An Equitable Behavioral Engagement Framework for Stimulant Medication Treatment in Methamphetamine Use Disorder

The authors aim to address the challenges of implementing long-acting methylphenidate as a treatment for methamphetamine use disorder, particularly in light of its regulatory status and the need for equitable access. They propose a behavioral engagement framework that includes five domains—adherence, abstinence progress, attendance, alternative activities, and accessing support—to guide the initiation and monitoring of stimulant medication in clinical practice. This structured approach seeks to enhance safety and accountability while ensuring a fair application of this emerging treatment option.