Sep 10, 2026

19 min

Contingency Management: Positive Reinforcement to Support Substance Use Recovery

In this episode of What the HEC: Health Education & Conversations, host Dani Gehrke explores contingency management as an evidence-based treatment option for substance use disorder. Certified alcohol and drug counselor Jesse Flack and Tracy Winn,  Sr. Medical Director of Addiction Services at Cascadia Health, explain contingency management and outline implementation choices, staffing, costs, and quality improvement. Brandon Clark with the Oregon Primary Care Association shares a personal account of a contingency management program that helped him sustain sobriety and build new goals.

 

About the Guests

Jesse Flack, CADC-II, QMHA-R, Certified alcohol and drug counselor.

 

Tracy Winn, PMHNP-BC, CARN-AP, Sr. Medical Director of Substance Use & Addiction Services at Cascadia Health.

 

Brandon Clark, HIV/STI Logistics Coordinator at the Oregon Primary Care Association.

 

Resources & Links

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