What does this research mean for the field?

Program site, recent opioid use, and prior overdose are significant predictors of lower one-month retention in peer recovery programs for justice-involved individuals with opioid use disorder. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To examine demographic, social, health, and substance use predictors of one-month retention among justice-involved adults enrolled in a peer recovery support program.

August 27, 2026Journal of Correctional Health Care

Predictors of Early Retention in Peer Recovery Program for Justice-Involved Individuals With Opioid Use Disorder

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Authors

RSRebecca Sutter-BarrettGeorge Mason University NSNancy SpencerMalaysian Society of Nephrology NENora ElnahasGeorge Mason University

Discussion

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Implication

Cohort study identifies predictors of one-month retention in justice-involved adults with opioid use disorder, indicating that program site and overdose history significantly influence engagement.

Key Points

To examine demographic, social, health, and substance use predictors of one-month retention among justice-involved adults enrolled in a peer recovery support program.
Analyzed baseline survey data from N = 255 adults enrolled in the Empowered Communities Opioid Project across five Virginia health districts between September 2022 and February 2025.
Evaluated demographic, socioeconomic, mental health, healthcare access, and substance use variables using multivariable logistic regression models to identify predictors of one-month retention.
Overall one-month program retention was achieved by 127 of 255 participants (49.8%).
Program site was the strongest predictor of retention, with Site 2 participants significantly less likely to remain retained than Site 1 participants (OR = 0.45, p = .004).
Recent opioid use and a history of prior overdose were also significantly associated with lower odds of one-month retention.

Cite This Study

Sutter-Barrett et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea0d10c91c1e92622075 https://doi.org/10.1177/10783458261481039

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Implication

Cohort study identifies predictors of one-month retention in justice-involved adults with opioid use disorder, indicating that program site and overdose history significantly influence engagement.