Journal article
Recovery Capital Correlates With Less Methamphetamine Use and Crime in the Community
Journal of addiction medicine, Vol.17(6), pp.e361-e366
11/12/2023
DOI: 10.1097/ADM.0000000000001200
PMID: 37934526
Abstract
Objectives
Reentry postcorrectional involvement is a high-risk time for patients with a history of addiction. We investigated whether participation in an addiction medicine clinic with active case management led to improvements in patients' recovery capital and whether there were associated changes in criminal activity and co-occurring methamphetamine or alcohol use.
Methods
Participants (n = 136) were patients with an opioid or stimulant use disorder who had Department of Corrections involvement in the preceding year, who completed the Assessment of Recovery Capital (ARC) and reported criminal activity and days of methamphetamine or alcohol use twice over a 6-month study. Three logistic regression models were used to assess changes in total ARC with criminal activity, alcohol use, and methamphetamine use over the previous 30 days.
Results
Baseline mean (SD) ARC scores were 34.1 (11.1) and increased to a mean (SD) score of 40.3 (9.4) at study end. A 1-SD shift in ARC was significantly protective across outcomes, with adjusted odds ratios of 0.32, 0.18, and 0.34 for any past 30-day criminal activity, alcohol use, or methamphetamine use. There was no significant difference in baseline ARC, crimes committed, days of alcohol use, or days of methamphetamine use for study completers versus noncompleters; however, unmeasured confounders may have had a differential impact on retention.
Conclusions
Recovery capital provides an additional framework to help address patients' substance use and criminal activity in a multifaceted way, which is especially important in the postincarceration community. Recovery capital is dynamic and has multiple areas to target psychosocial interventions.
Details
- Title: Subtitle
- Recovery Capital Correlates With Less Methamphetamine Use and Crime in the Community
- Creators
- Nicholas L. BormannAndrea N. WeberBenjamin MiskleStephan ArndtAlison C. Lynch
- Resource Type
- Journal article
- Publication Details
- Journal of addiction medicine, Vol.17(6), pp.e361-e366
- DOI
- 10.1097/ADM.0000000000001200
- PMID
- 37934526
- NLM abbreviation
- J Addict Med
- ISSN
- 1932-0620
- eISSN
- 1935-3227
- Publisher
- Lippincott Williams & Wilkins; PHILADELPHIA
- Grant note
- Health Resources and Services Administration, Rockville, MD: T25HP37624 Substance Abuse and Mental Health Services Administration located in Rockville, MD: TI081620 Iowa Department of Public Health State Opioid Response Corrections Liaison and SBIRT located in Des Moines, IA: 5881SA144E, 5881SA145E, 5881SA137E
Supported by the Health Resources and Services Administration, Rockville, MD (grant number T25HP37624); the Substance Abuse and Mental Health Services Administration located in Rockville, MD (grant number TI081620); and the Iowa Department of Public Health State Opioid Response Corrections Liaison and SBIRT located in Des Moines, IA (grant numbers 5881SA144E, 5881SA145E, and 5881SA137E).
- Language
- English
- Date published
- 11/12/2023
- Academic Unit
- Psychiatry; Biostatistics; Addiction Medicine; Family and Community Medicine; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984811214502771
Metrics
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