Evidence map›Paper›PMID 30348170›Full record

ArticleHarm reduction journal2018

Peer-delivered harm reduction and recovery support services: initial evaluation from a hybrid recovery community drop-in center and syringe exchange program.

Robert D Ashford, Brenda Curtis, Austin M Brown

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 6 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 6 syntheses or guidelines pooled it, 91 citations in OpenAlex.

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  16. The Impact of Peer-Based Recovery Support Services: Mediating Factors of Client Outcomes.The journal of behavioral health services & research · 2025
    Article
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  20. Widening Racial Disparities in the U.S. Overdose Epidemic.American journal of preventive medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Robert D AshfordSubstance Use Disorders Institute, University of the Sciences, 2111, Philadelphia, PA, 19131, USA. rdashford@gmail.com.ORCID 0000-0003-3979-1754
Brenda CurtisCenter on the Continuum of Care in the Addictions, Psychiatry - Addictions, University of Pennsylvania, Philadelphia, PA, 19131, USA.
Austin M BrownCenter for Young Adult Addiction and Recovery, Kennesaw State University, Kennesaw, GA, 30144, USA.
Kennesaw State University · USUniversity of Pennsylvania · USUniversity of the Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecovery from substance use disorder (SUD) is often considered at odds with harm reduction strategies. More recently, harm reduction has been categorized as both a pathway to recovery and a series of services to reduce the harmful consequences of substance use. Peer recovery support services (PRSS) are effective in improving SUD outcomes, as well as improving the engagement and effectiveness of harm reduction programs.

methodsThis study provides an initial evaluation of a hybrid recovery community organization providing PRSS as well as peer-based harm reduction services via a syringe exchange program. Administrative data collected during normal operations of the Missouri Network for Opiate Reform and Recovery were analyzed using Pearson chi-square tests and Monte Carlo chi-square tests.

resultsIntravenous substance-using participants (N = 417) had an average of 2.14 engagements (SD = 2.59) with the program. Over the evaluation period, a range of 5345-8995 sterile syringes were provided, with a range of 600-1530 used syringes collected. Participant housing status, criminal justice status, and previous health diagnosis were all significantly related to whether they had multiple engagements.

conclusionsResults suggest that recovery community organizations are well situated and staffed to also provide harm reduction services, such as syringe exchange programs. Given the relationship between engagement and participant housing, criminal justice status, and previous health diagnosis, recommendations for service delivery include additional education and outreach for homeless, justice-involved, LatinX, and LGBTQ+ identifying individuals.

Indexed as

Harm ReductionNeedle-Exchange ProgramsAdultCommunity Mental Health CentersFemaleHumansMaleMissouriNaloxoneNarcotic AntagonistsOpioid-Related DisordersPatient Acceptance of Health CarePeer GroupSocial SupportSubstance Abuse, IntravenousSubstance Abuse Treatment CentersNaloxoneNarcotic AntagonistsHarm reductionIntravenous substance usePeer recovery support servicesRecovery community organizationsSyringe exchange

Identifiers

PMID30348170
PMCPMC6198436
OpenAlexW2896523869

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.