Context Matters: Home‐level But Not Individual‐Level Recovery Social Capital Predicts Residents' Relapse. Issue 3 (9th December 2020)

• Record Type: Journal Article
• Authors: Jason, Leonard A.; Guerrero, Mayra; Salomon‐Amend, Meghan; Stevens, Ed; Light, John M.; Stoolmiller, Mike
• Other Names: Wallerstein Nina guestEditor.; Christens Brian guestEditor.
• Is Part Of: American journal of community psychology. Volume 67:Issue 3/4(2021)
• Page Start: 392
• Page End: 404
• Publication Date: 2020-12-09
• Subjects: Social capital -- Recovery homes -- Social environment -- Context -- Relapse -- Oxford House; Community psychology -- Periodicals; Community mental health services -- Periodicals; Community psychiatry -- Periodicals; Community Mental Health Services -- Periodicals; Community Psychiatry -- Periodicals; 155.905
• DOI: 10.1002/ajcp.12481
• Languages: English
• ISSNs: 0091-0562

Abstract

Abstract: The purpose of this study is to contribute to the literature on the prediction of substance use relapse, using sophisticated systems' approaches to individuals and their contexts. In the current study of 42 recovery homes, we investigated the construct of social capital from the perspective of both recovery home residents and the house level. A confirmatory factor analysis found a latent recovery factor (including elements of recovery capital, comprising resources such as wages, self‐efficacy, stress, self‐esteem, quality of life, hope, sense of community, and social support) at both the individual and the recovery house level. Next, using longitudinal data from homes, an individual's probability of relapse was found to be related to house rather than individual‐level latent recovery scores. In other words, an individual's probability of relapse was primarily related to the average of the "recoveries" of his or her recovery home peers, and not of his or her own personal "recovery" status. The finding that resident relapse is based primarily upon the total recovery capital available in the homes highlights the importance of the social environment for recovery. Highlights: House level factors predicted relapse. Individual level factors did not predict relapse. Residents status in recovery homes is based upon the total recovery capital available in homes. Recovery is strongly influenced by others with whom the recovering person has regular social contact. Individual's probability of relapse was primarily related to the "recoveries" of home peers. Recovery capital available in homes highlights the importance of the social environment for recovery.