Substance Use Disorders Institute, University of the Sciences, 2111, Philadelphia, PA, 19131, USA.
Center on the Continuum of Care in the Addictions, Psychiatry - Addictions, University of Pennsylvania, Philadelphia, PA, 19131, USA.
Harm Reduct J. 2018 Oct 22;15(1):52. doi: 10.1186/s12954-018-0258-2.
Recovery from substance use disorder (SUD) is often considered at odds with harm reduction strategies. More recently, harm reduction has been categorized as both a pathway to recovery and a series of services to reduce the harmful consequences of substance use. Peer recovery support services (PRSS) are effective in improving SUD outcomes, as well as improving the engagement and effectiveness of harm reduction programs.
This study provides an initial evaluation of a hybrid recovery community organization providing PRSS as well as peer-based harm reduction services via a syringe exchange program. Administrative data collected during normal operations of the Missouri Network for Opiate Reform and Recovery were analyzed using Pearson chi-square tests and Monte Carlo chi-square tests.
Intravenous substance-using participants (N = 417) had an average of 2.14 engagements (SD = 2.59) with the program. Over the evaluation period, a range of 5345-8995 sterile syringes were provided, with a range of 600-1530 used syringes collected. Participant housing status, criminal justice status, and previous health diagnosis were all significantly related to whether they had multiple engagements.
Results suggest that recovery community organizations are well situated and staffed to also provide harm reduction services, such as syringe exchange programs. Given the relationship between engagement and participant housing, criminal justice status, and previous health diagnosis, recommendations for service delivery include additional education and outreach for homeless, justice-involved, LatinX, and LGBTQ+ identifying individuals.
物质使用障碍（SUD）的康复通常被认为与减少伤害策略不一致。最近，减少伤害被归类为康复的途径和一系列减少物质使用有害后果的服务。同伴康复支持服务（PRSS）在改善 SUD 结果以及提高减少伤害计划的参与度和效果方面是有效的。
本研究初步评估了一家混合康复社区组织，该组织通过注射交换计划提供 PRSS 以及基于同伴的减少伤害服务。使用 Pearson 卡方检验和蒙特卡罗卡方检验对密苏里州阿片类药物改革和康复网络在正常运营期间收集的行政数据进行分析。
静脉内使用物质的参与者（N=417）平均与该计划有 2.14 次接触（SD=2.59）。在评估期间，提供了 5345-8995 支无菌注射器，收集了 600-1530 支使用过的注射器。参与者的住房状况、刑事司法状况和以前的健康诊断都与他们是否有多次接触显著相关。
结果表明，康复社区组织具有良好的定位和人员配备，也可以提供减少伤害服务，如注射交换计划。鉴于参与度与参与者的住房、刑事司法状况和以前的健康诊断之间的关系，建议提供服务包括为无家可归者、涉及司法的人、拉丁裔和 LGBTQ+ 身份的个人提供更多的教育和外展服务。
