Evidence map›Paper›PMID 39323370›Full record

SynthesisSubstance use & addiction journal2025

What We Know About the Peer Workforce and Economic Evaluation for Peer Recovery Support Services: A Systematic Review.

Sierra Castedo de Martell, J Michael Wilkerson, Nalini Ranjit, Lori Holleran Steiker, Sheryl A McCurdy, H Shelton Brown

Abstract readSystematic Review
In one paragraph

Synthesis in Substance use & addiction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

6 authors.

Sierra Castedo de MartellChestnut Health Systems, Lighthouse Institute, Bloomington, IL, USA.ORCID 0000-0001-5818-9326
J Michael WilkersonThe University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA.
Nalini RanjitThe University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA.
Lori Holleran SteikerThe University of Texas at Austin, Steve Hicks School of Social Work and School of Undergraduate Studies, Austin, TX, USA.
Sheryl A McCurdyThe University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA.
H Shelton BrownThe University of Texas Health Science Center at Houston, School of Public Health, Houston, TX, USA.

Funding

Diversity Supplement: Building a Lasting Foundation to Advance Actionable Research on Recovery Support Services for High Risk Individuals with Opioid Use Disorder: The Initiative for JEAPR24DA051950 · NIDA · OREGON SOCIAL LEARNING CENTER, INC. · PI MCCART, MICHAEL R, SHEIDOW, ASHLI J · 2020 to 2025
$2.8M
NIDA NIH HHS R24 DA051950
6 · The paper itself

Abstract

backgroundPeer recovery support services (PRSS) for substance use disorder (SUD) have expanded in the past 2 decades to be formally certified and reimbursed under Medicaid in almost every US state. This rapid expansion has been followed by a growth in research, but 2 persistent gaps remain: a lack of research on the peer workforce, and a lack of economic evaluation research. This systematic review examines the current literature on PRSS to summarize what is currently known about the SUD peer workforce and collect potential PRSS economic evaluation parameters, and clearly identify the current gaps in each category.

methodsPRISMA methods were followed and a PROSPERO protocol was registered (CRD42022323516). The search included a database search of peer-reviewed journal articles and dissertations, and also a hand-search of conference presentations and evaluation reports. Manuscripts were categorized as either workforce development-related and/or those containing potential economic evaluation parameters.

resultsForty-two total manuscripts were included, with 22 related to the peer workforce and 26 containing potential economic evaluation parameters. Manuscripts with workforce-related findings covered peer worker characteristics, characteristics of PRSS delivery, or peer worker training-related outcomes. Economic evaluation parameters were primarily costs related to service utilization patters with some limited reporting on peer worker pay, as well as multiple sources that can be used to estimate averted medical costs. Effectiveness parameters were primarily substance use related, as virtually all quality of life and life functioning parameters are not readily convertible to estimating quality-adjusted life years.

conclusionFuture PRSS research can contribute to filling these gaps in the evidence base by addressing remaining questions about the interrelationship between peer worker job satisfaction, job tenure, and patient outcomes, as well as by using more consistent outcome measures, especially in the realm of quality of life and life functioning.

Indexed as

Peer GroupSubstance-Related DisordersCost-Benefit AnalysisHumansUnited Statespeer recovery support servicessubstance use disordersystematic review

Identifiers

PMID39323370
PMCPMC12962182

What OpenQuestion holds

Textmetadata
LicenceTDM
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.