Ivan Cano1, David Best2, Michael Edwards2, John Lehman3. 1. Helena Kennedy Centre for International Justice, Department of Law and Criminology, Development and Society, Sheffield Hallam University, Collegiate Crescent, Sheffield, S10 2BQ, United Kingdom. Electronic address: ivan.cano@shu.ac.uk. 2. Helena Kennedy Centre for International Justice, Department of Law and Criminology, Development and Society, Sheffield Hallam University, Collegiate Crescent, Sheffield, S10 2BQ, United Kingdom. 3. CEO/Board Chair, Florida Association of Recovery Residences, United States.
Abstract
BACKGROUND: In recent years, there has been recognition that recovery is a journey that involves the growth of recovery capital. Thus, recovery capital has become a commonly used term in addiction treatment and research yet its operationalization and measurement has been limited. Due to these limitations, there is little understanding of long-term recovery pathways and their clinical application. METHODS: We used the data of 546 participants from eight different recovery residences spread across Florida, USA. We calculated internal consistency for recovery capital and wellbeing, then assessed their factor structure via confirmatory factor analysis. The relationships between time, recovery barriers and strengths, wellbeing and recovery capital, as well as the moderating effect of gender, were estimated using structural equations modelling. RESULTS: The proposed model obtained an acceptable fit (χ2 (141, N=546)=533.642, p<0.001; CMIN/DF=3.785; CFI=0.915; TLI=0.896; RMSEA=0.071). Findings indicate a pathway to recovery capital that involves greater time in residence ('retention'), linked to an increase in meaningful activities and a reduction in barriers to recovery and unmet needs that, in turn, promote recovery capital and positive wellbeing. Gender differences were observed. CONCLUSIONS: We tested the pathways to recovery for residents in the recovery housing population. Our results have implications not only for retention as a predictor of sustained recovery and wellbeing but also for the importance of meaningful activities in promoting recovery capital and wellbeing.
BACKGROUND: In recent years, there has been recognition that recovery is a journey that involves the growth of recovery capital. Thus, recovery capital has become a commonly used term in addiction treatment and research yet its operationalization and measurement has been limited. Due to these limitations, there is little understanding of long-term recovery pathways and their clinical application. METHODS: We used the data of 546 participants from eight different recovery residences spread across Florida, USA. We calculated internal consistency for recovery capital and wellbeing, then assessed their factor structure via confirmatory factor analysis. The relationships between time, recovery barriers and strengths, wellbeing and recovery capital, as well as the moderating effect of gender, were estimated using structural equations modelling. RESULTS: The proposed model obtained an acceptable fit (χ2 (141, N=546)=533.642, p<0.001; CMIN/DF=3.785; CFI=0.915; TLI=0.896; RMSEA=0.071). Findings indicate a pathway to recovery capital that involves greater time in residence ('retention'), linked to an increase in meaningful activities and a reduction in barriers to recovery and unmet needs that, in turn, promote recovery capital and positive wellbeing. Gender differences were observed. CONCLUSIONS: We tested the pathways to recovery for residents in the recovery housing population. Our results have implications not only for retention as a predictor of sustained recovery and wellbeing but also for the importance of meaningful activities in promoting recovery capital and wellbeing.
Authors: Hayley Alderson; Liam Spencer; Stephanie Scott; Eileen Kaner; Alison Reeves; Sharon Robson; Jonathan Ling Journal: Int J Environ Res Public Health Date: 2021-06-28 Impact factor: 3.390