Funding, Fidelity & the Future of Contingency Management | JK Costello | The Dopamine Dialogues | Ep. 8

How can real-world implementation — and hard-won lessons from failure — make contingency management more effective at scale?In Episode 8 of Dopamine Dialogues, Larry Klemchuk speaks with JK Costello, Director of Behavioral Health Consulting at Stedman Group and a person in long-term recovery, about the practical realities of implementing contingency management (CM) across health plans, Medicaid agencies, and provider networks.Drawing from years of hands-on consulting across Colorado and beyond, JK shares what separates programs that succeed from those that struggle — and why the next frontier for CM may be alcohol use disorder.In this episode, we discuss:✅ What makes CM succeed in real-world settings — high fidelity and strong recruitment✅ Lessons learned from both program failures and major wins✅ Why immediacy and verifiability are non-negotiable in CM design✅ The case for expanding CM to alcohol use disorder✅ How JK helped secure $750K in Colorado state funding for CM✅ Scaling CM uniformly across funders, substances, and providersOne powerful takeaway from the episode:"We don’t need to build additional evidence for it. It’s already out there." — JK Costello🎧 Watch now and discover how contingency management is moving from research into real, scalable impact across behavioral healthcare systems.#ContingencyManagement #BehavioralHealth #AddictionRecovery #StimulantUseDisorder #AlcoholUseDisorder #DopamineDialogues #EvidenceBasedCare #PublicHealth #MedicaidInnovation #SubstanceUseDisorder