Name
Contingency Management in Primary Care: Utilizing a team-based approach for successful patient outcomes treating Stimulant Use Disorder.
Description

This session explores how to implement Contingency Management (CM) in primary care through strong interdisciplinary collaboration. Presenters will review key components such as workflow design, staffing, sustainable funding, fidelity safeguards, and lessons from rural and urban pilots. Attendees will learn about common barriers and practical strategies to address them while building coordinated support systems. The session provides actionable steps to help clinicians and program leaders translate CM from evidence into everyday practice.

Speakers
Tammy Hand, LCSW
Alyson Poland, LCSW, LADC
Kayla Blackborow, LCSW
Co-Authors
Lisa Miller, DO
Kristen Sylvia, MD
Content Level
All Audience
Tags
Patient-centered care or Patient perspectives, Substance abuse management, Team-based care
Session Type
Concurrent
Objective 1
Describe how Contingency Management programs operate and can be sustainably maintained, including incentive structures, staffing, and workflow.
Objective 2
Understand the team-based care model and how contingency management affects patients within primary care settings.
Objective 3
Identify common barriers, misconceptions, and regulatory/funding considerations that influence the adoption and sustainability of CM within healthcare systems.
Content Reference 1

US Department of Health and Human Services. (2023). Contingency management for the treatment of substance use disorders: enhancing access, quality, and program integrity for an evidence-based intervention. Office of the Assistant Secretary for Planning and Evaluation.

Content Reference 2

Ginley, M. K., Pfund, R. A., Rash, C. J., & Zajac, K. (2021). Long-term efficacy of contingency management treatment based on objective indicators of abstinence from illicit substance use up to 1 year following treatment: A meta-analysis. Journal of Consulting and Clinical Psychology, 89(1), 58.

Content Reference 3

Becker SJ, DiClemente-Bosco K, Rash CJ, Garner BR. Effective, but underused: lessons learned implementing contingency management in real-world practice settings in the United States. Prev Med. 2023 Nov;176:107594. doi: 10.1016/j.ypmed.2023.107594. Epub 2023 Jun 28. PMID: 37385413; PMCID: PMC10753028.

Content Reference 4

Higgins ST, Kurti AN, Davis DR. Voucher-Based Contingency Management is Efficacious but Underutilized in Treating Addictions. Perspect Behav Sci. 2019 Jul 29;42(3):501-524. doi: 10.1007/s40614-019-00216-z. PMID: 31976447; PMCID: PMC6768932.