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Acute Care Utilization After Recovery Coaching Linkage During Substance-Related Inpatient Admission: Results of Two
Julia A Cupp1, Kaileigh A Byrne2, Kristin Herbert3
1Prisma Health-Upstate, Greenville, USA. Julia.Cupp@Prismahealth.org.
Peer recovery coaches (PRCs) did not reduce overall acute care use for substance use disorder patients. However, PRCs showed a potential to decrease emergency department visits related to mental and behavioral health issues.
Area of Science:
- Health Services Research
- Addiction Medicine
- Public Health
Background:
- Peer recovery coaches (PRCs) improve engagement in recovery services for patients with substance use disorder (SUD).
- Effective support services can lead to cost savings by reducing acute care utilization.
Purpose of the Study:
- To examine the effect of peer recovery coaches (PRCs) on acute care utilization in patients with substance use disorder (SUD).
Main Methods:
- The study combined results from two parallel 1:1 randomized controlled trials.
- Inpatient adults with SUD received either PRC linkage and 6-month follow-up or usual care.
- Acute care encounters (emergency and inpatient) and 30-day readmissions were analyzed 6 months before and after enrollment.
Main Results:
- No significant overall decrease in acute care utilization was observed in the PRC group compared to usual care.
- A significant decrease in mental/behavioral emergency department visits was found in the PRC group.
- No significant differences were observed in inpatient encounters or 30-day readmissions between groups.
Conclusions:
- Peer recovery coaches (PRCs) did not reduce overall acute care utilization for patients with substance use disorder (SUD).
- PRC interventions may help decrease emergency encounters specifically related to substance use and mental/behavioral health issues.
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