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Cited by 1Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentCriminal Justice and Corrections Analysis

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Recent incarceration and minoritized racial status as barriers to the effectiveness of recovery management checkups

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Kahn, Jeffrey H., Hart, M. Kate, Watson, Dennis P., Allen, Caroline B., Singh, Ryan R., Grella, Christine E., Dennis, Michael L.·2025·Substance Abuse Treatment, Prevention, and Policy
DOI 10.1186/s13011-025-00684-4PMC PMC12751718

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Abstract

BACKGROUND: Recovery management checkups done in primary care settings (RMC-PCs) can be an effective intervention to link individuals with substance use disorders (SUDs) to treatment and help them stay engaged with treatment. There is reason to question, however, whether RMC-PCs are as effective for those who have been recently incarcerated or for those holding a minoritized racial identity, such as people of color. METHODS: We examined data from a United States-based randomized controlled trial of RMC-PCs compared to a control condition among primary care patients with SUDs (N = 266). RESULTS: Multilevel analyses of 4-wave data (3, 6, 9, and 12 months after baseline) indicated that RMC-PCs were more effective than the control condition, especially early in the 12-month study period. The relative effectiveness of RMC-PCs was stronger, however, for participants with fewer days in jail just prior to baseline as well as for White participants (versus participants of color). CONCLUSIONS: These findings suggest the utility of examining potential mediators of these moderated effects in future research as well as tailoring SUD interventions to better meet the needs of these populations. TRIAL REGISTRATION: ClinicalTrials.gov (NCT03746756).

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Metadata

Authors
Kahn, J. H., Hart, M. K., Watson, D. P., Allen, C. B., Singh, R. R., Grella, C. E., & Dennis, M. L.
Affiliations
  • Illinois State University (US)
  • Chestnut Health Systems (US)
Corresponding author
Watson, Dennis P.
ORCID
Venue
Substance Abuse Treatment, Prevention, and Policy
Publisher
Springer Science and Business Media LLC
Published
2025-12-29
Volume
20
Issue
1
Pages
53-53
ISSN
1747-597X (ISSN-L)
DOI
10.1186/s13011-025-00684-4
PMC
PMC12751718
OpenAlex
W7117477395
Cited by
1
References
57
Citations by year
2026: 1
FWCI
0.69
Type
journal article
Language
en
Open access
Licence
Locations
  • Substance Abuse Treatment Prevention and Policy (publishedVersion, cc-by-nc-nd)
  • Research Square (acceptedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed Central (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Institute on Alcohol Abuse and Alcoholism (R01AA024440, AA024440)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
Keywords
substance use disorders, incarceration, racial disparities, people of color, primary care, treatment engagement, prison sentence, intervention effectiveness

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