APC: Contingency Management (CM) - Richard Rawson, PhD-Contingency Management video

Video Transcription

Video Summary

In the video, Jim Sorensen's work in drug addiction research is discussed, with a focus on his emphasis on using science to improve understanding and practice in addiction treatment. The video also mentions the Advanced Addiction Psychotherapy curriculum and its monthly discussions on addiction treatment. The treatment of stimulant use disorder, particularly cocaine and methamphetamine addiction, is highlighted, as well as the challenges of engaging and retaining individuals in treatment. The need for effective treatment to reduce overdose deaths is emphasized, with an overview of different treatment approaches, including the Matrix Model, contingency management, cognitive behavioral therapy, and motivational interviewing. Co-occurring psychiatric disorders and harm reduction strategies are also noted as important considerations. <br /><br />Dr. Kathleen Carroll at Yale has collected data on various treatments for stimulant use disorder, including cognitive behavioral therapy, the community reinforcement approach, motivational interviewing, physical exercise, and transcranial magnetic stimulation. Among these approaches, contingency management has shown the most efficacy and acceptability, particularly when combined with the community reinforcement approach. Other interventions, such as cognitive behavioral therapy alone or with contingency management, also show some efficacy. The challenges of implementing contingency management, such as financial limitations and political resistance, are discussed, along with potential solutions such as alternative funding sources and app-based programs. Limited evidence on the use of prescription stimulants for stimulant use disorder is mentioned, highlighting the need for further research in this area.

Keywords

drug addiction research

addiction treatment

stimulant use disorder

cocaine addiction

methamphetamine addiction

overdose deaths

contingency management

cognitive behavioral therapy

motivational interviewing

co-occurring psychiatric disorders

harm reduction strategies

transcranial magnetic stimulation

further research