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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Contingency Management Treatment Centers

Contingency Management uses positive reinforcement and tangible rewards to encourage sobriety and treatment engagement. Research shows this approach is particularly effective for stimulant addiction and improving treatment retention.

Found 6,061 treatment centers offering contingency management across the United States.

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Spero Health
Pikeville, KY

Spero Health, located in Pikeville, KY, provides outpatient services for those struggling with substance use, specializing in treatments involving methadone, buprenorphine, and naltrexone. The center offers regular outpatient programs as well as tailored initiatives for adult men and women, including support for individuals who have faced intimate partner or domestic violence. Serving both adults and young adults of all genders, Spero Health employs a holistic strategy for recovery that encompasses anger management, brief interventions, and cognitive behavioral therapy. With a dedication to high-quality care and personalized treatment strategies, Spero Health stands out as a reliable option for individuals seeking meaningful and empathetic support in their journey to overcome addiction.

Spero Health
Richmond, IN

Spero Health in Richmond, IN, delivers outpatient care for adults and young adults battling substance use disorders. They focus on medication-assisted treatment using methadone, buprenorphine, or naltrexone, complemented by therapies like anger management, brief intervention, and CBT. Services are adapted for adult men, adult women, and survivors of intimate partner or domestic violence, fostering an inclusive atmosphere. Spero Health warmly welcomes all clients, offering personalized support for their recovery path. Dedicated to proven methods and empathetic assistance, Spero Health guides individuals toward sustained sobriety.

Spero Health
Marion, OH

Situated in Marion, OH, Spero Health provides comprehensive outpatient services, including intensive outpatient programs and treatments with methadone, buprenorphine, or naltrexone for those facing substance abuse challenges. The center emphasizes the importance of anger management, brief interventions, and cognitive behavioral therapy. Specialized programs are available for adult men, adult women, and individuals affected by intimate partner or domestic violence. Catering to both adults and young adults, Spero Health delivers personalized care for all genders. With a commitment to evidence-based practices, this facility guarantees effective support for individuals on their journey to recovery from addiction.

Spero Health
Martinsville, VA

Spero Health located in Martinsville, VA, specializes in outpatient treatment for substance use disorders among adults and young adults. The center offers a variety of treatment options, including outpatient services with methadone/buprenorphine or naltrexone, standard outpatient programs, and multiple therapeutic techniques such as anger management, brief interventions, and cognitive behavioral therapy. Spero Health implements specialized programs designed for adult men and women, in addition to those who have faced intimate partner or domestic violence, addressing a wide array of needs. The facility prioritizes personalized care to deliver effective treatment for everyone. As a reliable resource for both male and female clients, Spero Health is dedicated to facilitating thorough addiction recovery.

Spero Health
Youngstown, OH

Spero Health, located in Youngstown, OH, provides extensive treatment for substance use disorders with a variety of programs designed to meet the unique needs of each individual. The center focuses on intensive outpatient services, general outpatient care, as well as treatments utilizing methadone, buprenorphine, and naltrexone. Emphasizing techniques such as anger management, brief interventions, and cognitive behavioral therapy, Spero Health supports both adults and young adults, regardless of gender. Additionally, specialized programs are available for adult men, adult women, and those who have faced situations of intimate partner or domestic violence. Spero Health is committed to delivering high-quality, customized care plans to assist individuals on their recovery journey.

Spero Health
London, KY

Spero Health, located in London, KY, provides outpatient services for individuals seeking help with substance use issues, catering to both adults and young adults. The facility has specific programs designed for men and women, as well as those who have faced domestic or intimate partner violence, fostering a nurturing and safe space for recovery. The center employs various methods, such as cognitive behavioral therapy, anger management, and brief interventions, emphasizing a comprehensive approach to healing. With options for outpatient methadone/buprenorphine or naltrexone treatment, along with regular outpatient services, Spero Health ensures personalized care. The center is committed to delivering effective addiction treatment aimed at helping clients achieve sustainable sobriety.

Spero Health
Lawrenceburg, TN

Situated in Lawrenceburg, TN, Spero Health provides accessible outpatient care for individuals grappling with substance use disorders. This center supports adult men and women, including survivors of intimate partner violence, offering a range of therapeutic modalities. Their services encompass anger management, brief intervention strategies, and cognitive behavioral therapy. Spero Health focuses on outpatient medication-assisted treatment using methadone, buprenorphine, or naltrexone. They welcome both adults and young adults in their pursuit of effective recovery within a nurturing atmosphere. Through tailored treatment plans, Spero Health is dedicated to a holistic path to sobriety, prioritizing safety and successful outcomes.

Spero Health
Danville, KY

Spero Health, situated in Danville, KY, stands as a premier provider of outpatient recovery services focused on addiction treatment. Their offerings encompass medication-assisted treatment options such as methadone, buprenorphine, and naltrexone, alongside standard outpatient care. The center also integrates targeted therapeutic interventions, including strategies for managing anger, brief counseling approaches, and cognitive behavioral therapy. Spero Health extends its support to adults of all genders, including those affected by domestic or intimate partner violence, ensuring a holistic and empathetic approach to facilitate lasting recovery.

Spero Health
Marietta, OH

Spero Health in Marietta, OH, provides a full spectrum of care for substance use disorders, including intensive outpatient, outpatient, and medication-assisted treatment options like methadone, buprenorphine, and naltrexone. Their expertise extends to anger management, brief intervention strategies, and cognitive behavioral therapy. Spero Health also offers specialized programs tailored for adult men, adult women, and individuals who have faced intimate partner or domestic violence. Catering to adults and young adults across all gender identities, the facility fosters a nurturing atmosphere conducive to healing. Emphasizing personalized treatment plans and scientifically-backed methods, Spero Health in Marietta is committed to guiding clients toward sustained recovery and improved quality of life.

Spero Health
Chattanooga, TN

Spero Health in Chattanooga, TN, delivers multifaceted substance use recovery services for adults and young adults managing co-occurring mental health challenges. Their offerings include intensive outpatient, outpatient, and specialized medication-assisted treatment options utilizing methadone, buprenorphine, or naltrexone. Emphasizing 12-step facilitation, anger management techniques, and brief intervention strategies, the center customizes treatment to each person's unique situation. They also feature dedicated programs for active military personnel, adult men, and adult women, providing focused assistance. Spero Health welcomes both male and female patients, ensuring professional and effective care. For those pursuing impactful addiction treatment within a nurturing setting, this center provides individualized plans for sustained recovery.

Spero Health
Madison, TN

Situated in Madison, TN, Spero Health stands out as a prominent outpatient rehabilitation facility that focuses on treating substance use disorders. The center provides outpatient options such as methadone, buprenorphine, or naltrexone therapies, alongside conventional outpatient services and a range of therapeutic modalities, including anger management, brief interventions, and cognitive behavioral therapy. Spero Health serves adults of all genders, particularly those who have faced intimate partner violence or domestic abuse. By emphasizing personalized care for men and women, this center becomes an essential support system for individuals pursuing successful addiction recovery initiatives.

Spero Health
Louisville, KY

Spero Health in Louisville, KY, provides comprehensive outpatient care for substance use disorders, guiding individuals toward lasting recovery. Their services include outpatient treatment with methadone, buprenorphine, or naltrexone, delivered within a carefully structured and nurturing setting. The center emphasizes key therapeutic areas like anger management, brief intervention strategies, and cognitive behavioral therapy, ensuring each client receives a personalized treatment plan. Tailored programs are available for adult men and women, as well as those who have experienced intimate partner or domestic violence. Spero Health is dedicated to delivering high-quality, individualized support for adults and young adults of all gender identities seeking addiction treatment.

Spero Health
Dublin, VA

Spero Health, situated in Dublin, VA, specializes in outpatient programs aimed at treating substance use disorders with an emphasis on high-quality, evidence-based care. The center offers various treatment options, including methadone/buprenorphine or naltrexone outpatient services, standard outpatient care, and diverse therapeutic techniques such as anger management, brief intervention, and cognitive behavioral therapy. Spero Health accommodates adult clients, including men and women, as well as those who have faced intimate partner or domestic violence. This facility is committed to delivering personalized and extensive rehabilitation services to assist individuals of all genders, both adults and young adults, on their path to recovery.

Spero Health
Madisonville, KY

Spero Health, located in Madisonville, KY, provides outpatient programs designed for adults and young adults struggling with substance use issues. This center specializes in care for adult males, adult females, and individuals who have faced intimate partner or domestic violence. Treatment methods include anger management, brief intervention strategies, and cognitive behavioral therapy. Spero Health also offers outpatient treatments with methadone, buprenorphine, or naltrexone, complemented by consistent outpatient services. Committed to delivering high-quality care, Spero Health focuses on personalized support for all clients on their journey to recovery from substance use disorders.

Spero Health
Smyrna, TN

Spero Health in Smyrna, TN, delivers comprehensive outpatient recovery services for adults and young adults. Their treatment options include medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient care. The facility also offers specialized programs focusing on anger management, brief intervention strategies, and cognitive behavioral therapy. Spero Health is uniquely equipped to support adult men, adult women, and individuals impacted by intimate partner or domestic violence. They are dedicated to providing personalized treatment and employing proven, effective methods for all clients, irrespective of gender. For those looking for a supportive setting and thorough addiction care, Spero Health provides expert services and tailored programs.

Spero Health
Lancaster, OH

Spero Health, located in Lancaster, OH, provides comprehensive outpatient services, including intensive outpatient programs and treatment options utilizing methadone, buprenorphine, or naltrexone for those dealing with substance use challenges. Their methodology encompasses therapies such as anger management, cognitive behavioral therapy, and brief intervention strategies. The center features specialized programs catering to adult men and women, as well as those affected by intimate partner or domestic violence. Spero Health serves a diverse clientele of adults and young adults, ensuring that care is personalized to meet the unique requirements of each individual. Committed to evidence-based methods and holistic support, Spero Health strives to help individuals navigate their recovery journey effectively.

Spero Health
Mansfield, OH

Spero Health, located in Mansfield, OH, delivers an extensive range of substance abuse treatment options, including intensive outpatient programs, standard outpatient services, and medication-assisted treatments with methadone, buprenorphine, or naltrexone. The facility emphasizes therapeutic modalities such as anger management, brief intervention strategies, and cognitive behavioral therapy. Tailored programs are designed for adult men and women, as well as clients who have faced intimate partner or domestic violence. Catering to both adults and young adults of all genders, Spero Health focuses on personalized care that meets the specific needs of each individual. Committed to high standards and evidence-based methodologies, this center strives to support individuals in achieving long-term recovery from substance use issues.

Spero Health
Danville, VA

Spero Health, situated in Danville, VA, provides outpatient care for substance use disorders aimed at adult men, women, and younger adults. The center features tailored programs for individuals affected by intimate partner or domestic violence. Treatment modalities encompass anger management, brief interventions, and cognitive behavioral therapy. Additionally, Spero Health administers outpatient services for methadone, buprenorphine, or naltrexone, alongside standard outpatient treatment. Committed to delivering high-quality care and personalized treatment strategies, this center strives to support individuals in overcoming addiction and attaining sustained recovery.

Spero Health
Gallipolis, OH

Situated in Gallipolis, OH, Spero Health stands out as a leading rehabilitation center focused on treatment for substance use disorders. The center provides outpatient services, including methadone, buprenorphine, and naltrexone therapies, alongside traditional outpatient programs. Spero Health also incorporates various therapeutic methods such as anger management and cognitive behavioral therapy, serving adult individuals, including those affected by intimate partner or domestic violence. Catering to all genders, Spero Health emphasizes personalized treatment strategies and utilizes evidence-based practices to ensure quality care. For those in search of supportive and effective addiction recovery options, this center is committed to facilitating your path to healing.

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Cincinnati, OH

Spero Health, located in Cincinnati, OH, provides expert services for substance use recovery with its array of programs including intensive outpatient, outpatient, and medication-assisted treatments featuring methadone, buprenorphine, and naltrexone. The center emphasizes anger management, short interventions, and cognitive behavioral therapy, catering to both adult men and women, alongside those who have faced domestic violence or intimate partner issues. Spero Health supports adults and young adults of any gender, ensuring a holistic approach to recovery. With a dedication to high-quality care and varied therapeutic methods, it stands out as a reliable option for effective addiction treatment in the Cincinnati area.

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Erlanger, KY

Situated in Erlanger, KY, Spero Health stands out as a premier center for substance use recovery, providing outpatient treatments such as methadone, buprenorphine, or naltrexone, alongside standard outpatient services. The facility incorporates various evidence-based methodologies, including cognitive behavioral therapy, anger management, and brief interventions. Spero Health offers dedicated programs for adult men and women, as well as individuals impacted by domestic or intimate partner violence. This center caters to adults and young adults across all genders, emphasizing a tailored approach to meet unique recovery requirements. For those in search of thorough addiction treatment within a nurturing atmosphere, Spero Health is an excellent choice for personalized rehabilitation solutions.

Frequently Asked Questions

What is Contingency Management (CM)?
Contingency Management is an evidence-based behavioral therapy providing tangible rewards or incentives when patients demonstrate positive behaviors like negative drug tests, treatment attendance, or completing assignments. CM applies operant conditioning principles - behaviors followed by positive consequences increase. Research shows CM is particularly effective for stimulant addiction.
How does Contingency Management work?
Clients receive reinforcement (vouchers, prizes, privileges) immediately after demonstrating target behaviors, typically verified abstinence through drug testing. Rewards often increase in value with consecutive achievements and reset with relapses. The immediacy and certainty of reinforcement strengthens recovery behaviors. Programs typically run 12-24 weeks.
What types of rewards are used in CM?
Common reward systems include vouchers exchangeable for retail goods/services, prize-based systems with drawings for prizes of varying values, or privileges within treatment settings. Rewards might include gift cards, personal care items, recreational goods, or services supporting recovery. Programs ensure rewards are meaningful but appropriate, avoiding cash to prevent potential misuse.
Which addictions respond best to CM?
CM shows particularly strong effectiveness for stimulant addiction (cocaine, methamphetamine) where few other treatments work as well. It's also effective for marijuana, opioids (especially combined with MAT), alcohol, and nicotine. CM improves treatment retention and abstinence rates across substance types. It works well as standalone treatment or combined with other therapies.
What happens after CM treatment ends?
CM builds skills and habits that continue beyond treatment. Research shows benefits often extend post-treatment, though effects may diminish over time. Continuing care, support groups, ongoing therapy, and developing intrinsic motivation for recovery help maintain gains. Some programs gradually reduce incentives to promote transition to natural reinforcers like improved relationships, health, and life quality.

About Contingency Management

Contingency Management (CM) is an evidence-based behavioral therapy applying operant conditioning principles to addiction treatment. By providing tangible rewards for verified abstinence and positive behaviors, CM strengthens recovery behaviors through immediate, certain reinforcement. Research demonstrates CM is particularly effective for stimulant addiction where few other treatments work as well.

Scientific Foundation

CM is based on decades of behavioral psychology research showing that behaviors followed by positive consequences increase in frequency. In addiction, substance use is powerfully reinforced by immediate drug effects. CM provides competing positive reinforcement for abstinence and recovery behaviors, shifting behavioral patterns away from substance use toward healthy activities.

How CM Programs Work

Typical CM programs include:

  • Frequent Drug Testing: Usually 2-3 times weekly to verify abstinence
  • Immediate Reinforcement: Rewards provided right after negative tests
  • Escalating Value: Rewards increase with consecutive achievements
  • Reset Contingencies: Positive tests reset reward schedule but don't terminate treatment
  • Duration: Programs typically run 12-24 weeks with gradual tapering of incentives

Research on Effectiveness

Extensive research shows CM significantly improves abstinence rates, particularly for cocaine and methamphetamine addiction where behavioral therapies are primary treatment options. CM also improves outcomes for marijuana, opioids (especially combined with MAT), alcohol, and nicotine. Benefits include better treatment retention, longer periods of continuous abstinence, and improved engagement.

Types of Rewards

CM programs use various reinforcement approaches: voucher-based systems where points are exchanged for retail goods supporting recovery (sports equipment, educational materials, personal care items); prize-based systems with drawings for prizes of varying values; or privilege-based systems within treatment settings. All avoid cash rewards that could be misused.

Sustainability and Transition

While CM provides external motivation initially, treatment also focuses on developing intrinsic motivation and identifying natural reinforcers in recovery - improved health, relationships, employment, self-respect. Many programs gradually reduce incentive magnitude and frequency, supporting transition to sustainable recovery supported by life improvements rather than tangible rewards.

CM research and information:

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Medically Reviewed Updated May 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)