In this first episode of The Dopamine Dialogues, Dr. Brian Hurley, Medical Director, Substance Abuse Prevention and Control at Los Angeles County Department of Public Health, breaks down why contingency management is strongly recommended in national guidelines for stimulant use disorder and why adoption still lags behind the evidence.

We discuss real-world implementation, California’s 93% patient satisfaction rate, cost-effectiveness, and what states must get right to scale programs with fidelity.If you care about evidence-based addiction treatment, this conversation is essential listening.