Recent Incarceration and Minoritized Racial Status as Barriers to the Effectiveness of Recovery Management Checkups
2024

Barriers to Recovery Management Checkups for Recently Incarcerated and Racial Minoritized Individuals

Sample size: 266 publication 10 minutes Evidence: moderate

Author Information

Author(s): Jeffrey Kahn, M. Kate Hart, Dennis P. Watson, Caroline B. Allen, Ryan R. Singh, Christine E. Grella, Michael L. Dennis

Primary Institution: Illinois State University

Hypothesis

Does recent incarceration and racial minoritized status interfere with the effectiveness of Recovery Management Checkups (RMC-PC) compared to a control condition?

Conclusion

RMC-PC is more effective in reducing substance use for individuals with fewer days in jail and for White participants compared to those with recent incarceration or minoritized racial status.

Supporting Evidence

  • RMC-PC was found to be more effective than SBIRT, especially early in the study period.
  • Participants with fewer days in jail had better outcomes with RMC-PC.
  • White participants showed greater effectiveness from RMC-PC compared to non-White participants.

Takeaway

This study found that people who have just gotten out of jail or are from certain racial backgrounds may not benefit as much from recovery checkups for substance use as others.

Methodology

Data from a randomized controlled trial comparing Recovery Management Checkups (RMC-PC) to a control condition (SBIRT only) over 12 months.

Potential Biases

Potential underestimation of barriers to treatment due to the separate examination of incarceration and minoritized status.

Limitations

The study had skewed data for jail time and minoritized status, which may have limited the ability to detect effects among those with longer incarceration histories.

Participant Demographics

Participants were primarily male (65%) and African American (81%), with 54% aged 50 or over.

Statistical Information

P-Value

p = .03

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5448616

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