TY - JOUR
T1 - Exploring recovery
T2 - Findings from a six-year evaluation of an American Indian peer recovery support program
AU - Kelley, Allyson
AU - Steinberg, Rachel
AU - McCoy, Thomas P.
AU - Pack, Roy
AU - Pepion, Lita
N1 - Funding Information:
This work was supported by the Substance Abuse Mental Health Services Administration [grant number 1H79TI026608-01 CFDA 93.243 ]. Funding supported data analyses and reporting.
Funding Information:
This work was supported by the Substance Abuse Mental Health Services Administration [grant number 1H79TI026608-01CFDA 93.243]. Funding supported data analyses and reporting.We wish to thank all of the Peer Mentors and Peers involved in the six-year recovery program. We appreciate the leadership and support of the Rocky Mountain Tribal Leaders Council.
Publisher Copyright:
© 2021 Elsevier B.V.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - Objectives: We aimed to identify correlates of short-term recovery among American Indians who participated in the Transitional Recovery and Culture (TRAC) Program, a Peer Recovery Support (PRS) program. Research aims (As) were A1. How do recovery capital resources and indicators of recovery differ between TRAC participants who completed a six-month follow-up and those who did not? A2. How much did recovery capital resource measures change between intake and six-month follow-up? A3. Which recovery capital resources are associated with balanced recovery? Methods: We used the medicine wheel evaluation framework. Each concept within the framework – spiritual, emotional, mental, and physical health – was incorporated into a composite recovery outcome variable. TRAC enrolled 422 American Indians from 2014 to 2019 living in Montana and Wyoming. Six-month change was examined among 214 program participants that completed the six-month program. Results: We observed significant change for the following recovery capital resources: stable housing, being occupied, attending recovery groups, interacting with family and friends, past substance use activity, and self-reported health status. Logistic regression results for balanced short-term recovery showed that improving or maintaining occupation (AOR = 6.73, p = 0.0026), interacting with family or friends (AOR = 4.66, p = 0.0050), and still receiving services at follow-up (AOR = 2.25, p = 0.0487) were associated with significant increased odds of higher balanced short-term recovery scores. Conclusion: PRS helps American Indian people achieve short-term recovery. Future efforts should focus on how to retain peers in PRS programs, and the recovery capital needed to sustain long-term recovery.
AB - Objectives: We aimed to identify correlates of short-term recovery among American Indians who participated in the Transitional Recovery and Culture (TRAC) Program, a Peer Recovery Support (PRS) program. Research aims (As) were A1. How do recovery capital resources and indicators of recovery differ between TRAC participants who completed a six-month follow-up and those who did not? A2. How much did recovery capital resource measures change between intake and six-month follow-up? A3. Which recovery capital resources are associated with balanced recovery? Methods: We used the medicine wheel evaluation framework. Each concept within the framework – spiritual, emotional, mental, and physical health – was incorporated into a composite recovery outcome variable. TRAC enrolled 422 American Indians from 2014 to 2019 living in Montana and Wyoming. Six-month change was examined among 214 program participants that completed the six-month program. Results: We observed significant change for the following recovery capital resources: stable housing, being occupied, attending recovery groups, interacting with family and friends, past substance use activity, and self-reported health status. Logistic regression results for balanced short-term recovery showed that improving or maintaining occupation (AOR = 6.73, p = 0.0026), interacting with family or friends (AOR = 4.66, p = 0.0050), and still receiving services at follow-up (AOR = 2.25, p = 0.0487) were associated with significant increased odds of higher balanced short-term recovery scores. Conclusion: PRS helps American Indian people achieve short-term recovery. Future efforts should focus on how to retain peers in PRS programs, and the recovery capital needed to sustain long-term recovery.
KW - American Indian
KW - Peer recovery
KW - Short-term recovery capital
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U2 - 10.1016/j.drugalcdep.2021.108559
DO - 10.1016/j.drugalcdep.2021.108559
M3 - Article
C2 - 33548899
AN - SCOPUS:85100396931
SN - 0376-8716
VL - 221
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
M1 - 108559
ER -