Setting
Clinic structure and culture can impact Contingency Management implementation.
Barriers
Higher staff turnover and insufficient staffing make it harder to implement Contingency Management (CM). Many programs that serve patients with stimulant and/or opioid use disorder are understaffed and require the development of clear staff turnover plans.
Due to the significant financial investment required to deliver CM, insufficient funds for incentives and toxicology screens are one of the biggest barriers to implementation.
Many substance use treatment programs require each clinician to carry a high caseload, which limits the time available to learn and implement new practices like CM.
Facilitators
Strong relationships already built between providers and clients during substance use treatment in clinics may facilitate better adoption and outcomes of CM.
Programs with strong leadership engagement are likely to be more successful with CM implementation.
Programs with a strong culture oriented towards implementation, that expects, monitors, and rewards implementation, are likely to be more successful with CM implementation.