Overdose Deaths Before and During the COVID-19 Pandemic in a US County

Globally, overdose deaths increased near the beginning of the COVID-19 pandemic, which created availability and access barriers to addiction and social services. Especially in times of a crisis like a pandemic, local exposures, service availability and access, and system responses have major influence on people who use drugs. For policy makers to be effective, an…

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Contingency Management Needs Implementation Science

Addiction journal cover

The gap between the evidence for contingency management (CM) and patients’ ability to access it is so dire that, in Fall of 2021, the New York Times ran an article titled, ‘This addiction treatment works. Why is it so underused?’ The article elucidated the myriad of barriers that limit widespread access to CM in the…

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Effective, but Underused: Lessons Learned Implementing Contingency Management in real-world Practice settings in the United States

Preventive Medicine journal cover

Despite being one of the most effective adjunctive behavioral interventions in combination with medication for opioid use disorder, contingency management (CM) is one of the least available interventions in opioid treatment programs. This paradoxical state of affairs is perhaps the greatest example of the research-to-practice gap in the behavioral health field. Implementation science, a discipline…

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Implementing Contingency Management for Stimulant Use in Opioid Treatment Programs: Protocol of a Type III Hybrid Effectiveness-stepped-wedge Trial

Implementation Science journal cover

Contingency management (CM) is an evidence-based intervention for stimulant use and is highly effective in combination with medication for opioid use disorder. Yet, uptake of CM in opioid treatment programs that provide medication for opioid use disorder remains low. This paradox in which CM is one of the most effective interventions, yet one of the…

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