abstract: 'Background: Low-income, racial/ethnic minority individuals face

  significant barriers in access to substance use (SU) treatment. Peer

  recovery coaches (PRCs), individuals with lived experience with

  substance use disorder (SUD), may be uniquely well suited to assist

  those encountering barriers to treatment. PRCs can also help reach those

  not engaged in treatment to promote harm reduction and support

  linkage-to-care when embedded in community rather than clinical

  settings. This study evaluated a community-based program in which a PRC

  facilitated linkage to and supported retention in SU treatment. Methods:

  Guided by the RE-AIM framework, we evaluated implementation of the

  intervention in a community resource center (CRC) serving homeless and

  low-income residents of Baltimore City. We examined the reach,

  effectiveness, adoption, and implementation of this PRC model. Results:

  Of 199 clients approached by or referred to the PRC, 39 were interested

  in addressing their SU. Of those interested in addressing SU, the PRC

  linked 64.1\% (n = 25) to treatment and was able to follow up with

  59.0\% (n = 23) at prespecified time points after linkage (24-48 hours,

  2 weeks, and 1 month). Fifty-two percent (n = 13) of clients linked to

  SU treatment remained in treatment at 30 days post-linkage. Of clients

  who did not remain in treatment, 77\% (n = 10) continued contact with

  the PRC. Conclusions: Results indicate the utility of the CRC''s approach

  in linking people to treatment for SU and addressing barriers to care

  through work with a PRC. Findings also highlight important barriers and

  facilitators to implementation of this model, including the need for

  adaptation based on individual goals and fluctuations in readiness for

  treatment.'
affiliation: 'Kleinman, MB (Corresponding Author), Univ Maryland, Dept Psychol, 4049
  Campus Dr, College Pk, MD 20742 USA.

  Kleinman, Mary B.; Satinsky, Emily N.; Bradley, Valerie; Magidson, Jessica F., Univ
  Maryland, Dept Psychol, 4049 Campus Dr, College Pk, MD 20742 USA.

  Doran, Kelly; Dean, Dwayne, Univ Maryland, Sch Nursing, Family \& Community Hlth,
  Baltimore, MD 21201 USA.

  Felton, Julia W., Michigan State Univ, Dept Publ Hlth, Flint, MI USA.'
author: Kleinman, Mary B. and Doran, Kelly and Felton, Julia W. and Satinsky, Emily
  N. and Dean, Dwayne and Bradley, Valerie and Magidson, Jessica F.
author-email: mkleinm@umd.edu
author_list:
- family: Kleinman
  given: Mary B.
- family: Doran
  given: Kelly
- family: Felton
  given: Julia W.
- family: Satinsky
  given: Emily N.
- family: Dean
  given: Dwayne
- family: Bradley
  given: Valerie
- family: Magidson
  given: Jessica F.
da: '2023-09-28'
doi: 10.1080/08897077.2020.1846663
earlyaccessdate: NOV 2020
eissn: 1547-0164
files: []
issn: 0889-7077
journal: SUBSTANCE ABUSE
keywords: 'Peer recovery coach; substance-related disorders; implementation

  science; linkage-to-care; vulnerable populations'
language: English
month: OCT 2
number: '4'
number-of-cited-references: '41'
orcid-numbers: 'Bradley, Valerie/0000-0001-6565-8493

  Satinsky, Emily N./0000-0003-0666-6009'
pages: 726-734
papis_id: 73627831c8b5786acc9e038ca2bbb8ee
ref: Kleinman2021implementingpeer
researcherid-numbers: 'Bradley, Valerie/AAB-7705-2021

  Satinsky, Emily N./AAD-3114-2022'
times-cited: '8'
title: Implementing a peer recovery coach model to reach low-income, minority individuals
  not engaged in substance use treatment
type: article
unique-id: WOS:000596927600001
usage-count-last-180-days: '0'
usage-count-since-2013: '6'
volume: '42'
web-of-science-categories: Substance Abuse
year: '2021'