California counties launch Medicaid-funded programs that give stimulant drug users money in exchange for sobriety

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California counties launch Medicaid-funded programs that give stimulant drug users money in exchange for sobriety
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California is launching a pilot 'contingency management' program across counties to provide money to methamphetamine users in exchange for staying sober, the latest method employed by the state to combat rising drug addiction and homelessness.

California is launching a pilot"contingency management" program across counties to provide money to methamphetamine users in exchange for staying sober, the latest method employed by the state to combat rising drug addiction and homelessness.

The Recovery Incentives Program received funding from the federal Centers for Medicare & Medicaid Services through a waiver, making California the first in the United States to have a contingency management program under Medicaid. The Recovery Incentives Program in San Francisco opened enrollment on July 17, and it is set to last for six months. The program's staff hopes to serve about 50 people.

Drugs contribute largely to California's rising homeless population and crime rates. Among homeless people, amphetamines are by far the most common choice, according to a recent study by the UCSF Benioff Homelessness and Housing Initiative. Some homeless people have reported using stimulants to stay awake out of fear of being attacked if they fell asleep.

Stimulant-related drug deaths accounted for 65% of overall drug-related deaths in California in 2021, which is up 22% since 2011, according to DHCS. No drug treatments or medications exist for helping people addicted to stimulants, as opposed to medicines helping ease addicts off opioids, for example.

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