Adjunct Contingency Management for Youth With Substance Use and Psychosis Engaged in Community‐Based Coordinated Specialty Care

AIM: To examine the feasibility of contingency management (CM) within a community-based coordinated specialty care (CSC) program for youth with psychosis and substance use. METHODS: A modified form of CM, targeting treatment engagement and prosocial behaviour, was offered as a points-based rewards program. In phase 1, youth could earn up to 15 points (equivalent to $15) per week for activities which promoted greater treatment engagement or pro-social activities. After reaching $75 in rewards, participants entered a phase 2 raffle program. RESULTS: In the first 6 months of adjunct CM, 12 out of 31 youth (39%) agreed to participate in it. Most of the youth (N = 10) earned points in phase 1, and 2 youth reached phase 2. CONCLUSION: CM is feasible to implement in a community based-CSC program for youth with psychosis and substance use, although further work is needed to identify strategies to increase participation and engagement with this intervention.