Intensive Referral of Veterans to Mutual-Help Groups: A Mixed-Methods Implementation Evaluation |
| |
| Authors: | Lance Brendan Young Kathleen M Grant R Dario Pulido Jamie L Simpson Kimberly A Tyler Christine Timko |
| |
| Institution: | 1. Communication Department, Western Illinois University-Quad Cities, Moline, Illinois, USA;2. VA Nebraska-Western Iowa Health Care System, Omaha, NE, USA;3. Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA;4. Psychology Department, Midland University, Fremont, Nebraska, USA;5. Sociology Department, University of Nebraska-Lincoln, Lincoln, Nebraska, USA;6. Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA;7. Stanford University School of Medicine, Stanford, California, USA |
| |
| Abstract: | Community-based support group participation protects against substance use disorder (SUD) relapse, but referrals during treatment are inconsistently delivered and may not acknowledge barriers facing rural patients. This formative evaluation of a rural intensive referral intervention (RAIR) to community-based support groups for Veterans seeking SUD treatment surveyed patients (n = 145) and surveyed and interviewed treatment staff (n = 28). Patients and staff did not differ significantly on quantitative ratings of the helpfulness of, or satisfaction with, seven RAIR components, but staff did not deliver the intervention consistently or as designed, citing two themes: lack of commitment and lack of resources. |
| |
| Keywords: | Substance use disorder mutual-help rural Veteran qualitative alcoholics anonymous self-help social support access to care relapse |
|
|
