Contingency
Management

October 2023

Training Manual 

The following training manual focuses on how to effectively implement Contingency Management (CM) in various clinical environments. The manual is largely informed by two studies in Alberta, Canada—CRISM Project Engage and The PRISE Project (PRoviding Incentives to Sustain Engagement).

Project Engage

Project Engage involved uncontrolled prospective trials at four study sites delivering substance use treatment, two inpatient settings and two outpatient settings. The trials examined whether CM helped promote treatment-related goals (e.g., creative arts), abstinence, and treatment attendance among individuals with substance use concerns.

PRISE Project

The PRISE Project, a clinical trial, examined whether CM was helpful in encouraging treatment attendance among individuals seeking treatment for their substance use concerns at two outpatient addiction and mental health clinics.

Project Engage and The PRISE Project were pragmatically informative when it comes to understanding the nuances and challenges of implementing CM in various clinical settings where the structure of treatment programs varies widely (e.g., different treatment schedules, inpatient and outpatient, in-person or virtual).

Topic

Emergency care

decriminalisation

Harm reduction

Law enforcement/incarceration

Concordance Between Urine Drug Screening and Self-Reported Use in the Context of a Pragmatic Randomized-Controlled Trial in People with Prescription-Type Opioid Use Disorder: Concordance entre le dépistage de drogues dans l’urine et l’usage autodéclaré dans le contexte d’un essai pragmatique contrôlé à répartition aléatoire chez des personnes présentant un trouble lié à l’usage d’opioïdes vendus sur ordonnance

Bastien G, Abboud A, McAnulty C, Mahroug A, Le Foll B, Socias ME, Juteau LC, Dubreucq S, Jutras-Aswad D., Can J Psychiatry. 2025

Opioid agonist treatment

Prescription monitoring

Recovery

Substance

Alcohol

Cannabis

Injectable drug use

Tobacco/nicotine

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