Kentucky Access to Recovery Evaluation

Study Overview
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Brief Summary
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Evaluate the long-term effectiveness of implementing vouchers as a linkage strategy in a population requiring recovery support services (RSS) when no other funding sources are available. A within-subjects study design will be used to test the effectiveness of the Kentucky Access to Recovery (KATR) last resort voucher linkage approach to reduce the risk of nonfatal and fatal overdoses by (a) increasing an individual's recovery capital; (b) reducing resumption of illicit substance use; and (c) promoting relinking to RSSs if illicit substance use is resumed.

Official Title
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Evaluation of the Kentucky Access to Recovery (KATR) Linkage Strategy

Conditions
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Substance Use Disorders, Treatment Adherence and Compliance

Intervention / Treatment
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* Behavioral: KATR Linkage Strategy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: be in SUD treatment or have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use be a first-time participant in KATR be in early stages of recovery (less than one year in recovery) be a resident of a KATR service county be at or below the 200% federal poverty level not have financial resources available through other funding mechanisms for RSSs be 18 years of age and older be in need of recovery supports that will enhance their likelihood of staying in recovery Exclusion Criteria: Under 18 Participated in KATR previously

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| KATR Clients<br>participants in the early stages of recovery and in substance use disorder (SUD) treatment; or those that have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use. | Behavioral: KATR Linkage Strategy<br>* The Kentucky ATR (KATR) strategy is a 25-county program that links county residents at or below the 200% national poverty level who have an illicit SUD and are in treatment or early recovery to evidence-based RSSs such as recovery housing, and to other RSSs. The KATR linkage approach uses vouchers as a linkage strategy for individuals in SUD treatment who have no other funding options to acquire critical RSSs. As such, KATR's linkage through vouchers is a last resort approach for linking to RSSs.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Recovery Capital per person | Recovery capital will be assessed using the Brief Assessment of Recovery Capital-10 (BARC-10); 10 item survey unidimensional measure of recovery capital, scores may range from 6-60 at any given time. Evaluation of the measure suggests that individuals who have a higher score are likely to reach or sustain a year or longer of recovery from substance use disorder. | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment | 
| Change in number of drug overdoses per person | Number of drug overdoses will be assessed with the following survey question: In the past 30 days, did you experience an overdose or take too much of a substance that resulted in needing supervision or medical attention? | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment | 
| Change in number of days of illicit substance use per person | Number of days illicit substance use will be assessed with the following survey question: During the past 30 days, how many days have you used any substance | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Support Services, Recovery, Opioid Overdose, Addiction, Social Services, Appalachia