Rewarding Recovery, Improving Engagement
How Cascadia Health Combines Contingency Management and Digital Recovery Support to Address SUD

Key Findings.
For substance use disorder (SUD) treatment providers, keeping individuals engaged in care while addressing rising methamphetamine use presents a growing challenge. Cascadia Health, a nonprofit behavioral health provider serving more than 21,000 people across the Portland metro area, sought a scalable way to strengthen treatment engagement, support recovery between appointments, and reduce stimulant use without adding to staff workloads.
In 2024, Cascadia Health implemented CHESS Health’s eRecovery solution, combining the Connections app’s 24/7 peer recovery support with Rewards Engine, a digital contingency management platform that reinforces positive recovery behaviors. Together, these tools enabled Cascadia to extend support beyond clinical appointments, reward treatment participation, and streamline contingency management delivery for staff.
Download this case study to discover how Cascadia Health integrated digital recovery support and contingency management into its existing treatment programs, including how it implemented incentives, engaged clients, and supported clinical teams. Explore the improvements in treatment engagement, self-reported substance use, and quality-of-life measures that demonstrate the value of combining continuous recovery support with evidence-based incentives.