Evidence map›Paper›PMID 40138053›Full record

ArticleHealth & justice2025

The role of social relationships in recovery court programs.

Emma Katherine Dudley, Barbara Andraka-Christou, Alexandra Boland, Danielle N Atkins, Ekaterina Pivovarova

Abstract read
In one paragraph

Article in Health & justice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Emma Katherine DudleyDepartment of Family Medicine and Community Health, University of Massachusetts Chan Medical School, Worcester, USA. emma.dudley@mainehealth.org.
Barbara Andraka-ChristouSchool of Global Health Management and Informatics, College of Community Innovation and Education, University of Central Florida, Orlando, USA.
Alexandra BolandDepartment of Family Medicine and Community Health, University of Massachusetts Chan Medical School, Worcester, USA.
Danielle N AtkinsAskew School of Public Administration, Florida State University, Tallahassee, USA.
Ekaterina PivovarovaDepartment of Family Medicine and Community Health, University of Massachusetts Chan Medical School, Worcester, USA.

Funding

University of Massachusetts Center for Clinical Science and Translational SupplementUL1TR001453 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2015 to 2024
$39.0M
NCATS NIH HHS UL1 TR001453University of Massachusetts Chan Medical School Center for Clinical and Translational Science, KL2 Career Development Award UL1-TR0001453
6 · The paper itself

Abstract

backgroundRecovery courts offer an empirically supported alternative to incarceration for legally involved individuals struggling with addiction. While studies suggest that graduation from recovery courts leads to a lower likelihood of recidivism as compared to incarceration, attrition rates among recovery court participants are high. Relatively little is known about how court participants' social and family interactions affect progression through recovery court programs - information that could facilitate development of interventions to decrease court program attrition.

methodsWe used in-depth, semi-structured qualitative interviews with recovery court participants (N = 68) across nine recovery courts in one northeastern state to explore the role of social relationships on recovery court program progress.

resultsWe found the following relationships can serve as barriers or facilitators through the recovery court program: relationship with one's self, minor children, other family, twelve-step peer support group members, court program peers, sober living home residents, and court staff. Participants described how recovery courts favored increased focus on one's self, which was not practical for those with family roles, and study participants felt recovery courts hindered relationships with minor children. Although other family relationships could be motivational, participants also faced misunderstanding and stigma from family members. Furthermore, overreliance on family members and friends for logistical needs (e.g., housing, transportation) could stress fragile relationships and lead to missed court requirements. Court programming facilitated supportive relationships with peers in recovery through required twelve-step peer support group involvement and interaction with court peers. However, ongoing substance use among these peer groups could be distressing for participants, especially in residential facilities. Recovery court staff were further sources of new relationships that were validating of participant progress.

conclusionOur findings indicate that the impact of social relationships on recovery court participants is complex and could influence court program progress. We suggest that recovery courts serving legally involved populations consider borrowing approaches from the family treatment court model to strengthen pre-existing relationships and support navigation of parenting roles. Connection to wrap-around services could further alleviate stress on family dynamics. Additional incorporation of previous program graduates or those with substance use histories into recovery court programming could also be explored.

Indexed as

Drug courtsPeersSocial relationships

Identifiers

PMID40138053
PMCPMC11938575

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.