Implementation strategies to support recovery support workers serving criminal legal involved people who use drugs.

Autor: Pho MT; University of Chicago, Chicago Center for HIV Elimination, Chicago, IL, USA. Electronic address: mpho@bsd.uchicago.edu., Bouris A; University of Chicago, Chicago Center for HIV Elimination, Chicago, IL, USA; University of Chicago Crown Family School of Social Work, Policy, and Practice, Chicago, IL, USA., Carreon ED; University of Chicago Crown Family School of Social Work, Policy, and Practice, Chicago, IL, USA., Stinnette M; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Kaufmann M; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Shuman V; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Watson DP; Chestnut Health Systems, Chicago, IL, USA., Jimenez AD; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Powell B; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Kaplan C; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Zawacki S; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Morris S; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Garcia J; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Hafertepe A; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Hafertepe K; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA., Pollack HA; University of Chicago Crown Family School of Social Work, Policy, and Practice, Chicago, IL, USA; University of Chicago, Department of Public Health Sciences, Chicago, IL, USA; University of Chicago, Urban Health Lab, Chicago, IL, USA., Schneider JA; University of Chicago, Chicago Center for HIV Elimination, Chicago, IL, USA; University of Chicago Crown Family School of Social Work, Policy, and Practice, Chicago, IL, USA; University of Chicago, Department of Public Health Sciences, Chicago, IL, USA., Boodram B; University of Illinois at Chicago, School of Public Health, Chicago, IL, USA.
Jazyk: angličtina
Zdroj: Journal of substance use and addiction treatment [J Subst Use Addict Treat] 2024 Nov 23; Vol. 169, pp. 209583. Date of Electronic Publication: 2024 Nov 23.
DOI: 10.1016/j.josat.2024.209583
Abstrakt: Introduction: Recovery support workers (RSWs) who provide social support interventions for people who use drugs (PWUD) often face challenges that can jeopardize the well-being, efficacy and sustainability of this essential workforce. To date, little has been reported on the types of implementation strategies used to support RSWs. We describe and evaluate a multifaceted implementation strategy package to support Reducing Opioid Mortality in Illinois (ROMI), a paired peer recovery coach and case manager (PRC-CM) intervention for PWUD with recent criminal-legal involvement in urban and rural settings.
Methods: ROMI utilized a remote, hub and spoke-administered multifaceted implementation strategy package to support PRCs-CMs to deliver evidence-based services to PWUD with criminal-legal involvement. The core strategies included: (a) comprehensive training; (b) individual clinical supervision; (c) group consultation; and (d) centralized technical assistance. We evaluated the implementation strategy package using a mixed-methods design including qualitative interviews with the intervention staff to explore their experiences with each strategy component, as well as a quantitative coding of topics discussed during supervision and group consultation meetings to estimate prioritization of issues and balance of topics between strategy type.
Results: Between January 2019 and January 2024, the study interviewed 8 PRC-CMs and quantitatively coded 568 sessions (79 group consultations and 489 individual supervisory) for discussion themes. The hub-and-spoke model allowed for centralized access to highly skilled supervisory staff as well as knowledge sharing across geographically remote teams. The therapeutic space to process feelings and emotional support provided during individual supervision was noted to be an essential resource by PRC-CMs. Group consultation facilitated camaraderie, mutual support and continual learning through dynamic and responsive trainings. Frustrations around resource limitations and systemic barriers facing their clients remained a dominant concern for PRCs-CMs, and was incompletely addressed by the technical assistance strategy.
Conclusion: Understanding the practical components and individual strengths of the implementation strategies required to support the implementers of complex interventions such as social support and navigation for PWUD with criminal-legal involvement elucidates the organizational and professional capacities that may be required for real world implementation.
Trial Registration: NCT04925427.
Competing Interests: Declaration of competing interest This work was supported by a grant from the National Institute on Drug AbuseUG1 DA050066. The funder had no role in the design, data collection, analysis, and interpretation of this study.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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