Archive for April, 2013

Acceptability of Contingency Management in Washington State Community Mental Health Clinics

April 16, 2013

cmThis new article, currently in-press at American Journal on Addictions and written by Debra Srebnik, Andrea Sugar, Patrick Coblentz, John Roll (of the CTN Pacific Northwest Node), and colleagues from Washington State, may be of interest to those following the CTN’s research on the use of contingency management/motivational incentives.

Emerging evidence supports the effectiveness of contingency management (CM) for addictions treatment among individuals with co-occurring series mental illness (SMI). This study aimed to evaluate the acceptability of CM among community mental health center (CMHC) clinicians, and is the first study to explore client views in that setting as well.

Three-quarters of WA state clinicians surveyed reported they would use CM if funding were available. Clinicians and clients affirmed that incentives enhance abstinence motivation. Clinician CM acceptability was related to greater years of experience, and identifying as an addictions or co-occurring disorders counselor rather than a “mental health” clinician.

The findings provide preliminary evidence that CMHC clinicians serving clients with addictions and complicating SMI, and client participants in CM, both view CM as motivating and an effective tool for facilitating recovery.

As an evidence-based intervention, supported by strong positive outcomes from the National Drug Abuse Clinical Trials Network (see protocols CTN-0006 and CTN-0007), contingency management warrants further efforts toward funding and dissemination in CMHCs.

Citation: Srebnik D, Sugar A, Coblentz P, et al. Acceptability of contingency management among clinicians and clients within a co-occurring mental health and substance use treatment program. Am J Addict 2013 (in press). [doi: 10.1111/j.1521-0391.2012.00333.x]


HIV Prevention in Substance Abuse Treatment Webinar

April 16, 2013

This 90 minute webinar was presented on March 20, 2013 by Mary Hatch-Maillette of the Pacific Northwest Node and Aimee N. C. Campbell of the Greater New York Node as part of the Seattle STD/HIV Prevention Training Center webinar series, “Hard to Reach, Hard to Treat: Current Approaches to HIV Prevention and Care.”

Titled “HIV Prevention in Substance Abuse Treatment Settings,” this webinar includes an overview of current incidence of HIV/AIDS in the U.S.; descriptions of recent research examining prevention interventions of biological, behavioral, and structural focus; and a discussion of the challenges clinicians and counselors face when trying to talk openly and comfortable with their clients about sexual issues.

Aims, methods, and results from CTN-0018 and CTN-0019 (Reducing HIV/STD Risk Behaviors: A Research Study for Men/Women in Drug Abuse Treatment) are presented, with a focus on “real world implications.” The webinar ends with an overview of the pilot feasibility trial testing the efficacy of a culturally-adapted version of the CTN-0018 intervention for men (Real Men Are Safe – Culturally Adapted) to make it more relevant to African American and Hispanic men.

Find this and the rest of the “Hard to Reach, Hard to Retain” series at the Seattle STD/HIV Prevention Training Center web site:

Citation: Hatch-Maillette MA, Campbell ANC. HIV Prevention in Substance Abuse Treatment Settings. Seattle STD/HIV Prevention Training Center webinar, March 20, 2013.

Find it in the CTN Dissemination Library!