
Addiction, Journal Year: 2024, Volume and Issue: 119(9), P. 1525 - 1526
Published: July 9, 2024
There is enough research showing that contingency management (CM) an effective treatment for stimulant use disorder. We now need to ensure CM implemented effectively and equitably across populations settings. strongly agree with the points made in all four thoughtful commentaries on our article [1], we appreciate authors 'shining a light' important issues. Becker's [2] call more strategies implement (CM), particularly resource-constrained settings, essential. McKetin Clay's [3] advocacy including perspectives of individuals who stimulants when implementing protocols, individualizing offering it together other interventions, as well better understanding effectiveness virtual CM, clearly important. Hirchak's [4] discussion about using community engaged adapt meet needs different populations, Black, Brown Indigenous communities marginalized communities, makes critical point not 'one size fits all' intervention. also suggestion implementation efforts should integrate multi-level interventions improve social determinants health. Finally, Toegel et al. [5] remind us disorder chronic condition consider long-term strategy prevent relapse One common theme cuts these needed guide have abundance evidence disorder, additional studies are confirm basic efficacy CM. However, provide framework so decisions based guesswork. For example, Clay out in-person will automatically transfer app-delivered As note article, has both strengths (e.g. increased accessibility) weaknesses lack contact provider), do know which patient groups settings suited versus Similarly, adapting Hirchak colleagues done American Indian Alaska Native adults, sparse. current how best opioid programs among first trials may be or vast majority used protocols 12 weeks some cases 24 weeks, but recognize require longer, possibly indefinite treatment, similar medications treat The was published pre-2010 focused establishing works, Gabriela Khazanov: Writing—original draft (equal); writing—review editing (equal). Richard Rawson: (lead); James McKay: Writing—review (supporting). None. no funders report.
Language: Английский