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Randomized Controlled Trial
. 2015 Sep;37(3):521-8.
doi: 10.1093/pubmed/fdu040. Epub 2014 Jul 2.

Effects of a recovery management intervention on Chinese heroin users' community recovery through the mediation effect of enhanced service utilization

F Wu  1 , L M Fu  2 , Y H Hser  3
Affiliations
Randomized Controlled Trial

Effects of a recovery management intervention on Chinese heroin users' community recovery through the mediation effect of enhanced service utilization

F Wu et al. J Public Health (Oxf). 2015 Sep.

Abstract

Background: This study investigates whether a recovery management intervention (RMI) can improve the utilization of community drug treatment and wraparound services among heroin users in China and subsequently lead to positive recovery outcomes.

Methods: Secondary analysis was conducted drawing data from a randomized controlled trial; 100 heroin users with no severe mental health problems were recruited in two Shanghai districts (Hongkou and Yangpu) upon their release from compulsory rehabilitation facilities. A latent variable modeling approach was utilized to test whether the RMI influences heroin users' perceived motivation and readiness for treatment, enhances treatment and wraparound service participation, and, in turn, predicts better recovery outcomes.

Results: Enrollment in drug treatment and other social service utilization increased significantly as a result of RMI rather than an individual drug user's motivation and readiness for treatment. Increased service utilization thus led to more positive individual recovery outcomes. In addition to this mediation effect through service utilization, the RMI also improved participants' community recovery directly.

Conclusions: Findings suggest that better drug treatment enrollment, community service utilization and recovery outcomes can be potentially achieved among heroin users in China with carefully designed case management interventions.

Keywords: health services.

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Figures

Fig. 1
Fig. 1
Andersen's Behavioral Model of Access to Care and study hypotheses.
Fig. 2
Fig. 2
Effect of the RMI on drug user's service utilization and community recovery.
See this image and copyright information in PMC

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