Bell Justin S, Tillson Martha, Anvari Morgan S, Blonigen Daniel M, McGovern Mark, Magidson Jessica F
Lighthouse Institute, Chestnut Health Systems, Chicago, IL, USA.
Lighthouse Institute, 221 W Walton St, Chicago, IL, 60610, USA.
Adm Policy Ment Health. 2025 Aug 21. doi: 10.1007/s10488-025-01470-x.
Peer recovery specialists (PRS) are increasingly recognized as key members of the substance use disorder (SUD) treatment workforce. Recent efforts have focused on expanding PRS roles to include the delivery of behavioral evidence-based interventions (EBIs), such as motivational interviewing, cognitive-behavioral therapy techniques, and brief interventions. This scoping review aims to identify the determinants that influence the implementation of PRS-delivered behavioral EBIs and the strategies used to optimize their delivery within diverse SUD treatment contexts. A systematic search was conducted in APA PsycINFO, Web of Science, Scopus, PubMed, and Google Scholar, following PRISMA-ScR guidelines. Studies were included if they examined PRS delivering behavioral EBIs for SUD and reported on at least one implementation outcome as defined by Proctor et al. (2011). Data extraction and thematic synthesis were conducted using a hybrid deductive-inductive coding framework. Twelve studies met inclusion criteria. The most commonly studied interventions included behavioral activation, motivational interviewing, and Screening, Brief Intervention, and Referral to Treatment (SBIRT). PRS-delivered behavioral EBIs demonstrated high acceptability, appropriateness, and feasibility, with strong participant engagement and satisfaction. Facilitators of implementation included the integration of PRS within existing service structures, the adaptability of interventions, and the unique relatability of PRS. Barriers included PRS role ambiguity, gaps in training, and systemic challenges such as lack of funding and limited access to adjunctive support services. Implementation outcomes such as adoption, sustainability, and cost were infrequently assessed, highlighting gaps in the current literature. The findings suggest that PRS-delivered behavioral EBIs hold promise in expanding access to evidence-based care for individuals with SUD. However, structured training, supervision, and organizational support are critical for successful implementation. Future research should prioritize evaluating long-term sustainability, supervision, and strategies to enhance the integration of PRS within healthcare systems. Incorporating methods to address systemic barriers faced by service recipients will be essential for maximizing the impact of PRS-delivered interventions in SUD treatment.
同伴康复专家（PRS）日益被视为物质使用障碍（SUD）治疗团队的关键成员。最近的努力集中在扩大PRS的角色，使其包括提供基于行为证据的干预措施（EBI），如动机性访谈、认知行为治疗技术和简短干预。本范围综述旨在确定影响由PRS提供的行为EBI实施的决定因素，以及在不同的SUD治疗背景下用于优化其实施的策略。按照PRISMA-ScR指南，在APA PsycINFO、科学网、Scopus、PubMed和谷歌学术中进行了系统检索。如果研究考察了为SUD提供行为EBI的PRS，并报告了至少一项由Proctor等人（2011年）定义的实施结果，则纳入研究。使用混合演绎-归纳编码框架进行数据提取和主题综合。十二项研究符合纳入标准。最常研究的干预措施包括行为激活、动机性访谈以及筛查、简短干预和转介治疗（SBIRT）。由PRS提供的行为EBI显示出高度的可接受性、适宜性和可行性，参与者参与度高且满意度高。实施的促进因素包括将PRS纳入现有服务结构、干预措施的适应性以及PRS独特的亲和力。障碍包括PRS角色不明确、培训差距以及资金缺乏和辅助支持服务获取有限等系统性挑战。很少评估采用、可持续性和成本等实施结果，凸显了当前文献中的差距。研究结果表明，由PRS提供的行为EBI有望扩大为患有SUD的个人提供循证护理的机会。然而，结构化培训、监督和组织支持对于成功实施至关重要。未来的研究应优先评估长期可持续性、监督以及增强PRS在医疗系统中整合的策略。纳入解决服务接受者面临的系统性障碍的方法对于最大化由PRS提供的干预措施在SUD治疗中的影响至关重要。
