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Abstract

Methamphetamine use disorder (MUD) is a growing problem with few effective pharmacologic treatments. Though off-label medications used for MUD have only modest benefit, behavioral health treatment modality contingency management is effective in promoting abstinence and increasing treatment retention. Despite its documented effectiveness, CM is rarely used in practice due to legal, logistical, and implementation barriers. While primary care providers are increasingly comfortable with medications for opioid use disorder, they are less comfortable treating stimulant use disorder citing limited clinical experience, knowledge, and uncertain treatment options. This quality improvement project, conducted at an urban Federally Qualified Health Center (FQHC) in Portland, Oregon, aims to assess provider and staff receptivity to CM for MUD at baseline and after an educational in-service on CM to understand readiness for CM program implementation.

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