Targeting the Barriers in the Substance Use Disorder Continuum of Care With Peer Recovery Support
Open accessAbstract
Substance Use Disorder (SUD) has been recognized as a chronic, relapsing disorder. However, much of existing SUD care remains based in an acute care model that focuses on clinical stabilization and discharge, failing to address the longer-term needs of people in recovery from addiction. The high rates of client's disengagement and attrition across the continuum of care highlight the need to identify and overcome the obstacles that people face at each stage of the treatment and recovery process. Peer recovery support services (PRSS) show promise in helping people initiate, pursue, and sustain long-term recovery from substance-related problems. Based on a comprehensive review of the literature, the goal of this article is to explore the possible roles of peers along the SUD care continuum and their potential to improve engagement in care by targeting specific barriers that prevent people from successfully transitioning from one stage to the next leading eventually to full recovery. A multidimensional framework of SUD care continuum was developed based on the adapted model of opioid use disorder cascade of care and recovery stages, within which the barriers known to be associated with each stage of the continuum were matched with the existing evidence of effectiveness of specific PRSSs. With this conceptual paper, we are hoping to show how PRSSs can become a complementary and integrated part of the system of care, which is an essential step toward improving the continuity of care and health outcomes.
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Sorted by citations
Killeen, T. K., Baker, N. L., Davis, L. L., Bowen, S., & Brady, K. T. (2023) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2023.209116 · Cited by 4 · see citing works
Darko, G., Anokye, G. A., Yinzooya, Y. M., & Agengre, T. (2026) · Health Expectations · doi:10.1111/hex.70801
- Authors
- Stanojlović, M., & Davidson, L.
- Affiliations
- Yale University (US)
- Corresponding author
- Stanojlović, Milena
- Venue
- Substance Abuse: Research and Treatment
- Publisher
- SAGE Publications
- Published
- 2021-01
- Volume
- 15
- Pages
- 1178221820976988-1178221820976988
- ISSN
- 1178-2218 (ISSN-L)
- PMC
- PMC8216338
- OpenAlex
- W3176924968
- Cited by
- 93
- References
- 98
- Citations by year
- 2026: 17 · 2025: 25 · 2024: 25 · 2023: 15 · 2022: 10 · 2021: 1
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Substance Abuse Research and Treatment (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (UL1TR001863)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- substance use disorders, continuum of care, barriers to recovery, engagement in care, attrition, recovery stages, continuity of care, systems of care, long-term recovery
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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