Table 1.
Content area |
Year | Author(s) | Sample | Setting | Study period |
Design | Outcome | Main findings |
Comments on scientific rigor and clinical considerations |
---|---|---|---|---|---|---|---|---|---|
Housing | 2006 | Jason et al | N=150 with substance use history in an urban setting | Either an Oxford House or usual after-care condition (i.e., outpatient treatment or self-help groups) after they had received inpatient treatment for substance abuse | 24-month study period with baseline and interviews every 6 months | RCT | Substance use; criminal activities; employment status | Significantly lower substance use, significantly higher monthly income, and significantly lower incarceration rates | Rigorous RCT demonstrating the effect of mutual help-oriented recovery housing in reducing substance use, crime activities, and improve employment for people with substance use history |
Social services | 2009 | Morgenstern et al | N=421 in a large city | Randomized to coordinated care management involving various social services and coordinated referral system vs. usual care | Baseline, 1, 3, 6 and 12 months follow interviews | Practical Clinical Trial | Social services use; abstinence status | Broad and significantly more services use (e.g., addiction, mental health, employment, and basic needs), and significantly higher rate of abstinence among those receiving coordinated care | A practical clinical trial showing significant uptake of recovery support services and abstinence increase as a result of a coordinated system integrating social services with substance abuse treatment |
Peer support | 2016 | Bassuk et al | N=9 studies | US studies in PubMed, PsychInfo, and Web of Science with search terms: peer involvement; alcohol or drug addiction; peer led recovery interventions. | English literature of primary empirical quantitative studies between 1998 and 2014 | Review study | Substance use (primary outcome); service utilization, mental health, criminal justice status, quality of life | Despite limited evidence involving strong methodological rigor, peer support was found to be beneficial and associated with improved recovery outcomes and reduced substance use. | Extensive review study summarizing evidence of peer support recovery in reducing substance use and other recovery related outcomes, with extensive recommendations for strengthening further studies on peer-delivered recovery support services |
Volunteer support | 2019 | Godley et al | N=402 aged 12-20 and discharged from residential treatment | Randomized to either 9 months of post-treatment Volunteer Recovery Support for Adolescents (VRSA), or continuing care services as usual | Assessed over 12 months post-discharge | RCT | Pro-recovery peers, recovery management activities, substance use, and remission | Significant direct effects to have more involvement with pro-recovery peers and recovery management activities, and indirect effects on reducing substance use and increasing remission. | Rigorous trial involving a large sample and demonstrating improvements in both proximal (pro-recovery activities) and distal outcomes (reduced substance use) |
Case management | 2019 | Vanderplasschen et al | N=31 studies | Embase, Web of Science, MEDLINE (PubMed), the Cochrane Drugs and Alcohol Group Specialized Register and Cochrane Central Register of Controlled Trials | English literature from Jan 2006 to May 2017 | Review meta-analysis | Treatment related outcomes; personal functioning outcomes | Case management is more effective than treatment as usual conditions for improving outcomes, but this effect is significantly larger for treatment-related tasks than for personal functioning outcomes. Case management can be an important supplement to available services for improving linkage and retention | Meta-analysis on a large number of trial studies provides a rigorous synthesis of the effect of case management for integrated support services. |