A FeasibilityTrial of a Peer-Delivered Intervention to Decrease Disparities in Substance Use, Depression, and Linkage to Substance UseTreatment

Although effective evidence-based interventions (EBIs) exist, racial/ethnic minor-ity individuals with lower income are less likely to have access to these interven-tions and may experience greater stigma in the health care system, resulting in disproportionate rates of morbidity and mortality. Peer recovery specialists (PRSs) may be uniquely suited to address barriers faced by those from impoverished areas; however, peers have not traditionally been trained in implementing EBIs. The current open-label trial (N = 8) was performed to evaluate implementation and preliminary effectiveness of an adapted EBI supporting recovery, linkage to treatment, and reduced depression. Results suggest the intervention was feasible, acceptable, and appropriate for linking individuals from a community setting to substance use treatment and could be delivered with fidelity by a peer interven-tionist. Participants who completed the intervention demonstrated clinically reli-able decreases in substance use and depressive symptoms. Findings provide initial support for PRS dissemination of EBIs to increase linkage to care and support re-covery in traditionally underserved populations.