Overview

In this study, the investigators will implement contingency management at rural recovery houses, where individuals with substance use disorders reside. Contingency management is a behavioral intervention in which participants receive incentives (rewards) when they complete planned tasks that are consistent with their recovery efforts. House staff members will also participate in this study and will be trained to provide contingency management to residents. The investigators will compare recovery houses that implement contingency management to matched houses that do not, and the main outcomes will be engagement in the planned activities and retention in the recovery houses. Participants will receive contingency management for up to 12 weeks and follow-up will occur 6 months post-treatment.

Eligibility

Inclusion Criteria:

1. Age 18 or older;
2. a resident of the recovery house; and
3. able to provide informed consent.

Exclusion Criteria:

1. expected to be discharged from the recovery house in the next two months;
2. experiencing uncontrolled mania, psychosis or suicidality.