Evidence map›Paper›PMID 39052406›Full record

ArticlePsychiatric rehabilitation journal2025

Substance use approaches among peer support specialists in community mental health early psychosis programs.

Vanessa Vorhies Klodnick, Brianne LaPelusa, Samantha J Reznik, Rebecca P Johnson, Neely L Myers, Alicia Lucksted, Deborah A Cohen, Molly Lopez

Abstract read
In one paragraph

Article in Psychiatric rehabilitation journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Vanessa Vorhies KlodnickSteve Hicks School of Social Work, Texas Institute for Excellence in Mental Health, University of Texas at Austin.ORCID 0000-0002-3311-8203
Brianne LaPelusaSteve Hicks School of Social Work, Texas Institute for Excellence in Mental Health, University of Texas at Austin.
Samantha J ReznikSteve Hicks School of Social Work, Texas Institute for Excellence in Mental Health, University of Texas at Austin.
Rebecca P JohnsonSteve Hicks School of Social Work, Texas Institute for Excellence in Mental Health, University of Texas at Austin.
Neely L MyersDedman College of Arts and Sciences, Southern Methodist University.
Alicia LuckstedDepartment of Psychiatry, Division of Psychiatric Services Research, School of Medicine, University of Maryland.
Deborah A CohenSteve Hicks School of Social Work, Texas Institute for Excellence in Mental Health, University of Texas at Austin.
Molly LopezSteve Hicks School of Social Work, Texas Institute for Excellence in Mental Health, University of Texas at Austin.

Funding

Advancing the Early Psychosis Intervention Network in Texas (EPINET-TX)R01MH120599 · NIMH · UNIVERSITY OF TEXAS AT AUSTIN · PI LOPEZ, MOLLY A. · 2020 to 2023
$5.5M
National Institutes of Health; National Institute of Mental HealthNIMH NIH HHS R01 MH120599
6 · The paper itself

Abstract

objectiveSubstance use (SU) is common among adolescents and young adults, including those experiencing early psychosis. Coordinated Specialty Care (CSC), a community-based multidisciplinary team-based service model, is increasingly used to support people experiencing first-episode psychosis. In addition to prescribers, clinicians, and vocational specialists, CSC includes peer support specialists who use their own living/lived experience with mental health and treatment to engage and support young people with their recovery goals. Peer support is also foundational in SU recovery. However, little is known about how peer support specialists navigate client SU in CSC. The purpose of this article is to detail CSC peer support SU practice.

methodInformed by community-based participatory research methods, a PhD-level qualitative researcher and a former peer support specialist conducted virtual interviews with 20 CSC peer support specialists. A multidisciplinary team including researchers with lived mental health experiences thematically coded interview transcripts.

resultsA spectrum of CSC peer support specialist SU responses emerged: (a) leverages lived SU experiences; (b) does not explore SU with clients; (c) shares client SU information with the CSC team; (d) educates, mentors, and advocates; (e) shares SU consequences and/or challenges substance use; (f) nonjudgmental, nondirective SU exploration; and (g) promotes harm reduction. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: CSC peer specialist SU practice is influenced by several contextual tensions that must be better understood and addressed in future research to improve peer SU practice. Study findings speak to practice nuances that are helpful for CSC peer support training and supervision. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Community Mental Health ServicesPeer GroupPsychotic DisordersSocial SupportSubstance-Related DisordersAdultCommunity-Based Participatory ResearchFemaleHumansMaleQualitative ResearchYoung Adult

Identifiers

PMID39052406
PMCPMC12486147

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.