Journal of Social Work Practice in the Addictions最新文献

Research points to the value of shared lived experience in opioid use disorder (OUD) treatment, but most focuses solely on professionals in designated peer support (PS) roles. Drawing on in-depth interviews with 20 women with OUD and 6 treatment professionals in recovery working outside of designated PS roles, this manuscript examines the support and bias which providers with lived experience may convey to patients. Women with OUD emphasized the importance of connecting with providers with lived experience both inside and outside of PS roles, while professionals described how lived experience bolstered their work. Some professionals described biases they held due to their own histories but recognized that training could help them better recognize and overcome these biases.

The fragmented U.S. healthcare system impedes youth and young adults with substance use disorders (SUD) from accessing treatment and wrap-around services to support long-term recovery. This qualitative study aimed to inform the design of an integrated system of care for youth and young adults with a SUD and identify pain points and cost drivers across stakeholders. Researchers conducted listening sessions with community members (n=139) and individual interviews with SUD clinicians (n=17). Findings revealed pain points related to treatment initiation, issues during treatment, and concerns during the recovery process. System-level cost drivers included human capital, multiple treatment episodes, and inefficient workflow processes. Study findings highlight the need for a systems-level intervention focused on improving coordinated care across service providers, decreasing duplication of assessment protocols, and developing a client-centered care system. Data informed the development of a youth-oriented SUD system of care model.

Mobile health (mHealth) applications (apps) are increasingly applied to address substance misuse and related concerns. We explored mHealth app use and usability among Medicaid recipients with substance misuse who receive recovery support and treatment services (N=163). At one-month, compared to those who did not utilize the app at all, app use was associated with reduced barriers to treatment. Logging into the app but not using the e-coach feature was associated with reduced anxiety and decreased likelihood of opioid use, while use of the app's e-coach feature was associated with reduced stimulant and other illicit substances. For Medicaid-insured individuals with substance misuse, mHealth apps may reduce treatment barriers and supplement safety net treatment services.

As the recovery capital framework emerges, we still know little about growth rates in early- and middle-stage recovery. This study aimed to: 1) hypothesize recovery capital growth trajectories via graphical representations employing fitted lines and curves; and 2) generate preliminary recovery capital growth estimates through statistical models that predict monthly and yearly growth in recovery capital scores. We used the Multidimensional Inventory of Recovery Capital (MIRC), a new, psychometrically validated measure, to assess recovery capital on a sample of (n=482) people, as well collecting key control variable data. Regarding Aim 1, graphical plots showed that growth was observed for all forms of capital; however, not for human and cultural capital in the first 12 months. Regarding Aim 2, controlled regression models predict an overall increase of approximately one unit of total recovery capital per year. Social workers and other recovery professionals may use these results to assess and treatment plan.