Youth Outpatient Substance Use Program Division of Adolescent & Young Adult Medicine

Contingency Management is well-studied in the management of stimulant use disorders like cocaine use disorder and methamphetamine use disorder.

YoSUP Contingency Management Program

Who: Youth who use cocaine and/or methamphetamine or misuse prescription stimulants
How: Youth will earn chances to spin the prize wheel
Where: UCSF Adolescent & Young Adult Medicine Clinic in San Franciso
When: Weekly
How Long: 12 weeks

Target Behaviors:

1. Submit urine sample
2. Rapid urine test negative for methamphetamine, cocaine, and Rx stimulants

Rewards:

Small Prizes = fidget toy
Medium Prizes = $5 Amazon gift card
Large Prize = $15 Amazon gift card

Reward Schedule:

Submit a urine sample = 1 spin

Additional Spins

1^st negative test = 1 spin
2^nd negative test = 1 spin
3^rd negative test = 2 spins
4^th negative test = 2 spins
5^th negative test = 2 spins
6^th negative test = 3 spins
7^th negative test = 3 spins
8^th negative test = 3 spins
9^th negative test = 4 spins
10^th negative test = 4 spins
11^th negative test = 4 spins
12^th negative test = 5 spins

Bonus spins 

5th consecutive negative test = 1 additional spin
10^th consecutive negative test = 2 additional spins
12th consecutive negative test = 3 additional spins