DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Contingency Management Therapy for Methamphetamine Use Disorders


  • Basic premise: Contingency management (CM) interventions to treat people dependent on psychoactive substances are based on a robust theoretical and empirical science literature that regards drug use and addiction as a form of operant conditioning in which behavior is controlled or shaped by its consequences. This model refers to a type of behavioural therapy in which individuals are ‘reinforced’, or rewarded, for evidence of positive behavioural change, often involving provision of monetary-based reinforcers for submission of drug-negative urine specimens. As such, the likelihood of substance use should be influenced by the context in which use occurs. More specifically, alternative non-drug reinforcers should decrease substance use if they are available in sufficient magnitude and according to a schedule that is incompatible with drug use. CM for methamphetamine use disorder is a behavioral strategy that is not delivered by therapist, but a CM technician.


McDonell, M. G., Srebnik, D., Angelo, F., McPherson, S., Lowe, J. M., Sugar, A., Short, R. A., Roll, J. M., & Ries, R. K. (2013). Randomized controlled trial of contingency management for stimulant use in community mental health patients with serious mental illness. The American Journal of Psychiatry170(1), 94–101.

Rawson, R. A., McCann, M. J., Flammino, F., Shoptaw, S., Miotto, K., Reiber, C., & Ling, W. (2006). A comparison of contingency management and cognitive-behavioral approaches for stimulant-dependent individuals. Addiction (Abingdon, England)101(2), 267–274.

Roll, J.M., Chudzynski, J., Cameron, J.M., Howell, D.N., & McPherson, S. (2013). Duration effects in contingency management treatment of methamphetamine disorders. Addictive Behaviors, 38(9), 2455–62.

Roll, J.M., Huber, A., Sodano, R., Chudzynski, J., Moynier, E., & Shoptaw, S. (2006). A comparison of five reinforcement schedules for use in contingency management-based treatment of methamphetamine abuse. The Psychological Record, 56, 67–81.

Shoptaw, S., Huber, A., Peck, J., Yang, X., Liu, J., Jeff, D., et al. (2006). Randomized, placebo-controlled trial of sertraline and contingency management for the treatment of methamphetamine dependence. Drug and Alcohol Dependence, 85(1), 12–18.