Evidence map›Paper›PMID 40922466›Full record

ArticleBrain and behavior2025

Real-World Implementation of Contingency Management and Benefits of a Controlled Environment "Head Start".

Himmat Singh Dhillon, Stephanie Rochon, Basant Kaur Dhillon, Ahmed N Hassan, Timothy H Guimond, Tanya S Hauck

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Himmat Singh DhillonFamily Medicine Residency, Creighton University, Phoenix, Arizona, USA.
Stephanie RochonNorfolk General Hospital, Simcoe, Ontario, Canada.
Basant Kaur DhillonHealth Sciences, McMaster University, Hamilton, Ontario, Canada.
Ahmed N HassanDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Timothy H GuimondDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Tanya S HauckDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo use quality improvement (QI) principles to implement contingency management (CM) in an outpatient clinic.

methodsPrize-based CM was implemented for stimulant use disorder using standard protocols with QI processes used to improve efficiency and effectiveness.

resultsCM was successfully implemented in an outpatient addictions clinic using clinical funds. Participants who were discharged to the outpatient clinic from a controlled environment (such as hospital, withdrawal management, residential treatment program) had 8.3 (SD = 3.1) weeks of consecutive abstinence (CA) and 10.7 (SD = 1.0) weeks total abstinence.

conclusionsPragmatic clinical implementation of CM yielded results that are comparable to controlled trials in similar populations. QI processes identified that a controlled environment resulted in significant ongoing abstinence.CM was implemented in a small community clinic with no additional funding, and QI principles were used to improve efficiency and effectiveness. The initial implementation of 17 participants yielded a mean of 2.2 (SD = 3.2) weeks of CA. Recent discharge from a controlled environment resulted in 8.3 (3.1) weeks CA.

Indexed as

Behavior TherapySubstance-Related DisordersAdultFemaleHumansMaleQuality ImprovementTreatment Outcomecontingency managementquality improvementrapid access addiction aedicine (RAAM) clinicstimulant use disorder

Identifiers

PMID40922466
PMCPMC12417560

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.