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Optimizing Contingency Management with Methamphetamine-Using Men who Have Sex with Men
Walter Gόmez1, David Olem2, Rick Andrews3
1University of California, Berkeley, School of Social Welfare.
Cognitive and Behavioral Practice
|May 29, 2020
Summary
Contingency management (CM) effectively reduced methamphetamine use among men who have sex with men (MSM). This program integrated counseling and peer support, showing feasibility for HIV prevention.
Area of Science:
- Public Health
- Behavioral Science
- Infectious Disease Prevention
Background:
- Methamphetamine use among men who have sex with men (MSM) is linked to syndemic conditions, including HIV transmission.
- Contingency management (CM) is an established intervention for substance use and HIV prevention in this population.
Purpose of the Study:
- To evaluate the evolution and integration of a contingency management (CM) program for methamphetamine-using MSM.
- To assess the feasibility and acceptability of enhanced CM with counseling and peer support.
Main Methods:
- Program evaluation of a 12-week CM program for methamphetamine-using MSM.
- Integration of brief individual counseling (motivational interviewing, behavioral skills) and a drop-in group for peer support and referrals.
- Analysis of urine screening data from 131 clients between December 2011 and October 2013.
Main Results:
- A total of 131 clients enrolled, with a median of 22 non-reactive urine samples for methamphetamine per client.
- The program successfully integrated individual and group counseling with CM urine screening.
- Findings indicate high feasibility and acceptability of the enhanced CM approach.
Conclusions:
- Integrated behavioral interventions, including CM, counseling, and peer support, are feasible and acceptable for methamphetamine-using MSM.
- This approach can optimize HIV/AIDS prevention efforts within this high-risk population.
- Program modifications demonstrate successful adaptation to community-based needs.
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