Browsing by Author "Edwards, Rhiannon"

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    Designing and implementing an intervention for returning citizens living with substance use disorder: discovering the benefits of peer recovery coach involvement in pilot clinical trial decision-making
    (Taylor & Francis, 2021) Victor, Grant; Sightes, Emily; Watson, Dennis P.; Ray, Bradley; Bailey, Katie; Robision, Lisa; Fears, Gina; Edwards, Rhiannon; Salyers, Michelle; Psychology, School of Science
    Peer-facilitated services in behavioral health care remain underutilized within criminal justice-involved community organizations, and there is little guidance for how to best involve peer workers in behavioral health-focused research activities. This paper described lessons learned regarding implementation of peer recovery coaches (PRCs) as part of development and pilot research on Substance Use Programming for Person-Oriented Recovery and Treatment (SUPPORT), a peer-facilitated substance use disorder (SUD) intervention for returning citizens. Qualitative data were collected from learning meetings with key stakeholders and group interviews with SUPPORT clinical trial participants and PRCs. Transcripts were analyzed to identify key decisions made impacting the development, implementation, and/or revision of the SUPPORT intervention and pilot clinical trial protocols. Analysis demonstrated that PRC involvement drove many of the decisions made regarding modifications to the original intervention and trial protocols, while benefitting client-level interactions and by influencing the non-profit agency and its connection to stakeholders. Moreover, PRCs improved the research design by refining the incentive structure and data collection plans. PRC involvement also contributed to the development of more recovery-oriented resources and catering support services to the unique needs of justice-involved individuals. Discussed were the implications for the role of PRCs in justice-involved behavioral health research and treatment.
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    Developing Substance Use Programming for Person-Oriented Recovery and Treatment (SUPPORT): protocol for a pilot randomized controlled trial
    (BMC, 2017-12-15) Watson, Dennis P.; Ray, Bradley; Robison, Lisa; Xu, Huiping; Edwards, Rhiannon; Salyers, Michelle P.; Hill, James; Shue, Sarah; Social and Behavioral Sciences, School of Public Health
    Background There is a lack of evidence-based substance use disorder treatment and services targeting returning inmates. Substance Use Programming for Person-Oriented Recovery and Treatment (SUPPORT) is a community-driven, recovery-oriented approach to substance abuse care which has the potential to address this service gap. SUPPORT is modeled after Indiana’s Access to Recovery program, which was closed due to lack of federal support despite positive improvements in clients’ recovery outcomes. SUPPORT builds on noted limitations of Indiana's Access to Recovery program. The ultimate goal of this project is to establish SUPPORT as an effective and scalable recovery-oriented system of care. A necessary step we must take before launching a large clinical trial is pilot testing the SUPPORT intervention. Methods The pilot will take place at Public Advocates in Community Re-Entry (PACE), nonprofit serving individuals with felony convictions who are located in Marion County, Indiana (Indianapolis). The pilot will follow a basic parallel randomized design to compare clients receiving SUPPORT with clients receiving standard services. A total of 80 clients within 3 months of prison release will be recruited to participate and randomly assigned to one of the two intervention arms. Quantitative measures will be collected at multiple time points to understand SUPPORT’s impact on recovery capital and outcomes. We will also collect qualitative data from SUPPORT clients to better understand their program and post-discharge experiences. Discussion Successful completion of this pilot will prepare us to conduct a multi-site clinical trial. The ultimate goal of this future work is to develop an evidence-based and scalable approach to treating substance use disorder among persons returning to society after incarceration. Trial registration ClinicalTrials.gov (Clinical Trials ID: NCT03132753 and Protocol Number: 1511731907). Registered 28 April 2017.
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    Implications for Occupational Therapy in Community Re-Entry
    (2021-04-27) Vest, Breea; DeRolf, Annie; Department of Occupational Therapy, School of Health and Human Sciences; Edwards, Rhiannon
    The United States has the highest rates of incarceration in the world (Sawyer & Wagner, 2020). Long periods of incarceration lead to occupational deprivation, alienation, and decreased autonomy. A longitudinal study from 2005-2010 found that 67.8% of incarcerated individuals were re-arrested for a new crime within three years and 76.6% within 5 years (Durose et al., 2014). The purpose of this research is to further determine the role of occupational therapy within the criminal justice system and how it can promote occupational justice, improve overall well-being, and decrease the rates of recidivism. The continuous high rates of recidivism signal a call to action, to modify the programming in place to better serve those that it affects. This research took place over a 14-week period at both a work-release facility and a non-profit organization. An interest survey was sent out to participants who have utilized Public Advocates in Community Re-entry (PACE) resources. A total of 74 responses were collected and the data was analyzed to determine the levels of interest in different types of programming. Pre/Post-test surveys were also administered at Duvall Residential Center regarding the PACE career readiness course. Data was collected to identify gaps in knowledge, areas of improvement, and overall general feedback regarding the course. A total of 36 responses were collected. Occupational therapists can provide direct support as well as serve as a consultative role within this setting. OT’s can also provide client-centered and/or group-based programming to work with individuals to meet their personal and professional goals through a client-centered approach. While more research is needed to fully determine the role of OT within the criminal justice setting, survey results indicate that there is a need for OT.