Abstinence-Contingent Wage Supplements for Alcohol Use was designed to promote alcohol abstinence and employment among adults experiencing homelessness and alcohol use disorder by providing financial incentives dependent on verified abstinence. During the six-month program period, unemployed participants could earn up to 20 hours per week of wages for engaging in job-seeking activities with an employment specialist, at $10 per hour. Employed participants could receive wage supplements for verified hours worked, capped at $8 per hour for up to 40 hours per week.

Ecologically-Based Treatment provided short-term housing assistance with intensive supportive services to young mothers experiencing homelessness and substance use disorders to facilitate stabilization. Participants received three months of rental and utility assistance and six months of supportive services, including strengths-based case management, HIV prevention, and clinical counseling for substance use and mental health needs using the Community Reinforcement Approach.

The program was evaluated in central Ohio. 

Abstinence-Contingent Wage Supplements for Drug Use was designed to promote drug abstinence and vocational entry among unemployed adults in treatment for opioid use disorder by providing financial incentives dependent on verified abstinence. During the 12-month program period, unemployed participants could earn up to 20 hours per week of wages for engaging in job-seeking activities with an employment specialist, at $10 per hour. Employed participants could receive wage supplements for verified hours worked, capped at $8 per hour for up to 40 hours per week.

People experiencing homeless and substance use issues were eligible to enroll in a two-stage treatment program. During the first stage, participants were in day-treatment programming for 5.5 hours each weekday and resided in shelters or other temporary housing that participants secured through referrals to other agencies. Programming included group and individual therapy and coaching focused on helping participants address their substance use issues.

In the first two-month phase, intervention group participants were housed in Project H&ART residences and received group and individual therapy (one or two sessions per week), art therapy, psychodrama, group education classes, and weekly recreational events. Intervention participants were also required to attend AA or NA meetings daily. In the second two-month phase, intervention group participants primarily received case management designed to encourage them to search for employment and develop soft skills.

Throughout the program, intervention group participants lived in Project H&ART residences. In the first two-month phase, participants attended group and individual therapy (one to two sessions per week), art therapy, psychodrama, group education classes, and weekly recreational events. Intervention participants also attended AA or NA meetings daily, which was required. In the second two-month phase, intervention group participants primarily received case management, which encouraged them to search for employment and to develop soft skills.