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. Author manuscript; available in PMC: 2022 Apr 23.
Published in final edited form as: Pediatrics. 2021 Jan;147(Suppl 2):S220–S228. doi: 10.1542/peds.2020-023523E

Table 1.

Summary of Select Evidence

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.