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    Adapting a peer recovery coach-delivered behavioral activation intervention for problematic substance use in a medically underserved community in Baltimore City

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    Author
    Satinsky, E.N.
    Doran, K.
    Dean, D.
    Date
    2020
    Journal
    PLoS ONE
    Publisher
    Public Library of Science
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1371/journal.pone.0228084
    Abstract
    Low-income, racial/ethnic minority groups have disproportionately high rates of problematic substance use yet face barriers in accessing evidence-based interventions (EBIs). Peer recovery coaches (PRCs), individuals with lived experience with problematic substance use, may provide an effective approach to reaching these individuals. Traditionally PRCs have focused on bridging to other types of care rather than delivering EBIs themselves. The aim of this study was to assess perceptions of the appropriateness of a PRC-delivered adapted behavioral activation (BA) intervention to reduce problematic substance use for individuals not engaged in care. This study was conducted at a community resource center in Baltimore, Maryland serving low-income and homeless clients who have high rates of problematic substance use yet also face barriers to accessing care. Guided by the ADAPT-ITT framework, we conducted semi-structured key informant interviews with clients (n = 30) with past or present problematic substance use, and a focus group with community providers, including staff at the community resource center (n = 5) and PRCs (n = 6) from the community. Thirty percent (n = 9) of clients interviewed reported past problematic substance use and 70% (n = 21) met criteria for current use, most commonly cocaine and opioids. Clients, center staff, and PRCs shared that PRC-delivered BA could be acceptable and appropriate with suggested adaptations, including adding peer-delivered case-management and linkage to care alongside BA, and tailoring BA to include activities that are accessible and feasible in the community. These findings will inform the adaptation of PRC-delivered BA to address problematic substance use in this setting. Copyright 2020 Satinsky et al.
    Sponsors
    This study was fully supported by the University of Maryland Baltimore-University of Maryland College Park Innovation Seed Grant, awarded to JF, KD, and JFM.
    Keyword
    behavioral activation
    evidence-based intervention
    peer recovery coach
    Medically Underserved Area
    Vulnerable Populations
    Vulnerable Populations
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078731416&doi=10.1371%2fjournal.pone.0228084&partnerID=40&md5=9f45bd60121a6249e58d4fede729af77; http://hdl.handle.net/10713/11983
    ae974a485f413a2113503eed53cd6c53
    10.1371/journal.pone.0228084
    Scopus Count
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