Peer Engagement in Methamphetamine Harm-Reduction With Contingency Management (PEER-CM)

The main goal of this study is to tests the effect of incentivizing achievement of self-identified, personal harm reduction goals (Contingency management or CM) compared with standard of care (peer harm reduction service with incentives for peer visits) to increase the reach and effectiveness of methamphetamine (MA) harm reduction services.

Inclusion Criteria:This intervention is at the site level. Community-based organization sites are eligible if they use peer support specialists to provide direct outreach and harm reduction services to people who use drugs and if they are willing to be trained in the two strategies for peer-facilitated contingency management.De-identified administrative data is used to identify an analytic sample of clients who reported past 30-day methamphetamine use at community-based organization intake. Client outcomes are assessed using de-identified administrative data.Exclusion Criteria:Community-based organization sites who do not use peer support specialists to provide direct outreach and harm reduction services to people who use drugs or are not willing to be trained in the two strategies for peer-facilitated contingency management.