Evidence map›Paper›PMID 41175976›Full record

ArticleJournal of substance use and addiction treatment2026

"If he did it, I can do it, too. I can change my life around": The social model of recovery within the context of recovery homes accepting residents prescribed medications for opioid use disorder.

Jodie M Dewey, Kathryn R Gallardo, Meenakshi S Subbaraman, Amy A Mericle

Abstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2026. 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

4 authors.

Jodie M DeweyChestnut Health System's Lighthouse Institute, 221 W. Walton Street, Chicago, IL, 60610, United States of America. Electronic address: jmdewey@chestnut.org.
Kathryn R GallardoUTHealth School of Public Health, 7000 Fannin Street, Houston, TX, 77030, United States of America. Electronic address: Kathryn.r.gallardo@uth.tmc.edu.
Meenakshi S SubbaramanBehavioral Health and Recovery Studies, Public Health Institute, 555 12(th) Street, Oakland, CA, 94607, United States of America. Electronic address: msubbaraman@phi.org.
Amy A MericleAlcohol Research Group, Public Health Institute, 6001 Shellmound St #450, Emeryville, CA, 94608, United States of America. Electronic address: americle@arg.org.

Funding

Enhancing Effectiveness Research on Recovery Housing for Persons Prescribed Medication for Opioid Use DisorderR24DA051974 · NIDA · PUBLIC HEALTH INSTITUTE · PI AMY Adale MERICLE, Carmen L Masson · 2022 to 2026
$3.2M
NIDA NIH HHS R24 DA051974
6 · The paper itself

Abstract

introductionThis paper provides an in-depth examination of examines four recovery residences, that serve individuals prescribed medications for opioid use disorder (MOUD). The study has two primary aims: first, to deepen understanding of how recovery residences adopt and operationalize Social Model of Recovery principles; and second, to identify gaps in staff integration of residents receiving MOUD-gaps that may either support or undermine the integrity of the social model within these settings.

methodsWe conducted semi-structured interviews with 17 residents receiving MOUD living in four participating recovery homes. The interviews were conducted between August 2022 and January 2024 using a semi-structured interview guide designed to explore residents' experiences upon entering and living in the recovery home. Qualitative software was used to organize and qualitatively analyze transcripts through multiple rounds of coding. Themes were discussed across the research team and grouped across each of the various principles of the Social Model of Recovery.

resultsResidents reported feeling supported in safe, structured environments that promoted accountability and community, while staff with lived experience played a central role in fostering trust and modeling long-term recovery. Structured programming, peer coaching, and access to essential resources further reinforced recovery-supportive conditions. However, inconsistent staff attitudes toward MOUD revealed underlying stigma, which some residents found intrusive or isolating.

conclusionThis study addresses key gaps in recovery science by offering qualitative insights into Level 3 recovery residences, emphasizing the perspectives of residents navigating staff relationships, organizational policies, and recovery programming. Despite increasing MOUD acceptance, recovery homes rarely address MOUD-related stigma formally, creating tension between medical and social models of recovery and contributing to judgment or marginalization of MOUD recipients. These findings highlight the urgent need for evidence-based MOUD integration strategies, staff education, and stigma reduction efforts to ensure that recovery homes fully support all residents' recovery pathways.

Indexed as

Opioid-Related DisordersAdultFemaleHumansMaleMiddle AgedQualitative ResearchMedication for opioid use disorderRecovery housingStigma

Identifiers

PMID41175976
PMCPMC12997081

What OpenQuestion holds

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Registered trials

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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.