From the Recovery Research Institute, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA (BBH, CW, ACW, DF-A, LAH, BGB, ABD, JFK); Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom (HVS); Department of Neurology, Harvard Medical School, Boston, MA (MJR); Faces & Voices of Recovery, Washington, DC (PXR, PM); Massachusetts Bureau of Substance Addiction Services, Executive Office of Health and Human Services, Department of Public Health, Boston, MA (JO); Alcohol Research Group/Public Health Institute, Emeryville, CA (AAM); and West End Clinic, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA (VR).
J Addict Med. 2024;18(3):274-281. doi: 10.1097/ADM.0000000000001285. Epub 2024 Mar 1.
The medical community has become aware of its role in contributing to the opioid epidemic and must be part of its resolution. Recovery community centers (RCCs) represent a new underused component of recovery support.
This study performed an online national survey of all RCCs identified in the United States, and used US Census ZIP code tabulation area data to describe the communities they serve.
Residents of areas with RCCs were more likely to be Black (16.5% vs 12.6% nationally, P = 0.005) and less likely to be Asian (4.7% vs 5.7%, P = 0.005), American Indian, or Alaskan Native (0.6% vs 0.8%, P = 0.03), or live rurally (8.5% vs 14.0%, P < 0.0001). More than half of RCCs began operations within the past 5 years. Recovery community centers were operated, on average, by 8.8 paid and 10.2 volunteer staff; each RCC served a median of 125 individuals per month (4-1,500). Recovery community centers successfully engaged racial/ethnic minority groups (20.8% Hispanic, 22.5% Black) and young adults (23.5% younger than 25 years). Recovery community centers provide addiction-specific support (eg, mutual help, recovery coaching) and assistance with basic needs, social services, technology access, and health behaviors. Regarding medications for opioid use disorder (MOUDs), RCC staff engaged members in conversations about MOUDs (85.2%) and provided direct support for taking MOUD (77.0%). One third (36.1%) of RCCs reported seeking closer collaboration with prescribers.
Recovery community centers are welcoming environments for people who take MOUDs. Closer collaboration between the medical community and community-based peer-led RCCs may lead to significantly improved reach of efforts to end the opioid epidemic.
医学界已经意识到其在促成阿片类药物泛滥方面的作用，必须成为解决这一问题的一部分。康复社区中心（RCC）代表了一种新的未充分利用的康复支持组成部分。
本研究对美国所有确定的康复社区中心进行了在线全国性调查，并使用美国人口普查 ZCTA 数据描述了它们所服务的社区。
RCC 所在地区的居民更有可能是黑人（16.5%比全国平均水平 12.6%，P = 0.005），而亚洲人（4.7%比全国平均水平 5.7%，P = 0.005）、美国印第安人或阿拉斯加原住民（0.6%比全国平均水平 0.8%，P = 0.03）或居住在农村地区（8.5%比全国平均水平 14.0%，P < 0.0001）的比例较低。超过一半的 RCC 是在过去 5 年内开始运营的。康复社区中心平均有 8.8 名带薪和 10.2 名志愿者工作人员；每个 RCC 每月服务中位数为 125 人（4-1500 人）。康复社区中心成功吸引了少数族裔（20.8%为西班牙裔，22.5%为黑人）和年轻人（23.5%年龄在 25 岁以下）。康复社区中心提供特定于成瘾的支持（例如互助、康复教练）以及基本需求、社会服务、技术获取和健康行为方面的帮助。关于阿片类药物使用障碍（MOUD）药物，RCC 工作人员与成员就 MOUD 进行了交谈（85.2%），并为服用 MOUD 提供了直接支持（77.0%）。三分之一（36.1%）的 RCC 报告寻求与处方医生更密切的合作。
康复社区中心是服用 MOUD 的人的欢迎环境。医疗界与社区主导的同伴领导的 RCC 之间更紧密的合作，可能会显著提高结束阿片类药物泛滥的努力的覆盖面。
