A lack of knowledge about Contingency Management (CM) is a barrier to providers implementing this practice. In a study of providers across the state of Rhode Island, less than half could define CM correctly, and about 20% offered a non-specific definition of “incentives.” In addition, providers are often not aware that it is one of the most effective treatments available for opioid and stimulant use disorders.

Some providers may have philosophical objections to using incentives in substance use treatment. These providers may not want to give patients incentives for things they should “already be doing” or may worry that patients will use incentives to buy drugs. Providers may also struggle to understand how CM can be compatible with a harm reduction treatment philosophy. These barriers can often be addressed via education.

Studies have found that about 20% of providers have negative beliefs about CM and do not believe that it is as effective as other treatment options.