Barriers and facilitators to recovery capital among justice-involved community members

Examining Recovery Program Participants by Gender: Program Completion, Relapse, and Multidimensional Status 12 Months After Program Entry

“…Interestingly, having a lower quality of life rating at program entry was the only significant factor associated with program completion and was associated with better multidimensional status at follow-up. This may reflect the lack of options these participants had if they did leave the program; however, all of the participants in this study had considerable needs (Chen, 2018;DePue et al, 2014;Kahn et al, 2019;Laudet et al, 2009). Including a quality of life rating in SUD program outcomes may be important because it is the subjective appraisal of life in that moment, and participants likely synthesize information from multiple sources to come up with the rating making it a particularly important indicator of recovery (Laudet, 2011;Laudet et al, 2009;Muller et al, 2016).…”

“…Individuals who use substances and who are especially vulnerable, such as those who are homeless or who are transitioning out of jails or prisons, may have many complex needs and these needs can make SUD treatment more difficult to obtain and to benefit from (Chen, 2018;Davidson et al, 2010;Granfield & Cloud, 1999;Hennessy, 2017;Kahn et al, 2019;Padgett et al, 2016;Priester et al, 2016). Kentucky developed a modified sober living, peer-led supportive housing program for adults with SUDs at risk of homelessness including recently incarcerated individuals as an alternative to traditional SUD interventions.…”

“…The Recovery Kentucky program links participants to other community resources during the program, which may facilitate a more successful transition out of the program because they can continue to access these resources as needed during their recovery even after discharge from the program (Walker et al, 2018). This community linkage has been promoted in other programs (Kahn et al, 2019). The success of these linkages is suggested by the low homelessness rate as well as the higher quality of life ratings at follow-up.…”

“…co-occurring severe mental health problems including depression, anxiety, and suicidality (Compton et al, 2014;Coohey et al, 2015;Kahn et al, 2019;Lee et al, 2017). Acute SUD models are not as effective for those with complex needs as is evident in the lower rates of treatment initiation, high dropout rates, low participation in aftercare, and high readmission and/or relapse rates (Creedon & Le Cook, 2016;Davidson et al, 2010;Jones et al, 2015).…”

“…Each facility is situated within a preselected geographic area to ensure wide distribution across the state and each is within a community with services that can be utilized by program participants (Wittman et al, 2017). Fourth, participants are encouraged to use community-based services to facilitate knowledge and integration needed to transition to long-term recovery (Kahn et al, 2019;Walker et al, 2018). The Recovery Kentucky program takes participants about 6 months to complete, which is shorter than some TCs which can last up to 12 to 24 months (Vanderplasschen et al, 2013).…”