2023-09-28 14:46:10 +00:00
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abstract: 'Background: Low-income, racial/ethnic minority individuals face
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significant barriers in access to substance use (SU) treatment. Peer
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recovery coaches (PRCs), individuals with lived experience with
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substance use disorder (SUD), may be uniquely well suited to assist
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those encountering barriers to treatment. PRCs can also help reach those
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not engaged in treatment to promote harm reduction and support
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linkage-to-care when embedded in community rather than clinical
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settings. This study evaluated a community-based program in which a PRC
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facilitated linkage to and supported retention in SU treatment. Methods:
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Guided by the RE-AIM framework, we evaluated implementation of the
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intervention in a community resource center (CRC) serving homeless and
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low-income residents of Baltimore City. We examined the reach,
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effectiveness, adoption, and implementation of this PRC model. Results:
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Of 199 clients approached by or referred to the PRC, 39 were interested
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in addressing their SU. Of those interested in addressing SU, the PRC
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linked 64.1\% (n = 25) to treatment and was able to follow up with
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59.0\% (n = 23) at prespecified time points after linkage (24-48 hours,
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2 weeks, and 1 month). Fifty-two percent (n = 13) of clients linked to
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SU treatment remained in treatment at 30 days post-linkage. Of clients
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who did not remain in treatment, 77\% (n = 10) continued contact with
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the PRC. Conclusions: Results indicate the utility of the CRC''s approach
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in linking people to treatment for SU and addressing barriers to care
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through work with a PRC. Findings also highlight important barriers and
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facilitators to implementation of this model, including the need for
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adaptation based on individual goals and fluctuations in readiness for
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treatment.'
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affiliation: 'Kleinman, MB (Corresponding Author), Univ Maryland, Dept Psychol, 4049
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Campus Dr, College Pk, MD 20742 USA.
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Kleinman, Mary B.; Satinsky, Emily N.; Bradley, Valerie; Magidson, Jessica F., Univ
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Maryland, Dept Psychol, 4049 Campus Dr, College Pk, MD 20742 USA.
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Doran, Kelly; Dean, Dwayne, Univ Maryland, Sch Nursing, Family \& Community Hlth,
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Baltimore, MD 21201 USA.
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Felton, Julia W., Michigan State Univ, Dept Publ Hlth, Flint, MI USA.'
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author: Kleinman, Mary B. and Doran, Kelly and Felton, Julia W. and Satinsky, Emily
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N. and Dean, Dwayne and Bradley, Valerie and Magidson, Jessica F.
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author-email: mkleinm@umd.edu
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author_list:
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- family: Kleinman
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given: Mary B.
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- family: Doran
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given: Kelly
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- family: Felton
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given: Julia W.
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- family: Satinsky
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given: Emily N.
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- family: Dean
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given: Dwayne
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- family: Bradley
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given: Valerie
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- family: Magidson
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given: Jessica F.
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da: '2023-09-28'
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doi: 10.1080/08897077.2020.1846663
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earlyaccessdate: NOV 2020
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eissn: 1547-0164
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files: []
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issn: 0889-7077
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journal: SUBSTANCE ABUSE
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keywords: 'Peer recovery coach; substance-related disorders; implementation
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science; linkage-to-care; vulnerable populations'
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language: English
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month: OCT 2
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number: '4'
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number-of-cited-references: '41'
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orcid-numbers: 'Bradley, Valerie/0000-0001-6565-8493
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Satinsky, Emily N./0000-0003-0666-6009'
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pages: 726-734
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papis_id: 73627831c8b5786acc9e038ca2bbb8ee
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ref: Kleinman2021implementingpeer
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researcherid-numbers: 'Bradley, Valerie/AAB-7705-2021
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Satinsky, Emily N./AAD-3114-2022'
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times-cited: '8'
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title: Implementing a peer recovery coach model to reach low-income, minority individuals
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not engaged in substance use treatment
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000596927600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '42'
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web-of-science-categories: Substance Abuse
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year: '2021'
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