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Thompson RA, Johnson D, Ashworth M, Stott M. Establishing Quality and Outcome Measures for Recovery Housing: A Tiered Approach Supporting Service Evolution. Community Ment Health J 2024; 60:681-690. [PMID: 38270727 PMCID: PMC11001738 DOI: 10.1007/s10597-023-01219-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 12/15/2023] [Indexed: 01/26/2024]
Abstract
With over one-hundred thousand drug overdose deaths in 2021, substance use disorder (SUD) is a public health crisis in the United States. Medical stabilization has been the predominant focus of SUD interventions despite low levels of retention. Consequently, national quality measures for SUD care outside the clinical continuity of care are limited. The expansion of recovery support services addressing social drivers of health outside clinical settings is needed. The current SUD quality measures are not applicable nor feasible for recovery support service providers with limited resource capacities, like the estimated 17,900 recovery housing providers nationwide. Despite widespread support for recovery housing and its documented effectiveness, no universal set of measures has been developed for widespread adoption. In this brief, a matrix of quality measures are proposed to meet the needs of recovery housing providers with various capacities to support service evolution and improve equitable SUD treatment and recovery care.
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Affiliation(s)
- Robin A Thompson
- Fletcher Group, Inc., 601 Meyers Baker Road, Suite 238, London, KY, 40741, USA.
| | - David Johnson
- Fletcher Group, Inc., 601 Meyers Baker Road, Suite 238, London, KY, 40741, USA
| | - Madison Ashworth
- Fletcher Group, Inc., 601 Meyers Baker Road, Suite 238, London, KY, 40741, USA
| | - Milena Stott
- Fletcher Group, Inc., 601 Meyers Baker Road, Suite 238, London, KY, 40741, USA
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Hennessy EA, Krasnoff P, Best D. Implementing a Recovery Capital Model Into Therapeutic Courts: Case Study and Lessons Learned. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2023:306624X231198810. [PMID: 37752857 DOI: 10.1177/0306624x231198810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Abstract
Recovery capital is a strengths-based and multi-level model for examining the process and outputs of recovery and desistance. Recovery capital posits that the more positive resources one accrues, the better the chances of recovery. Oftentimes growth of one's recovery capital must be initiated through identifying programs in the community to create supportive scaffolding: this may be especially true for individuals involved in the justice system who may experience additional barriers to accessing programming. This manuscript presents the results of a pilot evaluation of the REC-CAP, a recovery-capital oriented system of measurement, planning, and engagement in two drug treatment courts. We include a description of the implementation process and results from surveys and focus groups with the court staff. Results suggests that the trainings were useful and that court staff meaningfully engaged with the REC-CAP system. Court staff felt the REC-CAP provided important information about court clients' strengths and barriers and suggested next steps for staff to take to guide their clients. Future work should explore how the REC-CAP score profile may change with client progress through the court phases as well as how to incorporate more system level supports for a REC-CAP orientation among probation officers and other court staff.
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Affiliation(s)
- Emily A Hennessy
- Massachusetts General Hospital and Harvard Medical School, Boston, USA
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Individual Paths to Recovery from Substance Use Disorder (SUD): What Are the Implications of the Emerging Recovery Evidence Base for Addiction Psychiatry and Practice? Psychiatr Clin North Am 2022; 45:547-556. [PMID: 36055738 DOI: 10.1016/j.psc.2022.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Although the research base around 12-step effectiveness has been grown markedly in recent years, there has also been growth in the broader evidence base around recovery models, and this article reviews three key components: the transition to a social model of recovery; the emergence of a metric of recovery progress, recovery capital focused on building strengths; and multiple pathways to recovery, involving mutual aid groups, recovery community organizations, and access to jobs, friends, and housing. We conclude with an overview of the practical implications for addiction treatment and sustaining the gains made in specialist treatment services.
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Härd S, Best D, Sondhi A, Lehman J, Riccardi R. The growth of recovery capital in clients of recovery residences in Florida, USA: a quantitative pilot study of changes in REC-CAP profile scores. Subst Abuse Treat Prev Policy 2022; 17:58. [PMID: 35933398 PMCID: PMC9356455 DOI: 10.1186/s13011-022-00488-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2022] [Indexed: 12/02/2022] Open
Abstract
Background There is a growing evidence base around predictors of retention and completion in a range of recovery residence models, particularly Oxford Houses and Sober Living Houses, and recovery housing is recognized as a clearly evidenced area of recovery intervention. The aim of the study was to quantitatively assess recovery capital in a sample of recovery residence clients. Method The study used a repeated measures self-completion of a standardized recovery capital instrument (REC-CAP) for clients retained across various houses within one Level 2 recovery residence provider whose program was based on a 12-step approach. While 823 clients participated in the baseline assessment, a sample of 267 clients was achieved for six-month follow-up interview, based on those retained in the residence. A logistic regression model examined factors associated with retention and a repeated measures marginal mixed model evaluated the factors associated with changes in recovery capital between the baseline and the follow-up assessment. Results Members of the group that remained in recovery residences were more likely to be older with a record of high participation in recovery groups, with greater drop-out among younger residents, female residents and those with an identified housing need. For those retained to follow-up, greater recovery capital growth was associated with employment, higher levels of social support and more recovery group involvement, as well as age and a higher quality of life. The need for family support was shown to reduce levels of recovery capital. However, those younger people who were retained reported better recovery capital growth during the initial six months of residence. Conclusion The key conclusion is that while recovery capital generally increases during a stay in a recovery residence, it does not do so consistently across the sample population. This has implications for how pathways to recovery group engagement are supported for women and young people and how social support (encompassing housing, employment and family issues) is provided to those populations during periods of residence. This suggests the potential need for training and guidance for house managers working with these groups.
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Best D, Vanderplasschen W, Van de Mheen D, De Maeyer J, Colman C, Vander Laenen F, Irving J, Andersson C, Edwards M, Bellaert L, Martinelli T, Graham S, Hamer R, Nagelhout GE. REC-PATH (Recovery Pathways): Overview of a Four-Country Study of Pathways to Recovery from Problematic Drug Use. ALCOHOLISM TREATMENT QUARTERLY 2018. [DOI: 10.1080/07347324.2018.1488550] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- David Best
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | | | - Dike Van de Mheen
- Tranzo Scientific Center for Care and Welfare, Social and Behavioural Sciences, Tilburg University, Tilburg, the Netherlands
| | - Jessica De Maeyer
- Centre of Expertise on Quality of Life, Faculty of Health, Education and Social Work, University College Ghent, Belgium
| | - Charlotte Colman
- Department of Criminology, Criminal Law and Social Law, Ghent University, Ghent, Belgium
| | - Freya Vander Laenen
- Department of Criminology, Criminal Law and Social Law, Ghent University, Ghent, Belgium
| | - Jamie Irving
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Catrin Andersson
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Michael Edwards
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Lore Bellaert
- Department of Special Needs Education, Ghent University, Ghent, Belgium
| | - Thomas Martinelli
- Tranzo Scientific Center for Care and Welfare, Social and Behavioural Sciences, Tilburg University, Tilburg, the Netherlands
- IVO Addiction Research Institute, The Hague, the Netherlands
| | - Simon Graham
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Rebecca Hamer
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Gera E. Nagelhout
- IVO Addiction Research Institute, The Hague, the Netherlands
- Department of Health Promotion and Department of Family Medicine, Maastricht University (CAPHRI), Maastricht, the Netherlands
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Best D, Irving J, Collinson B, Andersson C, Edwards M. Recovery Networks and Community Connections: Identifying Connection Needs and Community Linkage Opportunities in Early Recovery Populations. ALCOHOLISM TREATMENT QUARTERLY 2016. [DOI: 10.1080/07347324.2016.1256718] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- David Best
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Jamie Irving
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Beth Collinson
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Catrin Andersson
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
| | - Michael Edwards
- Department of Law and Criminology, Sheffield Hallam University, Sheffield, England
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Best DW, Haslam C, Staiger P, Dingle G, Savic M, Bathish R, Mackenzie J, Beckwith M, Lubman DI. Social networks and recovery (SONAR): characteristics of a longitudinal outcome study in five therapeutic communities in Australia. THERAPEUTIC COMMUNITIES 2016. [DOI: 10.1108/tc-04-2016-0012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Sotskova A, Woodin E, Cyr KS. Understanding the Role of Group Cohesion and Group Alliance in a Secular Peer Support Group for Recovery from Substance Misuse. ACTA ACUST UNITED AC 2016. [DOI: 10.1080/1556035x.2015.1132400] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Best D, McKitterick T, Beswick T, Savic M. Recovery Capital and Social Networks Among People in Treatment and Among Those in Recovery in York, England. ALCOHOLISM TREATMENT QUARTERLY 2015. [DOI: 10.1080/07347324.2015.1050931] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
Research on drug courts over the past decades has focused primarily on individual predictors of success and/or has examined the effectiveness of various judicial as well as therapeutic intervention strategies. To broaden our understanding of recovery as it occurs within the context of social networks, the following paper discusses the application of a new network-based framework of recovery capital. Participants in a small rural southeastern Adult Drug Court filled out a series of questionnaires and participated in a number of semi-structured interviews that assessed the availability of network-based recovery capital. The findings of this exploratory study suggest that participants possess restrictive resource portfolios and tend to over-rely on therapeutic (artificial) networks for support. Select implications for future research and treatment interventions are discussed.
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Affiliation(s)
| | | | - Hosuk Lee
- University of North Georgia, Dahlonega, USA
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Social and transitional identity: exploring social networks and their significance in a therapeutic community setting. THERAPEUTIC COMMUNITIES 2014. [DOI: 10.1108/tc-04-2013-0007] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Purpose
– There is considerable literature indicating the importance of social connectedness and its relationship to wellbeing. For problem substance users, a similar literature emphasises the importance of the transition from a social network supportive of use to one that fosters recovery. Within this framework, the therapeutic community (TC) is seen as a critical location for adopting a transitional identity (i.e. from a “drug user” to a “member of the TC”), as part of the emergence of a “recovery identity” following treatment. The purpose of this paper is to outline a model for conceptualising and measuring identity based on the theories of social identity and recovery capital, and pilots this model within a TC setting.
Design/methodology/approach
– A social identity mapping was used with TC residents to test their identification with “using” and “TC” groups, and their relationship to recovery capital.
Findings
– The network mapping method was acceptable to TC residents, and provided valuable insights into the social networks and social identity of TC residents.
Research limitations/implications
– This paper explores issues around mapping social identity and its potential in the TC and other residential settings.
Originality/value
– The paper integrates a number of conceptual models to create a new framework for understanding transitions in social networks during treatment and reports on a novel measurement method underpinning this.
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van Melick M, McCartney D, Best D. Ongoing Recovery Support and Peer Networks: A Preliminary Investigation of Recovery Peer Supporters and Their Peers. ACTA ACUST UNITED AC 2013. [DOI: 10.1080/1556035x.2013.785211] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Best D, Honor S, Karpusheff J, Loudon L, Hall R, Groshkova T, White W. Well-Being and Recovery Functioning among Substance Users Engaged in Posttreatment Recovery Support Groups. ALCOHOLISM TREATMENT QUARTERLY 2012. [DOI: 10.1080/07347324.2012.718956] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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BEST DAVID, GOW JANE, KNOX TONY, TAYLOR AVRIL, GROSHKOVA TEODORA, WHITE WILLIAM. Mapping the recovery stories of drinkers and drug users in Glasgow: Quality of life and its associations with measures of recovery capital. Drug Alcohol Rev 2011; 31:334-41. [DOI: 10.1111/j.1465-3362.2011.00321.x] [Citation(s) in RCA: 92] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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