TY - JOUR
T1 - Peer Recovery Support Services Across the Continuum
T2 - In Community, Hospital, Corrections, and Treatment and Recovery Agency Settings-A Narrative Review
AU - Stack, Erin
AU - Hildebran, Christi
AU - Leichtling, Gillian
AU - Waddell, Elizabeth Needham
AU - Leahy, Judith M.
AU - Martin, Eric
AU - Korthuis, Phillip Todd
N1 - Funding Information:
Even in states with some CMS-covered peer recovery support services, funding for and billing of peer recovery support services can be complicated and may not fully cover all services provided by peer recovery support specialists. Critically, community-based peer support services outside the context of a SUD or healthcare treatment episode—such as those provided through community outreach or harm reduction services-- are typically not billable to CMS. Often, states and organizations fund peer recovery support services using complicated blended funding structures to support sustainability of services. Funding for peer recovery support services may come from SAMHSA grants (e.g., block grants) or state or federal drug court funds. However, like CMS funding, there may be restrictions on what peer recovery support services can be covered.
Funding Information:
This work was supported by the National Institutes of Health, National Institute on Drug Abuse (UH3DA044831, UG1DA015815, U01TR002631), and by the Centers for Disease Control and Prevention (R01CE003008, Grant Agreement 162063).
Publisher Copyright:
Copyright © 2022 American Society of Addiction Medicine.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - In this narrative review, we outline the literature describing the history, training, certification, and role of peer recovery support specialists working with people with substance use disorders at different stages of active use and recovery. We explore the impact of peer recovery support specialists serving people in various settings, including the community, hospitals and emergency departments, jails and prisons, and treatment and recovery agencies; and describes considerations for future expansion of peer recovery support services, including supervision needs, compassion fatigue and burnout, and scope of practice. Finally, we make recommendations to support the broad implementation of peer recovery support services as a sustainable, cohesive, and replicable component of harm reduction and addiction services. We also make recommendations for research to continue to evaluate peer recovery support specialist interventions across settings and outcomes.
AB - In this narrative review, we outline the literature describing the history, training, certification, and role of peer recovery support specialists working with people with substance use disorders at different stages of active use and recovery. We explore the impact of peer recovery support specialists serving people in various settings, including the community, hospitals and emergency departments, jails and prisons, and treatment and recovery agencies; and describes considerations for future expansion of peer recovery support services, including supervision needs, compassion fatigue and burnout, and scope of practice. Finally, we make recommendations to support the broad implementation of peer recovery support services as a sustainable, cohesive, and replicable component of harm reduction and addiction services. We also make recommendations for research to continue to evaluate peer recovery support specialist interventions across settings and outcomes.
KW - mentors
KW - peer recovery support specialists
KW - peers
KW - recovery
KW - substance use
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UR - http://www.scopus.com/inward/citedby.url?scp=85124174187&partnerID=8YFLogxK
U2 - 10.1097/ADM.0000000000000810
DO - 10.1097/ADM.0000000000000810
M3 - Review article
C2 - 33560695
AN - SCOPUS:85124174187
SN - 1932-0620
VL - 16
SP - 93
EP - 100
JO - Journal of Addiction Medicine
JF - Journal of Addiction Medicine
IS - 1
ER -