx coach for a wide range of projects. He works as a consultant in the areas of quality improvement, organizational development, and planning, evidence-based practice implementation. His experience includes direct clinical practice in mental health and substance use services, teaching at the undergraduate and graduate levels, and human service agency administration.     The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders

This training will assist participants in understanding the fundamentals of contingency management (CM) and developing a plan for CM implementation in their organization or clinical setting. Special attention will be paid to the use of CM as a primary treatment for stimulant use disorders.     TRAINING DATES: September 14 from 2-5pm CT September 21 from 2-5pm CT     LEARNING OBJECTIVES: Learn the behavioral fundamentals foundational to CM. Learn the skills and tools needed to conduct CM. Plan for the implementation of a CM program in your practice setting.     CONTINUING EDUCATION: Registrants who fully attend this training will be eligible to receive 6 NAADAC-certified continuing education (CE) hours. CE certificates will be sent to qualifying participants via email within two weeks after the training.      TRAINER: Mat Roosa, LCSW-R Mat Roosa was a founding member of NIATx and has been a NIATx coach for a wide range of projects. He works as a consultant in the areas of quality improvement, organizational development, and planning, evidence-based practice implementation. His experience includes direct clinical practice in mental health and substance use services, teaching at the undergraduate and graduate levels, and human service agency administration.     The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders

This training will assist participants in understanding the fundamentals of contingency management (CM) and developing a plan for CM implementation in their organization or clinical setting. Special attention will be paid to the use of CM as a primary treatment for stimulant use disorders.     LEARNING OBJECTIVES: Learn the behavioral fundamentals foundational to CM. Learn the skills and tools needed to conduct CM. Plan for the implementation of a CM program in your practice setting.     TRAINING DATES: attend all dates from 11am to 12:30pm Central Time and receive 6 NAADAC continuing education hours. February 7, 2024 February 14, 2024 February 21, 2024 February 28, 2024     CONTINUING EDUCATION: Registrants who fully attend this training will be eligible to receive 6 NAADAC-certified continuing education (CE) hours. CE certificates will be sent to qualifying participants via email within two weeks after the training.      TRAINER: Mat Roosa, LCSW-R Mat Roosa was a founding member of NIATx and has been a NIATx coach for a wide range of projects. He works as a consultant in the areas of quality improvement, organizational development, and planning, evidence-based practice implementation. His experience includes direct clinical practice in mental health and substance use services, teaching at the undergraduate and graduate levels, and human service agency administration.     The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders

This training will assist participants in understanding the fundamentals of contingency management (CM) and developing a plan for CM implementation in their organization or clinical setting. Special attention will be paid to the use of CM as a primary treatment for stimulant use disorders.     LEARNING OBJECTIVES: Learn the behavioral fundamentals foundational to CM. Learn the skills and tools needed to conduct CM. Plan for the implementation of a CM program in your practice setting.     TRAINING DATES: attend all dates from 12:30pm to 2:00pm Central Time and receive 6 NAADAC continuing education hours. May 14, 2024 May 21, 2024 May 28, 2024 June 4, 2024     CONTINUING EDUCATION: Registrants who fully attend this training will be eligible to receive 6 NAADAC-certified continuing education (CE) hours. CE certificates will be sent to qualifying participants via email within two weeks after the training.      TRAINER: Mat Roosa, LCSW-R Mat Roosa was a founding member of NIATx and has been a NIATx coach for a wide range of projects. He works as a consultant in the areas of quality improvement, organizational development, and planning, evidence-based practice implementation. His experience includes direct clinical practice in mental health and substance use services, teaching at the undergraduate and graduate levels, and human service agency administration.     The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders

The New England ATTC, in partnership with the New Hampshire Department of Health and Human Services is providing targeted technical assistance in Contingency Management on 6/30/23 with subject matter expert Carla Rash. Contingency management (CM) is an effective behavioral intervention that provides tangible reinforcement when target behaviors are completed and objectively verified. A large body of literature supports CM’s use for the treatment of persons with substance use disorders (SUDs). Many applications of CM in treating SUDs focus on abstinence, providing monetary rewards or prizes when clients provide objective evidence of abstinence from drugs (e.g., urine samples). Contingency management has also been adapted successfully to reinforce other behaviors, including treatment attendance, medication adherence, and treatment-related activities (e.g., submitting job applications, attending medical appointments). This workshop will review the application of CM to promote positive behavior change in substance use disorder treatment settings. Attendees will learn how to design and implement an effective CM program. Specifically, the 1) theoretical underpinnings and supporting empirical literature, 2) different types of CM programs (i.e., voucher, prize), 3) effective design features, and 4) most common deviations from evidence-based protocols and how to avoid them. [This is a private, targeted technical assistance (TA) event. If you are interested in similar TA please contact [email protected]]

The New England ATTC, in partnership with WestBridge is providing a two-part targeted TA series in Contingency Management (CM) on 11/23/22 and 12/7/22 with subject matter expert Carla Rash. The first session on 11/23/22 will be held virtually and the second session on 12/7/22 will be in person. Attendees of this series will learn: 1) theoretical underpinnings of CM and supporting empirical literature; 2) different types of CM programs (i.e., voucher, prize); 3) effective CM design features; 4) common deviations from evidence-based CM protocols and how to avoid them; 5) common barriers to CM delivery, 6) how to calculate the costs of delivering CM incentives; and 7) strategies for designing a CM protocol. [This is a private, targeted technical assistance (TA) event.  If you are interested in similar TA please contact [email protected]]

By the Northwest Addiction Technology Transfer Center   Contingency management (CM) is an evidence-based practice that uses behavioral reinforcement, like rewards, to shape client behavior toward a treatment goal, such as attending counseling sessions or abstinence. As a therapeutic approach,

The intent of this course is to serve as a bridge to intensive technical assistance for healthcare organizations seeking to implement contingency management (CM) programming in their setting. The course offers coordinated instruction and resources specific to direct care staff (those in clinical service roles who deliver such services directly to clientele). This course includes an introduction to CM describing its core elements, scientifically-supported systems, and how it can be used in healthcare settings to have a positive impact on clients. It also offers unique content on how personnel in the Direct-Care role can contribute to the successful integration of CM into the clinical services their organization offers. For organizations utilizing this course, a strongly recommended initial step is for those in leadership roles to complete the decision-maker course module, including its activity for drafting CM programming customized to the settings needs and resources. Once leaders have formulated and discussed these initial ideas about CM programming, the content of course modules for Clinical Supervisors and Direct Care Staff are likely to be more useful to those staffing groups. Given the complexities of implementing a systems-level practice like CM, organizations are urged to additionally seek out consultation and coaching as intensive technical assistance via a Technology Transfer Center in their region.    Also available: Decision Maker and Clinical Supervisor courses.

The intent of this course is to serve as a bridge to intensive technical assistance for healthcare organizations seeking to implement contingency management (CM) programming in their setting. The course offers coordinated instruction and resources specific to clinical supervisors (those in supervisory roles positions to provide quality assurance and evaluation of clinical services offered by direct care staff). This course includes an introduction to CM describing its core elements, scientifically-supported systems, and how it can be used in healthcare settings to have a positive impact on clients. It also offers unique content on how personnel in the Clinical Supervisor role can contribute to the successful integration of CM into the clinical services their organization offers. For organizations utilizing this course, a strongly recommended initial step is for those in leadership roles to complete the decision-maker course module, including its activity for drafting CM programming customized to the settings needs and resources. Once leaders have formulated and discussed these initial ideas about CM programming, the content of course modules for Clinical Supervisors and Direct Care Staff are likely to be more useful to those staffing groups. Given the complexities of implementing a systems-level practice like CM, organizations are urged to additionally seek out consultation and coaching as intensive technical assistance via a Technology Transfer Center in their region.    Also available: Decision Maker and Direct Care Staff courses.

The intent of this course is to serve as a bridge to intensive technical assistance for healthcare organizations seeking to implement contingency management (CM) programming in their setting. The course offers coordinated instruction and resources specific to decision makers (those in organizational leadership roles positioned to make systems-level decisions about how resources are used for clinical services). This course includes an introduction to CM describing its core elements, scientifically-supported systems, and how it can be used in healthcare settings to have a positive impact on clients. It also offers unique content on how personnel in the Decision Maker role can contribute to the successful integration of CM into the clinical services their organization offers. For organizations utilizing this course, a strongly recommended initial step is for those in leadership roles to complete the decision-maker course module, including its activity for drafting CM programming customized to the settings needs and resources. Once leaders have formulated and discussed these initial ideas about CM programming, the content of course modules for Clinical Supervisors and Direct Care Staff are likely to be more useful to those staffing groups. Given the complexities of implementing a systems-level practice like CM, organizations are urged to additionally seek out consultation and coaching as intensive technical assistance via a Technology Transfer Center in their region.    Also available: Clinical Supervisor and Direct Care Staff courses.

Slides from the session TOR Webinar: Contingency Management: What it is and how it works in SUD treatment. This event took place on July 27, 2022. 

The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders.     DESCRIPTION: This training will assist participants in understanding the fundamentals of contingency management (CM) and developing a plan for CM implementation in their practice setting. Special attention will be paid to the usage of CM as a primary treatment for stimulant use disorders.     LEARNING OBJECTIVES: Learn the behavioral fundamentals foundational to CM Learn the skills and tools needed to conduct CM Plan for the implementation of a CM program in your practice setting Plan implementation of CM that responds to the needs of clients with stimulant use disorder     CONTINUING EDUCATION: Registrants who fully attend this training will receive 6 NAADAC continuing education (CE) hours. CE certificates will be sent via email within two weeks after training.      TRAINER: Mat Roosa was a founding member of NIATx and has been a NIATx coach for a wide range of projects. He works as a consultant in the areas of quality improvement, organizational development, and planning, evidence-based practice implementation, including coaching and training Contingency Management implementation. His experience includes direct clinical practice in mental health and substance use services, teaching at the undergraduate and graduate levels, and human service agency administration.  

This event took place on Wednesday, July 27th 2022.

The Great Lakes A/MH/PTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders. Dates and Times: June 7, 14, 21, 28, 2022 (2:00 PM–3:30 PM CT) July 26, 2022 (2:00 PM–3:00 PM CT) Follow up TA session to organize mentoring: 7/26 2-3pm CT Further sessions TBD at the 7/26 session     DESCRIPTION: This contingency management (CM) training is a closed ITA series for Michigan providers. The course curriculum consists of six hours of introductory CM training followed by ongoing intensive mentoring follow-up sessions focused on process implementation.     LEARNING OBJECTIVES: Learn the behavioral fundamentals foundational to CM Learn the skills and tools needed to conduct CM. Plan for the implementation of a CM program in practice setting. Understand the utilization of CM for stimulant use. Prep for next steps ITA to be able to mentor other sites statewide     CERTIFICATES: Registrants who fully attend this training will be eligible to receive 7 NAADAC continuing education (CE) hours. CE certificates are sent via email within 2 weeks after the training ends.

The New England ATTC in partnership with the Massachusetts Community Care Alliance is hosting a Contingency Management targeted TA training on 7/20/22 with subject matter expert Carla Rash. Contingency management (CM) is an effective behavioral intervention that provides tangible reinforcement when target behaviors are completed and objectively verified. In this workshop, the foundations of CM to promote recovery will be reviewed. Attendees will learn how to design and implement an effective CM program. Specifically, the following will be described 1) the theoretical underpinnings and supporting empirical literature, 2) different types of CM programs (i.e., voucher, prize), 3) effective design features, 4) most common deviations from evidence-based protocols and how to avoid them, and 5) practical considerations such as funding CM programs and tele-health adaptations.

    County of Los Angeles Department of Public Health, Substance Abuse Prevention and Control Program With UCLA Integrated Substance Abuse Programs, Pacific Southwest Addiction Technology   Presents a Special Training on:   Recovery Incentives Program: California’s Contingency Management Benefit     Friday, July 21, 2023; 10:00 a.m. – 1:15 p.m. PDT   Featured Presenter: Thomas E. Freese, Ph.D., Director, UCLA ISAP, Co-Director, Pacific Southwest ATTC, HHS Region 9    Panelists: Alyssa Cohen, Psy.D., Clinical Psychologists II, Clinical Standards & Training (CST) Unit, SAPC   Vincent Scribner, CADC II, Senior Supervisor, Tarzana Treatment Centers Carol Bishop, LMFT, Clinical Supervisor, Tarzana Treatment Centers Nina Glassman, LCSW, Compliance Manager, Roots Through Recovery   Contingency management is one of the only evidence-based behavioral interventions shown to be effective in treating stimulant use disorder (StimUD). Contingency management provides monetary incentives (such as gift cards) for meeting treatment goals, including stimulant non-use as measured by negative urine drug tests (UDTs), rewarding individuals for changing their behaviors. Substance use offers a powerful, immediate reinforcement. Contingency management confronts this challenge by offering immediate financial awards that can help activate the brain’s reward system, thus encouraging the replacement of stimulants with the incentive to achieve a dopamine release. This lecture series will start off with an overview of the scope of the stimulant use problem and the acute and chronic impact of use. The lecture will review the disparities in impact on BIPOC communities and strategies to address these. The lecture will then provide an overview of contingency management for treating individuals with a stimulant use disorder (StimUD) and will provide information on the Recovery Incentives Program: California’s Contingency Management Benefit – a statewide pilot program for treating individuals with a StimUD.     The panel portion of the lecture series event will feature Los Angeles providers participating in the Recovery Incentives program.  The panel discussion will focus on implementing contingency management and lessons learned while initiating the pilot program.    Objectives: At the end of this presentation, participants will be able to: 1.    Describe at least three (3) patterns and trends regarding the scope of stimulant use in California and beyond. 2.    Identify at least three (3) acute and three (3) chronic effects of psychostimulant drugs on the brain. 3.    Explain at least two (2) strategies to address the disparities in the impact of StimUD on BIPOC communities. 4.    Name at least three (3) forms of empirical evidence to support CM as an intervention for treating stimulant use disorder. 5.    Distinguish the four (4) essential elements of an evidence-based, protocol-driven Recovery Incentives Program to address stimulant use. Continuing Education: The training course meets the qualifications for the provision of three (3.0) continuing education credits/ contact hours (CEs/CEHs). UCLA ISAP is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs, LCSWs, LPCCs, and/or LEPs (Provider #64812). UCLA ISAP maintains responsibility for this program/course and its content. Course meets the qualifications for three (3.0) hours of continuing education credit for LMFTs, LCSWs, LPCCS, and LEPs as required by the California Board of Behavioral Sciences. UCLA ISAP is also an approved provider of continuing education for RADTs I/II, CADCs-CASs, CADCs I/II, CADCs-CSs, and LAADCs (CCAPP, #2N-00-445-1123), CATCs (ACCBC/CAADE, #CP40 872 C 0822), and CAODCs (CADTP,  #151). CE credit will be awarded six-eight weeks after the virtual training. Partial credit will not be available for those participants who arrive late or leave early.   UCLA Integrated Substance Abuse Programs (ISAP) is approved by the American Psychological Association to sponsor continuing education for psychologists. UCLA ISAP maintains responsibility for this program and its content. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the California Medical Association (CMA) through the joint providership of UCLA Integrated Substance Abuse Programs (ISAP) and SAPC. UCLA Integrated Substance Abuse Programs (ISAP) is accredited by the CMA to provide continuing medical education for physicians. UCLA Integrated Substance Abuse Programs (ISAP) designates this live virtual training course for a maximum of three (3.0) AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements as long as the course is certified for AMA PRA Category 1 CreditsTM (rn.ca.gov). Nurses will receive a Certificate of Participation following this activity that may be used for license renewal. Continuing medical education will be awarded within 6-8 weeks following completion of the training.   Instructions for Filing a Grievance Concerning UCLA ISAP’s Continuing Education Program: Please contact Dr. Thomas E. Freese, CE Program Administrator, in writing (UCLA ISAP, 10911 Weyburn Avenue, Suite 200, Los Angeles, CA 90024-2886) or by phone (310-267-5397). Alternately, you may contact Dr. Gloria Miele or Dr. James Peck, ISAP-affiliated doctoral-level psychologists responsible for program planning for the ISAP CE Program. Drs. Miele and Peck can be reached in writing at: 10911 Weyburn Avenue, Suite 200, Los Angeles, CA 90024-2886 or by phone at: 310-267-5888 (Miele) or 310-267-5346 (Peck).   Please contact Brandy Oeser at 310-267-5331 or via email at [email protected] if you have questions or concerns. If you need a disability-related reasonable accommodation/alternative format for this event, please contact Brandy Oeser at (310) 267-5331 or via email at [email protected] by September 23, 2022.   This lecture series will be recorded.   Refund/Cancellation Policy: Notice of cancellation must be made at least 72 hours in advance of the training by emailing Brandy Oeser at [email protected]. You can also cancel directly via zoom.   Pre-registration is required and enrollment is limited to 1000 people. Registration will be accepted on a first come, first served basis.   You will receive a zoom confirmation if space has been reserved for you.