Rethinking addiction treatment: contingency management and the future of recovery

Health care executive Traci Sweet discusses her article, "The role of contingency management in addiction treatment." She makes a compelling case for the increased use of contingency management—an evidence-based approach utilizing positive reinforcement—to improve outcomes for individuals with substance use disorder (SUD). Traci explains how this method, which rewards positive behaviors like treatment engagement, can effectively leverage the brain's reward system and is particularly beneficial given the high relapse rates associated with traditional treatments. The conversation explores practical applications of contingency management, including app-based digital incentive programs, and highlights its success in her own practice. Traci also outlines a broader vision for the future of SUD care, emphasizing the need to embrace innovation, technology such as AI and digital therapeutics, emerging pharmacological treatments like GLP-1 agonists and psychedelic-assisted therapy, and holistic interventions to create more personalized and effective recovery pathways. The key takeaway is: To address the ongoing addiction crisis, the health care system must move beyond one-size-fits-all models and actively integrate innovative, evidence-based strategies like contingency management alongside cutting-edge technologies and a wider range of therapeutic options.

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