Contingency management

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Contingency management may be used as part of a treatment approach for people with AOD use disorders, that involves rewarding or reinforcing desired behaviour in the client in a supportive manner [705]. Examples are providing vouchers for negative urine samples, for treatment attendance, or for medication adherence. There is evidence that contingency management techniques can be used successfully to facilitate AOD treatment goals, such as reduced use or abstinence [706–709]. Studies have also found contingency management to be effective in promoting abstinence from cannabis among people with co-occurring psychosis [710, 711]; cocaine and opiates among buprenorphine-maintained clients with co-occurring major depression [712]; cocaine among homeless clients [713]; as well as reducing substance use [714], and substance use and psychiatric symptoms, among people using stimulants with serious mental illness [715].

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