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Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods

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Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods. / Belanger, Matthew; Sondhi, Arun; Mericle, Amy A et al.
In: Journal of substance use and addiction treatment, Vol. 158, 209283, 31.03.2024.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Belanger, M, Sondhi, A, Mericle, AA, Leidi, A, Klein, M, Collinson, B, Patton, D, White, W, Chen, H, Grimes, A, Conner, M, De Triquet, B & Best, D 2024, 'Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods', Journal of substance use and addiction treatment, vol. 158, 209283. https://doi.org/10.1016/j.josat.2023.209283

APA

Belanger, M., Sondhi, A., Mericle, A. A., Leidi, A., Klein, M., Collinson, B., Patton, D., White, W., Chen, H., Grimes, A., Conner, M., De Triquet, B., & Best, D. (2024). Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods. Journal of substance use and addiction treatment, 158, Article 209283. https://doi.org/10.1016/j.josat.2023.209283

Vancouver

Belanger M, Sondhi A, Mericle AA, Leidi A, Klein M, Collinson B et al. Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods. Journal of substance use and addiction treatment. 2024 Mar 31;158:209283. Epub 2024 Jan 11. doi: 10.1016/j.josat.2023.209283

Author

Belanger, Matthew ; Sondhi, Arun ; Mericle, Amy A et al. / Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods. In: Journal of substance use and addiction treatment. 2024 ; Vol. 158.

Bibtex

@article{f77c0bdd5cfd47b39548a8c40f18deab,
title = "Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods",
abstract = "Introduction: Strong and ever-growing evidence highlights the effectiveness of recovery housing in supporting and sustaining substance use disorder (SUD) recovery, especially when augmented by intensive support that includes assertive linkages to community services. This study aims to evaluate a pilot intensive recovery support (IRS) intervention for individuals (n=175) entering certified Level II and III recovery residences. These individuals met at least three out of five conditions (no health insurance; no driving license; substance use in the last 14 days; current unemployment; possession of less than $75 capital). The study assesses the impact of the IRS on engagement, retention, and changes in recovery capital, compared to the business-as-usual Standard Recovery Support (SRS) approach (n=1,758).Methods: The study employed quasi-experimental techniques to create weighted and balanced counterfactual groups. These groups, derived from the Recovery Capital (REC-CAP) assessment tool, enabled comparison of outcomes between people receiving IRS and those undergoing SRS.Results: After reweighting for resident demographics, service needs, and barriers to recovery, those receiving IRS exhibited improved retention rates, reduced likelihood of disengagement,and growth in recovery capital after living in the residence for 6-9 months.Conclusion: The results from this pilot intervention indicate that intensive recovery support, which integrates assertive community linkages and enhanced recovery coaching, outperforms a balanced counterfactual group in engagement, length of stay, and recovery capital growth. We suggest that this model may be particularly beneficial to those entering Level II and Level III recovery housing with lower levels of recovery capital at admission.",
keywords = "Recovery residence, Recovery capital, REC-CAP, Assertive linkage, Retention",
author = "Matthew Belanger and Arun Sondhi and Mericle, {Amy A} and Alessandro Leidi and Maike Klein and Beth Collinson and David Patton and William White and Hao Chen and Anthony Grimes and Matthew Conner and {De Triquet}, Bob and David Best",
year = "2024",
month = mar,
day = "31",
doi = "10.1016/j.josat.2023.209283",
language = "English",
volume = "158",
journal = "Journal of substance use and addiction treatment",
issn = "2949-8759",

}

RIS

TY - JOUR

T1 - Assessing a pilot scheme of intensive support and assertive linkage in levels of engagement, retention, and recovery capital for people in recovery housing using quasi-experimental methods

AU - Belanger, Matthew

AU - Sondhi, Arun

AU - Mericle, Amy A

AU - Leidi, Alessandro

AU - Klein, Maike

AU - Collinson, Beth

AU - Patton, David

AU - White, William

AU - Chen, Hao

AU - Grimes, Anthony

AU - Conner, Matthew

AU - De Triquet, Bob

AU - Best, David

PY - 2024/3/31

Y1 - 2024/3/31

N2 - Introduction: Strong and ever-growing evidence highlights the effectiveness of recovery housing in supporting and sustaining substance use disorder (SUD) recovery, especially when augmented by intensive support that includes assertive linkages to community services. This study aims to evaluate a pilot intensive recovery support (IRS) intervention for individuals (n=175) entering certified Level II and III recovery residences. These individuals met at least three out of five conditions (no health insurance; no driving license; substance use in the last 14 days; current unemployment; possession of less than $75 capital). The study assesses the impact of the IRS on engagement, retention, and changes in recovery capital, compared to the business-as-usual Standard Recovery Support (SRS) approach (n=1,758).Methods: The study employed quasi-experimental techniques to create weighted and balanced counterfactual groups. These groups, derived from the Recovery Capital (REC-CAP) assessment tool, enabled comparison of outcomes between people receiving IRS and those undergoing SRS.Results: After reweighting for resident demographics, service needs, and barriers to recovery, those receiving IRS exhibited improved retention rates, reduced likelihood of disengagement,and growth in recovery capital after living in the residence for 6-9 months.Conclusion: The results from this pilot intervention indicate that intensive recovery support, which integrates assertive community linkages and enhanced recovery coaching, outperforms a balanced counterfactual group in engagement, length of stay, and recovery capital growth. We suggest that this model may be particularly beneficial to those entering Level II and Level III recovery housing with lower levels of recovery capital at admission.

AB - Introduction: Strong and ever-growing evidence highlights the effectiveness of recovery housing in supporting and sustaining substance use disorder (SUD) recovery, especially when augmented by intensive support that includes assertive linkages to community services. This study aims to evaluate a pilot intensive recovery support (IRS) intervention for individuals (n=175) entering certified Level II and III recovery residences. These individuals met at least three out of five conditions (no health insurance; no driving license; substance use in the last 14 days; current unemployment; possession of less than $75 capital). The study assesses the impact of the IRS on engagement, retention, and changes in recovery capital, compared to the business-as-usual Standard Recovery Support (SRS) approach (n=1,758).Methods: The study employed quasi-experimental techniques to create weighted and balanced counterfactual groups. These groups, derived from the Recovery Capital (REC-CAP) assessment tool, enabled comparison of outcomes between people receiving IRS and those undergoing SRS.Results: After reweighting for resident demographics, service needs, and barriers to recovery, those receiving IRS exhibited improved retention rates, reduced likelihood of disengagement,and growth in recovery capital after living in the residence for 6-9 months.Conclusion: The results from this pilot intervention indicate that intensive recovery support, which integrates assertive community linkages and enhanced recovery coaching, outperforms a balanced counterfactual group in engagement, length of stay, and recovery capital growth. We suggest that this model may be particularly beneficial to those entering Level II and Level III recovery housing with lower levels of recovery capital at admission.

KW - Recovery residence

KW - Recovery capital

KW - REC-CAP

KW - Assertive linkage

KW - Retention

U2 - 10.1016/j.josat.2023.209283

DO - 10.1016/j.josat.2023.209283

M3 - Journal article

VL - 158

JO - Journal of substance use and addiction treatment

JF - Journal of substance use and addiction treatment

SN - 2949-8759

M1 - 209283

ER -