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Implementing peer recovery coaching and improving outcomes for substance use disorders in underserved communities
Michael A Hansen1, Sanjukta Modak1, Samuel McMaster1
1Family Medicine, Baylor College of Medicine, Houston, TX, USA.
The Peer Recovery Expansion Project (PREP) successfully expanded substance use disorder (SUD) treatment using peer coaches. Clients showed improved housing, employment, and reduced psychiatric symptoms.
Area of Science:
- Addiction Medicine
- Public Health
- Psychiatry
Background:
- Substance Use Disorder (SUD) affects individuals with limited healthcare access.
- Peer recovery coaches can bridge gaps in SUD treatment.
- The Peer Recovery Expansion Project (PREP) aimed to address these disparities.
Purpose of the Study:
- To evaluate the effectiveness of peer-led recovery coaching for individuals with SUD.
- To assess the impact of PREP on housing stability, employment, and psychiatric symptoms.
- To determine client and coach satisfaction with the program.
Main Methods:
- PREP was implemented in low-socioeconomic areas.
- 153 clients received services through culturally responsive, peer-based coaching.
- Data collected via Government Performance and Reporting Act (GPRA) tool at intake and 6-month follow-up.
Main Results:
- 96.8% of peer coaches were satisfied with training; 95% felt it enhanced skills.
- Clients reported a 22% increase in stable housing and 25% in employment/training.
- Significant declines in reported depression, anxiety, and prescribed medication use were observed.
Conclusions:
- Peer-led programs improve engagement in SUD treatment.
- Integrated peer support enhances recovery outcomes for adults with SUD.
- PREP demonstrated positive impacts on clients' housing, employment, and mental health.
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