Trying to Use Sociological Method and Theory in Evaluating Peer-Delivered Recovery Services

• In Event: 1523 - Practice Symposium Roundtables
  In Informal Discussion Roundtable: Table 9: Working in Social Services

Abstract

Problem. Evaluators of innovative projects at CBOs are often encouraged to find evidence of "effectiveness," while working within multiple constraints. We will describe how evaluation of a new type of program, with little relevant research or measurement available, used sociology to collect and analyze data that contributed to our knowledge of how a key element (peer-led support groups), nested within a completely patient-run peer recovery services program co-located within an urban methadone treatment program) actually worked and what it produced. There are many "fuzzy" concepts in "recovery" research, the little work on groups studies treatment-run groups or 12-Step format peer-run groups. The challenge was to identify what these voluntary and peer-run (by fellow methadone patients) groups actually contributed to recovery, in the absence of clear format or topic guidelines. Approach. Sociological methods (introducing my presence and role gradually, building on insider/outsider status, spontaneous participant observation, grounded theory) were used to observe almost 30 group meetings, facilitated by several different peer leaders on diverse topics. Although the current concept of addictions defines addiction as a chronic disease, the implications of that are not always utilized. However, the sociology of health and illness literature provided insights into the psychosocial impact of chronic illnesses and treatment on individuals. A generally interactionist framework contributed attention to interpersonal processes that recurred across different groups, leaders, and topics. Finally, consultation with two credentialed treatment counselors contributed to a typology of the differences between peer-led and treatment-led group processes, helping clarify contested "turf" issues between the two groups. Audience. Potential learning contributions include an appreciation of qualitative methods and the complexity of "working into" new environments, the utility of thinking "outside the box" (of the existing research and paradigms on the topic), and paying attention to the potential impact of processes as well as "measurable" outcomes.

Authors

• Jo L. Sotheran, Consultant

• Walter P. Ginter