Digital Recovery Services

[Bessie Murrillo]

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Background: The COVID-19 pandemic and related social distancing public health recommendations will have indirect consequences for individuals with current and remitted substance use disorder (SUD). Not only will stressors increase risk for symptom exacerbation and/or relapse, but individuals will also have limited service access during this critical time. Individuals with SUD are using free, online digital recovery support services (D-RSS) that leverage peer-to-peer connection (i.e., social-online D-RSS) which simultaneously help these individuals to access support and adhere to public health guidelines. Barriers to SUD treatment and recovery support service access, however, are not unique to the COVID-19 epoch. The pandemic creates an opportunity to highlight problems that will persist beyond its immediate effects, and to offer potential solutions that might help address these long-standing, systemic issues. To help providers and other key stakeholders effectively support those interested in, or who might benefit from, participation in free, social-online D-RSS, this review outlines the following: 1) theories of expected therapeutic benefits from, and potential drawbacks of social-online D-RSS participation; 2) a typology that can be used to describe and classify D-RSS; 3) a D-RSS "case study" to illustrate how to apply the theory and typology; 4) what is known empirically about social-online D-RSS; and 5) whether and how to engage individuals with these online resources.

Results: Studies examining in-person recovery support services, such as AA and other mutual-help organizations, combined with theory about how social-online D-RSS might confer benefit, suggest these digital supports may engage individuals with SUD and mobilize salutary change in similar ways. While people may use in-person and digital supports simultaneously, when comparing the two modalities, communication science and telemedicine group therapy data suggest that D-RSS may not provide the same magnitude of benefit as in-person services. D-RSS can be classified based on the a) type of service, b) type of platform, c) points of access, and d) organizations responsible for their delivery. Research has not yet rigorously tested the effectiveness of social-online D-RSS specifically, though existing data suggest that those who use these services generally find their participation to be helpful. Content analyses suggest that these services are likely to facilitate social support and unlikely to expose individuals to harmful situations.

Conclusions: When in-person treatment and recovery support services are limited, as is the case during the COVID-19 pandemic, expected therapeutic benefits and emerging data, taken together, suggest providers, mentors, and other community leaders may wish to refer individuals with current and remitted SUD to free, social-online D-RSS. Given the array of available services in the absence of best practice guidelines, we recommend that when making D-RSS referrals, stakeholders familiarize themselves with theorized benefits and drawbacks of participation, use a typology to describe and classify services, and integrate current empirical knowledge, while relying on trusted federal, academic, and national practice organization resource lists.

These digital all recovery meetings are very similar to in-person open recovery meetings. People can join from anywhere and either listen, share, or both. Participants are often in recovery, but may also be allies of the recovery community or family members and loved ones of individuals in recovery.

We host meetings throughout the week and at least one daily. We may also add additional meeting times in the future as capacity needs grow. As meetings continue to get cancelled, please share this information with your networks and keep coming back. Full details are here: -recovery-meetings

Meeting verification details are provided at each meeting you attend by the meeting facilitator. We limit details to the actual meeting to ensure that you are only asking for verification at meetings you attend.

To respect privacy, we do not allow meetings to be recorded by any attendee or facilitator. It is possible that screenshots of a screen may be taken however, just as if an attendee took a picture at an in-person meeting. We do encourage all attendees to not take screenshots to be respectful.

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This manual explains peer recovery support services designed and delivered by people in recovery from substance use disorders. It discusses types of peer support for recovery, the adaptability and value of peer recovery support services, and cross-cutting core principles.

This guide reviews ways that telehealth modalities can be used to provide treatment for serious mental illness and substance use disorders among adults, distills the research into recommendations for practice, and provides examples of how these recommendations can be implemented.

This guide helps substance use counselors treat clients with symptoms of depression and substance use conditions. Program administrators will learn how to integrate depression treatment into early drug treatment. The guidelines cover screening, assessment, treatment, counseling, cultural competence, and continuing care.

This toolkit offers guidance to behavioral health officials on developing illness-management and recovery mental health programs that emphasize personal goal setting and actionable strategies for recovery. The toolkit includes 10 booklets on program development.

This guide addresses specific treatment needs of adult men living with substance use disorders. It reviews gender-specific research and best practices, such as common patterns of substance use among men and specific treatment issues and strategies.

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This report provides national and state-level statistics and trends on both private and public sector mental health and substance use services, costs, and clients. It addresses the needs of children, military personnel, nursing home residents, and prison inmates.

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