2021 AM Posters-Could This Be the Answer Contingency Management Programs

Could This Be the Answer Contingency Management Programs - 1

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Cocaine use disorder is a significant cause of drug overdose deaths in the United States, and there is currently no approved pharmacotherapy for its treatment. However, a meta-analysis has found that contingency management programs, which involve positively reinforcing drug abstinence, have been effective in increasing the likelihood of patients being cocaine-free at the end of treatment. This finding suggests that implementing these programs on a national level or within healthcare institutions could help reduce the prevalence of cocaine use disorder and its associated mortality. <br /><br />The study also highlights the limited understanding of the pathophysiology of cocaine use disorder, which has hindered the development of effective treatment approaches. Currently used modalities for treating cocaine use disorder include psychotherapy, contingency management, medication, or placebo. However, contingency management plans were the only treatment modality that showed significant results in the meta-analysis, indicating its potential as a promising treatment option.<br /><br />The meta-analysis included 157 studies, with a total of 15,842 participants. Contingency management plans were associated with a significant increase in the likelihood of producing a negative drug test result. Only 26.9% of patients were cocaine-free after completing treatment, highlighting the need for further investigation and the development of more standardized treatment approaches.<br /><br />The discussion emphasizes the need for more research into the effectiveness of treatments for cocaine use disorder. It also suggests exploring which incentives are most effective in contingency management programs to inform the development of more standardized treatment protocols.<br /><br />Overall, contingency management programs show promise in the treatment of cocaine use disorder, offering a potential solution to a significant public health issue. Further research and wider implementation of these programs could lead to decreased cocaine use among patients and improved outcomes for those struggling with this disorder.

Keywords

Cocaine use disorder

drug overdose deaths

pharmacotherapy

meta-analysis

contingency management programs

positive reinforcement

cocaine-free

prevalence

mortality

pathophysiology

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