ORN Training – Contingency Management: Overview-Recording

Video Transcription

Video Summary

The meeting focused on the opioid response network and the introduction of a contingency management (CM) program, presented by Kate Hirschak and Kelsey Badgett from the Prisoner Collaborative. The opioid response network, established in 2018 and funded by SAMHSA, offers free training and technical assistance to support nationwide prevention, treatment, and recovery efforts against the opioid crisis.<br /><br />Contingency management is a behavioral intervention based on operant conditioning where positive reinforcement, often in the form of incentives like gift cards, is used to encourage healthier behaviors, such as remaining abstinent from stimulant use. The program typically runs for 12 weeks, with participants attending sessions twice weekly.<br /><br />The training aimed to educate on implementing the CM program, focusing on operational considerations including defining measurable behaviors, offering tangible incentives, and ensuring frequent rewards. The session also touched on sustaining abstinence after program completion and maintaining ethical standards by linking incentives strictly to desired behaviors.<br /><br />The program aligns well with cultural values, especially within Native communities, by emphasizing trust, respect, and community connections. Practical aspects, like identifying meaningful incentives and addressing recruitment and potential barriers, were discussed. <br /><br />Participants also engaged in role-play exercises to practice positive engagements when urine tests yield positive results, stressing the importance of maintaining encouraging and supportive interactions.<br /><br />Finally, the increased SAMHSA budget now allows incentives up to $750, enhancing the feasibility and attractiveness of implementing such programs. Office hours for further consultation and support were proposed for future engagement.

Keywords

opioid response network

contingency management

Kate Hirschak

Kelsey Badgett

Prisoner Collaborative

SAMHSA

behavioral intervention

operant conditioning

positive reinforcement

abstinence

ethical standards

Native communities

cultural values

incentives

recovery efforts