RT Article
T1 Frequent Use of Contingency Management and Opioid Treatment Programs that Provide Treatment for More than Only Opioid Use Disorder
JF Journal of drug issues
VO 55
IS 4
SP 550
OP 564
A1 Ware, Orrin D.
A1 Novak, Matthew D.
A1 Toegel, Forrest
A2 Novak, Matthew D.
A2 Toegel, Forrest
LA English
YR 2025
UL https://krimdok.uni-tuebingen.de/Record/1935040367
AB Contingency management is an effective behavioral intervention for treating substance use disorders that provides patients with incentives for objective verification of completed targeted recovery behaviors including abstinence from substances, attending treatment, and medication adherence. Accredited/licensed opioid treatment programs provide effective, medications for opioid use disorder. This study evaluated the prevalence of frequent contingency management use among a national sample of opioid treatment programs in the U.S. (N = 672). A binary logistic regression model examined factors associated with providing contingency management, including state-level fatal overdoses, number of pharmacotherapies, outpatient treatment, facility ownership, and residential treatment. Most evaluated facilities provided contingency management (n = 440; 65.5%). Facilities that prescribed more pharmacotherapies, were located in states with high drug overdose death rates, and for-profit (compared to nonprofit) providers were more likely to offer contingency management. Because contingency management effectively treats substance use disorders, contingency management should be offered more broadly across opioid treatment programs.
K1 Policy
K1 pharmacotherapy
K1 opioid treatment program
K1 national sample
K1 Harm Reduction
K1 Contingency management
DO 10.1177/00220426241238957