Matt Finch and Coach Tana discuss ‘contingency management’ for addiction treatment by reviewing and analyzing this novel behavioral intervention which is quite creative but also quite controversial.
Here are the main topics discussed in this episode:
- New York Times article on using contingency management for meth and cocaine addiction treatment
- Involves rewards contingent on being abstinent
- How the meth epidemic is growing and overdose rates have more than doubled since 2016
- Overdoses on meth have increased during the pandemic
- How there are no medication-assisted treatment options for meth and cocaine addiction, only various behavioral therapies
- The benefits of having a large variety of options for treatment approaches due to people being so different
- More openness to addiction in the mainstream and how treatment is finally progressing at a faster rate than ever before
- How Oregon is pushing for decriminalization measures for personal use and low amounts
- How parenting strategies with positive reinforcement appear to be similar to contingency management treatment
- Building people and ourselves up rather than tearing them and us down
- How some of the faith-based long-term inpatient programs appear to have the highest recovery rates
- Obstacles with contingency management treatment growing
- What the opponents of contingency management are saying
- DynamiCare Health app
- BrightView Health
- How positive reinforcement works
- Certification programs provided by the Academy For Addiction and Mental Health Nutrition
- The power of supplements for addiction recovery
- Adding L-Tyrosine to a stimulant recovery program
- Elevating your distress tolerance to help you get through withdrawal and life in general
- How getting enough sleep on a regular basis increases your distress tolerance
- Why Tana loves Can’t Hurt Me on Audible; by David Goggins
- Dr. Nora Volkow’s desire for contingency management to be combined with medications for quitting meth
- A mobile app that uploads money to a special debit card you get when you detox and continue to stay treatment compliant
- Finding out what motivates you most and using that to drive you to improve your life
- Why Matt used to drink several cups of whole milk at bars and parties to avoid drinking alcohol whenever he tried quitting
- How Tana intentionally schedules lots of things in life that give her a sense of positive anticipation
Recovery Courses mentioned:
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Debra Garriga says
VERY helpful 👍
Pavlov’s theory WORKS!
I agree, Tana. Important to have something to which to look forward; especially during these “unprecedented times” that now appear will continue indefinitely.