Substance Use Disorders, Treatment Adherence and Compliance
Conditions
Keywords
Support Services, Recovery, Opioid Overdose, Addiction, Social Services, Appalachia
Brief summary
Evaluate the long-term effectiveness of implementing vouchers as a linkage strategy in a population requiring recovery support services (RSS) when no other funding sources are available. A within-subjects study design will be used to test the effectiveness of the Kentucky Access to Recovery (KATR) last resort voucher linkage approach to reduce the risk of nonfatal and fatal overdoses by (a) increasing an individual's recovery capital; (b) reducing resumption of illicit substance use; and (c) promoting relinking to RSSs if illicit substance use is resumed.
Interventions
BEHAVIORALKATR Linkage Strategy
The Kentucky ATR (KATR) strategy is a 25-county program that links county residents at or below the 200% national poverty level who have an illicit SUD and are in treatment or early recovery to evidence-based RSSs such as recovery housing, and to other RSSs. The KATR linkage approach uses vouchers as a linkage strategy for individuals in SUD treatment who have no other funding options to acquire critical RSSs. As such, KATR's linkage through vouchers is a last resort approach for linking to RSSs.
Sponsors
Terry Bunn
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* be in SUD treatment or have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use * be a first-time participant in KATR * be in early stages of recovery (less than one year in recovery) * be a resident of a KATR service county * be at or below the 200% federal poverty level * not have financial resources available through other funding mechanisms for RSSs * be 18 years of age and older * be in need of recovery supports that will enhance their likelihood of staying in recovery
Exclusion criteria
* Under 18 * Participated in KATR previously
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Recovery Capital per person | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment | Recovery capital will be assessed using the Brief Assessment of Recovery Capital-10 (BARC-10); 10 item survey unidimensional measure of recovery capital, scores may range from 6-60 at any given time. Evaluation of the measure suggests that individuals who have a higher score are likely to reach or sustain a year or longer of recovery from substance use disorder. |
| Change in number of drug overdoses per person | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment | Number of drug overdoses will be assessed with the following survey question: In the past 30 days, did you experience an overdose or take too much of a substance that resulted in needing supervision or medical attention? |
| Change in number of days of illicit substance use per person | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment | Number of days illicit substance use will be assessed with the following survey question: During the past 30 days, how many days have you used any substance |
Countries
United States
Outcome results
None listed