Substance Use
Recovery Capital Outcomes Associated with an Access to Recovery Program Terry Bunn* Terry Bunn Bunn Bunn Bunn Bunn Bunn Bunn University of Kentucky
Introduction: State Access to Recovery (ATR) programs provide client choice among substance use disorder treatment and recovery support service (RSS) providers, increase access and linkage to treatment and recovery support options, and increase SUD recovery support capacity. The effectiveness of the Kentucky ATR (KATR) program was assessed in building recovery capital over time through participant utilization of RSSs.
Methods: ATR study participant data was collected at four time points: 1) intake (0 months); 2) KATR service completion (~3-6 months); 3) 3 months after service completion (~5-8 months); and 4) 12 months after study intake. Mixed random effects regression models examined the impact of RSSs utilization on key outcomes including recovery capital as measured by the Brief Assessment of Recovery Capital (BARC-10), stable housing, employment, and resumption of substance use.
Results: There were 440 participants recruited to the study. BARC-10 scores (p<0.01), and rate of employment (p<0.001) were significantly higher for participants who used recovery housing compared to participants who did not use recovery housing at all follow-up time points. After controlling for the effects of other recovery support service utilizations, those who used basic needs services had lower BARC-10 scores (p<0.05) compared to those who did not utilize basic needs. Participants who used transportation supports had higher BARC-10 scores (p<0.05), rates of employment (p<0.01) and steady housing (p<0.05), and lower resumption of use (p<0.05) at follow-up time points than participants that did not use transportation services.
Conclusion: The KATR program was successful in establishing recovery from opioid and stimulant use disorder among persons in treatment or early recovery. This study shows that a self-selected voucher-based RSS program that meets basic needs and provides linkage to recovery housing, and other RSSs facilitate an individual’s journey to long-term recovery.