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During the COVID-19 pandemic, most peer recovery programs had to end face-to-face services and move to an online and or phone-based format. It is not clear what impact if any, this may have had on individual referrals, contact and services rendered. The goal of this study was to explore the impact of the COVID-19 pandemic on a community-based peer-recovery program. We employed a before-after cross-sectional study design, dividing the individuals referred to the program into 2 groups; those referred before the switch to exclusively tele-remote services and those referred after. We then characterized modifications and adaptations to the program using the Framework for Reporting Adaptions and Modifications; and examined the characteristics of the referrals and contact between individuals and peers before and after the switch. Overall there were a total of n = 5 recovery-peers with n = 134 individuals referred to the program. Thirteen adaptions were made to the program within 60-days of the switch in order to continue service delivery. There were no statistically significant changes in the number of days between referral and contact or mean time the peers spent with individuals. There was a statistically significant association between referral setting and time period, P &lt; 0.001. A community-based peer-recovery program was agile and responded to the rapidly changing demands of the COVID-19 pandemic. There were no substantial changes in days between contact with individuals. The lessons learned can serve as a model for programs that may need to do the same in the future.

journal of communication in healthcare

Pause, pivot and proceed: a before-after study to examine the impact of the COVID-19 pandemic on a community-based peer-recovery program for substance use disorder