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Promoting High-Value Mental Health Care
Published Online: 15 September 2017

Implementation of Contingency Management at a Large VA Addiction Treatment Center

Abstract

Contingency management (CM) is an evidence-based intervention that reinforces target behaviors of patients, such as abstinence from substance use. This column discusses the experiences and lessons learned at a large U.S. Department of Veterans Affairs Addiction Treatment Center during implementation of CM as part of the VA’s national rollout. Challenges are discussed related to staff reception and limited initial referrals, identifying a drug testing method and staff confidence in that method, training requirements, and financial resources needed. Local innovations and CM expansion since 2012 are also reviewed.

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Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: New York City Views. Skaters Near 59th Street, Samuel H. Gottscho. Museum of the City of New York. Photo credit: Museum of the City of New York/Art Resource, New York City.

Psychiatric Services
Pages: 1207 - 1209
PubMed: 28945178

History

Published online: 15 September 2017
Published in print: December 01, 2017

Keywords

  1. Addictions
  2. Alcohol/alcoholism
  3. Alcohol & drug abuse
  4. Contingency management
  5. Behavior modification
  6. veterans
  7. stimulants
  8. cocaine
  9. methamphetamine

Authors

Details

Hang Ruan, L.I.C.S.W.
Mr. Ruan and Dr. Bullock are with the Addiction Treatment Center, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle/Tacoma. Dr. Reger is with the Mental Health Service, VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Cody L. Bullock, Ph.D.
Mr. Ruan and Dr. Bullock are with the Addiction Treatment Center, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle/Tacoma. Dr. Reger is with the Mental Health Service, VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Greg M. Reger, Ph.D., M.A. [email protected]
Mr. Ruan and Dr. Bullock are with the Addiction Treatment Center, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle/Tacoma. Dr. Reger is with the Mental Health Service, VA Puget Sound Health Care System, and the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.

Notes

Send correspondence to Dr. Reger (e-mail: [email protected]). Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.

Competing Interests

The contents do not necessarily represent the views of the VA or the United States government.

Funding Information

This column is the result of work supported with resources from and use of facilities at the VA Puget Sound Health Care System.

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