The Community as Patient: Recovery-focused Community Mobilization in Philadelphia, PA (USA), 2005–2012

Evans, Arthur C.; Lamb, Roland; White, William L.

doi:10.1080/07347324.2013.831672

Cited by 6 publications

(7 citation statements)

References 16 publications

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“…However, our study results suggest that stigmatization of MOUD by 12-step group members would prevent at least those harm reduction participants who use MOUD from feeling comfortable. Since MOUD and harm reduction are both methods for reducing risks related to drug use 30 and some scholars consider MOUD a type of harm reduction, 62 it is quite possible that most harm reduction program participants support MOUD, although our study could not test that hypothesis. To the extent that harm reduction participants use MOUD or support MOUD utilization, stigmatization of MOUD in 12-step programs could limit advances toward integration of 12-step groups and harm reduction programs.…”

Section: Discussionmentioning

confidence: 85%

Stigmatization of Medications for Opioid use Disorder in 12-Step Support Groups and Participant Responses

2022

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Background: 12-step groups are the most common approach to managing opioid use disorder (OUD) in the U.S. Medications for OUD (MOUD) are the most effective tool for preventing opioid misuse and relapse. Previous research has identified stigma of MOUD in 12-step groups. Objectives: We sought to identify how MOUD stigma is operationalized in 12-step groups and to identify responses to stigma. Methods: We recruited individuals with both MOUD experience and 12-step group experience from three syringe exchange programs in the U.S. using snowball sampling. We conducted individual telephone semi-structured interviews during 2018 and 2019. We coded data in Dedoose software and conducted thematic analysis using iterative categorization. Results: We recruited 30 individuals meeting our inclusion criteria. The following stigma operationalization methods were identified: prohibiting people using MOUD from speaking at meetings; encouraging shortened duration of MOUD treatment; refusing to sponsor people using MOUD; and refusing to let people using MOUD claim recovery time. Responses to stigma included the following: feeling shame; feeling anger; shopping around for different groups, leaving the group, or forming a new group; not revealing MOUD utilization or only telling a sponsor; speaking out on behalf of MOUD; and using cognitive approaches to avoid stigma internalization. Cognitive approaches included believing that anti-MOUD stigma is contrary to 12-step principles; disregarding statements as inaccurate based on one's experience of MOUD benefits; and accepting that all groups of humans have some ignorant people. Conclusion: Healthcare systems should help address MOUD stigma experienced by patients in 12-step groups, such as by offering non-12-step alternative groups and encouraging MOUD healthcare providers to prepare patients for potential stigma they may face. Some stigma response options, like shopping around for different groups, may not be feasible in rural areas or for participants newer to recovery.

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Section: Discussionmentioning

confidence: 85%

Stigmatization of Medications for Opioid use Disorder in 12-Step Support Groups and Participant Responses

2022

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“…The role of natural communities, the communities where persons in recovery and their families live, is finally being recognized as an essential component of sustained recovery. Evans, Lamb, and White (2013) write of the ''community as patient'' and urged the mobilization of community resources in promoting the recovery of individuals and their families. CIRs have the personal and professional qualifications to be the catalysts of community organization, promoting an environment of support and healing consisting of community-based groups, such as churches and community outreach centers devoted to the overall well-being of those with addictions and their families.…”

Section: Introductionmentioning

confidence: 99%

A Contemporary New Role for Counselors in Recovery: Recovery Coaches in Communities of Recovery

Doukas

2015

Alcoholism Treatment Quarterly

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“…Starting in 2004, Philadelphia combined its Community Behavioral Health Office, the Office of Mental Health, and the Coordinating Office for Drug and Alcohol Abuse Programs into a single, integrated, behavioral health care system. Integration of these systems brought with it a larger transformation in goals and philosophies, funding and regulatory policies, service practices, constituency relationships, and approaches to performance and monitoring of addiction treatment and support services for persons in recovery (Achara-Abrahams et al 2011;Evans et al 2013;Maguire et al 2012;White 2008). Part of the transformation process was an assessment of community recovery resources.…”

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confidence: 98%

A Critical Component of the Continuum of Care for Substance Use Disorders: Recovery Homes in Philadelphia

Mericle

Miles

Cacciola

2015

Journal of Psychoactive Drugs

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For many struggling with addiction, the ability to achieve stable recovery is often jeopardized by untenable housing or unsupportive living environments. Despite promising research on recovery residences, there are still significant gaps in the research on them. Using data collected from a stratified random sample of recovery homes in Philadelphia (N = 25), this study describes the organizational, operational, and programmatic characteristics of these homes and explores potential differences in these characteristics by funding source and gender of residents served. Although not licensed treatment providers, the majority of these homes operated in a recovery-oriented manner and offered a range of different services to their residents-all for a reasonable monthly fee (M = $340.40, SE = 18.60). Few differences emerged between homes that received funding from the Philadelphia Office of Addiction Services and those that did not or between those that served males as opposed to females. More research is needed to address resident outcomes and how Philadelphia recovery homes may compare with recovery residences in other parts of the country.

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The Community as Patient: Recovery-focused Community Mobilization in Philadelphia, PA (USA), 2005–2012

Cited by 6 publications

References 16 publications

Stigmatization of Medications for Opioid use Disorder in 12-Step Support Groups and Participant Responses

Stigmatization of Medications for Opioid use Disorder in 12-Step Support Groups and Participant Responses

A Contemporary New Role for Counselors in Recovery: Recovery Coaches in Communities of Recovery

A Critical Component of the Continuum of Care for Substance Use Disorders: Recovery Homes in Philadelphia

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