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Outside of the VHA, some states, including California, Washington, and Montana, have demonstrated the ability to initiate large-scale CM implementation efforts." To view or add a comment, sign in The success of contingency management for changing a variety of behaviors illustrates so strongly that addiction is a *learning disorder* Maia Szalavitz Medical Officer for Science and Policy, Substance Use Services, San Francisco Department of Public Health "While [contingency management] is best supported for [stimulant use disorder], research supports its use for alcohol, opioid, tobacco, and cannabis use disorders