Bringing evidence-based stimulant treatment to permanent supportive housing

Contingency Management (CM) is an evidence-based intervention with demonstrated efficacy for stimulant use disorder, yet its uptake has been largely limited to clinical settings. This project examined the implementation of a stimulant-focused CM protocol within a Permanent Supportive Housing (PSH) setting. Using thematic analysis of meeting notes collected over 16 months of implementation meetings we identified four themes related to implementation: philosophical alignment of CM and the PSH, barriers and facilitators, implementation adaptations and support, and broader organizational changes. These themes provide insight into implementing clinical interventions within non-clinical sites, like PSH. Despite implementation challenges (e.g., physical space limitations; enrollment and engagement difficulties), CM was launched in the PSH setting with 28 residents enrolled. Lessons learned highlight that sustained high touch technical assistance is critical, which can be further strengthened by engaging in early CM model development and maintaining ongoing conversations about the organizational landscape.