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
- Reduction in Mortality: Contingency management for stimulant use disorder and association with mortality
- Long-term efficacy of Contingency Management treatment based on objective indicators of abstinence from illicit substance use up to 1 year following treatment
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Recovery Incentives Program: California's Contingency Management Benefit
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