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Peer-delivered harm reduction and recovery support services: initial evaluation from a hybrid recovery community drop-in center and syringe exchange program
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Peer-delivered harm reduction and recovery support services: initial evaluation from a hybrid recovery community drop-in center and syringe exchange program
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Journal Article
Peer-delivered harm reduction and recovery support services: initial evaluation from a hybrid recovery community drop-in center and syringe exchange program
2018
Overview
Background
Recovery from substance use disorder (SUD) is often considered at odds with harm reduction strategies. More recently, harm reduction has been categorized as both a pathway to recovery and a series of services to reduce the harmful consequences of substance use. Peer recovery support services (PRSS) are effective in improving SUD outcomes, as well as improving the engagement and effectiveness of harm reduction programs.
Methods
This study provides an initial evaluation of a hybrid recovery community organization providing PRSS as well as peer-based harm reduction services via a syringe exchange program. Administrative data collected during normal operations of the Missouri Network for Opiate Reform and Recovery were analyzed using Pearson chi-square tests and Monte Carlo chi-square tests.
Results
Intravenous substance-using participants (
N
= 417) had an average of 2.14 engagements (SD = 2.59) with the program. Over the evaluation period, a range of 5345–8995 sterile syringes were provided, with a range of 600–1530 used syringes collected. Participant housing status, criminal justice status, and previous health diagnosis were all significantly related to whether they had multiple engagements.
Conclusions
Results suggest that recovery community organizations are well situated and staffed to also provide harm reduction services, such as syringe exchange programs. Given the relationship between engagement and participant housing, criminal justice status, and previous health diagnosis, recommendations for service delivery include additional education and outreach for homeless, justice-involved, LatinX, and LGBTQ+ identifying individuals.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Adult
/ Community Mental Health Centers - statistics & numerical data
/ Crime
/ Drug use
/ Female
/ Health Promotion and Disease Prevention
/ HIV
/ Housing
/ Human immunodeficiency virus
/ Humans
/ Male
/ Medicine
/ Missouri
/ Narcotic Antagonists - therapeutic use
/ Opioid-Related Disorders - rehabilitation
/ Patient Acceptance of Health Care
/ Peer recovery support services
/ Recovery
/ Recovery community organizations
/ Substance Abuse Treatment Centers - statistics & numerical data
/ Substance Abuse, Intravenous - rehabilitation
/ Syringes
