In today's episode, Dr. D. Philippus tells us all about contingency management, what it is,

how it works, and its evidence for the treatment of stimulant use disorders.

Welcome to the Carlat Psychiatry Podcast.

I'm Dr. Noah Caperso, the editor-in-chief of the Carlyt Addiction Treatment Report,

and an associate professor

of psychiatry at the Yale University School of Medicine.

In this episode, we'll learn about an effective and underutilized treatment for stimulant

use disorders, contingency management, commonly referred to as CM. We will be joined by Dr. Dominic

DePhilippis, a national CM expert who will discuss the theoretical underpinnings of this

behavioral-based treatment, share his insights into how best to implement CM principles into

your clinical practice, and describe the evidence behind its use. Dr. DePhilippis, can you please introduce yourself and describe the evidence behind its use.

Dr. D. Philippus, can you please introduce yourself and share some information about your background before we proceed? I'm Dominic D. Philippus. I am a clinical psychologist by training, licensed

in the state of Pennsylvania, and I currently serve as a VA's Deputy National Mental Health

Director for Substance Use Disorders in the Office of Mental Health and Suicide Prevention

and the Veterans Health Administration. Great. And so let's just start in with the questions. Can we

start by just having you define? What is contingency management? How does it work? Yeah, and I certainly

want to start by thanking you for this opportunity. It's so important that we in the substance

use disorder treatment community get the word out about this highly effective treatment that's so

greatly needed. And it's needed because it is the most effective treatment

for stimulant use disorder. And stimulant use disorder is one of the primary drivers of our current

crisis of fatal overdoses that affect both veterans and non-veterans alike. And contingency

management is a highly effective treatment that's not as available as it should be in the

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