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LAY SUMMARY Diagnosis and management of chronic pain in Canada by primary care clinicians is a challenging and changing field with new approaches, evidence, and tools emerging in the past few years. For a busy clinician, it is vital to integrate and become aware of new tools that can improve the care delivered to patients.
Contingency management (CM) is a behavioral therapy that utilizes tangible reinforcements to incentivize targeted behavior changes (McPherson et al., 2018b; Petry, Alessi, Olmstead, Rash, & Zajac, 2017). It is based on the principle of operant conditioning, in which behavior modification is attempted through providing rewards and/or consequences for certain behaviors.
In July 2020, 175 British Columbians died from drug overdose as the province marked the third straight month with over 170 overdose deaths.[1] Since the opioid overdose crisis was declared a public health emergency in 2016, nearly 6000 illicit drug overdose deaths have been reported in BC. A male with the pseudonym John Doe was seen for forensic evaluation in August 2020 following a conviction for the distribution of fentanyl and crystal methamphetamine.
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