TY - JOUR
AU - S. C. Parent
AU - K. M. Peavy
AU - D. Tyutyunnyk
AU - K. A. Hirchak
AU - T. Nauts
AU - A. Dura
AU - L. Weed
AU - L. Barker
AU - M. G. McDonell
A1 - 
AB - Increases in stimulant drug use (such as methamphetamine) and related deaths creates an imperative for community settings to adopt evidence-based practices to help people who use stimulants. Contingency management (CM) is a behavioral intervention with decades of research demonstrating efficacy for the treatment of stimulant use disorder, but real-world adoption has been slow, due to well-known implementation barriers, including difficulty funding reinforcers, and stigma. This paper describes the training and technical assistance (TTA) efforts and lessons learned for two state-wide stimulant-focused CM implementation projects in the Northwestern United States (Montana and Washington). A total of 154 providers from 35 community-based service sites received didactic training in CM beginning in 2021. Seventeen of these sites, ten of eleven in Montana (90.9%) and seven of 24 in Washington (29.2%), went on to implement contingency management programs adherent to their state's established CM protocol and received ongoing TTA in the form of implementation coaching calls. These findings illustrate that site-specific barriers such as logistical fit precluded implementation in more than 50% of the trained sites; however, strategies for site-specific tailoring within the required protocol aided implementation, resulting in successful CM program launch in a diverse cross-section of service sites across the states. The lessons learned add to the body of literature describing CM implementation barriers and solutions.
AD - Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA; Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Spokane, WA, USA. Electronic address: sara.parent@wsu.edu.; Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA; Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Spokane, WA, USA.; Montana Primary Care Association, Helena, MT, United States of America.; Washington State Health Care Authority, Olympia, WA, United States of America.
AN - 37451553
BT - Prev Med
C5 - Opioids & Substance Use; Education & Workforce
DA - Nov
DO - 10.1016/j.ypmed.2023.107614
DP - NLM
ET - 20230713
JF - Prev Med
LA - eng
N2 - Increases in stimulant drug use (such as methamphetamine) and related deaths creates an imperative for community settings to adopt evidence-based practices to help people who use stimulants. Contingency management (CM) is a behavioral intervention with decades of research demonstrating efficacy for the treatment of stimulant use disorder, but real-world adoption has been slow, due to well-known implementation barriers, including difficulty funding reinforcers, and stigma. This paper describes the training and technical assistance (TTA) efforts and lessons learned for two state-wide stimulant-focused CM implementation projects in the Northwestern United States (Montana and Washington). A total of 154 providers from 35 community-based service sites received didactic training in CM beginning in 2021. Seventeen of these sites, ten of eleven in Montana (90.9%) and seven of 24 in Washington (29.2%), went on to implement contingency management programs adherent to their state's established CM protocol and received ongoing TTA in the form of implementation coaching calls. These findings illustrate that site-specific barriers such as logistical fit precluded implementation in more than 50% of the trained sites; however, strategies for site-specific tailoring within the required protocol aided implementation, resulting in successful CM program launch in a diverse cross-section of service sites across the states. The lessons learned add to the body of literature describing CM implementation barriers and solutions.
PY - 2023
SN - 0091-7435 (Print); 0091-7435
SP - 107614
ST - Lessons learned from statewide contingency management rollouts addressing stimulant use in the Northwestern United States
T1 - Lessons learned from statewide contingency management rollouts addressing stimulant use in the Northwestern United States
T2 - Prev Med
TI - Lessons learned from statewide contingency management rollouts addressing stimulant use in the Northwestern United States
U1 - Opioids & Substance Use; Education & Workforce
U3 - 10.1016/j.ypmed.2023.107614
VL - 176
VO - 0091-7435 (Print); 0091-7435
Y1 - 2023
ER -