Contingency Management as a treatment option for stimulant use has expanded in recent years, in response to rising rates of stimulant overdose and awareness of the need for more diverse treatment options for stimulant use. San Francisco has scaled up these evidence-based and diverse options more than other regions, yet there are still many opportunities for growth and to shape programming. San Francisco has well-established harm reduction-based contingency management programs that are crucial to learn from as the state also expands this model.
Facente Consulting conducted individual interviews and focus groups with people who are receiving contingency management to understand what is working, what is not working, and what patients would suggest SFDPH do to expand access to life-saving interventions. We analyzed these findings, along with data from SFDPH, to complete a report with key takeaways and recommendations.