Linking Individuals Needing Care for Substance Use Disorders to Peer Coaches & Across INcarceration Settings

This study evaluates a virtual peer recovery coach (PRC) intervention designed to support adults with substance use disorders during incarceration and the transition back to the community. The trial is conducted across multiple jail facilities in Metro Atlanta, where individuals experience high rates of substance use disorders and limited access to treatment services. Peer recovery coaches-individuals with lived experience who are trained in motivational interviewing and linkage to care-have demonstrated benefit in healthcare settings, but their effectiveness within jail environments has not been rigorously tested.

The intervention adapts an existing virtual PRC model for use in jail settings. PRCs meet with participants through a secure telehealth platform and provide individualized support focused on motivation, readiness for change, and connection to recovery resources. The model is designed to be scalable, flexible, and responsive to the needs of individuals with diverse substance use profiles, including those for whom no FDA-approved medications exist.

The study uses a phased implementation approach in which participating jail sites transition from usual care to the PRC intervention over time. This structure allows the program to be integrated into each facility's workflow while enabling evaluation of the intervention's impact. Participants are followed for one year to assess engagement with recovery resources and other indicators of health, stability, and community reintegration.

The findings will inform whether virtual PRC services can be effectively delivered in jail settings and whether they improve connection to treatment and recovery supports during a period of heightened vulnerability. Results may guide future implementation of peer-based models in correctional systems and other high-risk environments.

• Days Receiving Medications for Substance Use Disorders [Срок оценки: Baseline to 30 days, 90 days, 180 days, and 1 year]
• Recidivism and Justice Involvement [Срок оценки: Baseline to 1 year]
• Healthcare Utilization [Срок оценки: Baseline to 1 year]
• Recovery Capital (BARC-10) [Срок оценки: Baseline, 30, 90, 180 days, and 1 year]
• Number of Peer Recovery Coach Contacts [Срок оценки: Baseline to 30 days, 90 days, 180 days, and 1 year]
• Self-Reported Substance Use (TLFB) [Срок оценки: Baseline, 30, 90, 180 days, and 1 year]
• Fatal Overdose Events [Срок оценки: Baseline through 1 year]
• Nonfatal Overdose Events [Срок оценки: Baseline through 1 year]
• Housing status [Срок оценки: Baseline, 30, 90, 180 days, and 1 year]
• Employment status [Срок оценки: Baseline, 30, 90, 180 days, and 1 year]
• Social connections and Isolation: PROMIS scale [Срок оценки: Baseline, 30, 90, 180 days, and 1 year]
• All-Cause Mortality [Срок оценки: Baseline through 1 year]