Contingency Management

An Exciting New Option for Changing Behavior


Contingency Management, “CM” for short, is a behavioral intervention that uses motivational incentives and tangible rewards to help people abstain from drugs or alcohol. Research has shown that CM can not only encourage abstinence and healthy behaviors, but can also boost self-confidence and self-efficacy—important qualities that help people in recovery stay on track. Also worth noting: CM can be especially helpful for people who don’t want or can’t take medications, haven’t been successful with other services, or don’t have access to other treatments. (The latter may be particularly beneficial in rural areas.)

A New Partnership for a New Initiative

Because CM can be such a powerful tool for operators of Recovery Residences, the Fletcher Group Rural Center Of Excellence has launched two important collaborations: one with David Ledgerwood, PhD, of Wayne State University and one with Michael McDonell, PhD, and other faculty members at Washington State University. Both efforts seek to apply Contingency Management in rural recovery residences.

Wayne State researchers will be conducting a pilot project involving 10 to 12 recovery houses in rural communities. Included will be the provision of training and support for recovery residences as well as all necessary materials, technology, and incentives.

Washington State researchers will conduct surveys and interviews with Recovery Residence operators and staff to assess their knowledge of CM and promote its adoption. The information collected will then be used to develop Best Practice applications of CM in rural RH.

Numerous clinical trials have demonstrated CM’s effectiveness in promoting abstinence.* It’s also proven effective at encouraging people to seek substance use treatment.** CM is endorsed as an evidence-based intervention by the National Institute on Drug Abuse and by SAMHSA’s Addiction Technology Transfer Center Network.

Widely Used

CM is already being practiced at 108 facilities within the U.S. Veteran’s Administration, the nation’s largest healthcare system. It’s also been implemented by the New York City Health and Hospital Addiction Treatment Service and is a standard treatment in the United Kingdom National Health Services.


Sign Up Today. It’s Free!

The Fletcher Group RCOE invites your participation at absolutely no cost to you. And in some circumstances, you can actually receive compensation to participate.

Step 1

Confirm that your practice is defined by HRSA as rural by clicking the Rural Health Grants Eligibility Analyzer.

Step 2

If you qualified as rural at the above link, submit your application by clicking “Contingency Management” and filling out a brief form.

This web page is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $10.4 million. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.

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