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Program personnel perspectives and outcomes of the Minnesota Addiction Recovery Initiative (MARI) Safe Station
Nathan W Koranda1, Jeremiah Fairbanks2, Sheila Specker3
1Koranda O'Tool Paramedics Incorporated (KOPI Medical), Minneapolis, MN, USA; YourPath, St. Paul, MN, USA.
Journal of Substance Use and Addiction Treatment
|January 25, 2026
Summary
The Minneapolis Addiction Recovery Initiative Safe Station program offers accessible addiction recovery services via fire stations. Early data show diverse client engagement and highlight program strengths and areas for improvement in reducing stigma.
Area of Science:
- Public Health
- Addiction Medicine
- Community Health Programs
Background:
- The Minneapolis Addiction Recovery Initiative (MARI) Safe Station program, established in April 2023, utilizes fire stations as accessible entry points for individuals with substance use disorders.
- It offers immediate support through certified peer recovery specialists (CPRSs) and integrates harm-reduction strategies like naloxone distribution and provider stigma reduction training.
Purpose of the Study:
- To report early data on program engagement and participant demographics within the MARI Safe Station initiative.
- To explore the perspectives of program personnel regarding the strengths and challenges of the MARI Safe Station implementation.
Main Methods:
- A mixed-methods approach was employed, collecting intake data from 174 participants and conducting qualitative interviews with 28 program personnel.
- Attitudes toward opioid use disorder were assessed before and after an educational session among program staff.
Main Results:
- The MARI Safe Station program successfully engaged a demographically diverse group of 174 individuals facing various recovery barriers.
- Program personnel identified accessibility and scalability as strengths but noted challenges such as staff turnover and sustainability concerns.
- A modest reduction in provider stigma was observed post-education, though further research is needed.
Conclusions:
- The MARI Safe Station program demonstrates potential for providing accessible and equitable addiction recovery services.
- Preliminary findings underscore the program's role in stigma reduction while indicating key areas for ongoing development and improvement.
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