Changing Lives: Addiction Program Pivots to Meet People Where They Are

The COVID-19 pandemic has created new perils and challenges for people experiencing substance use disorders and addictive behaviors. Social distancing and isolation can trigger loneliness, anxiety and depression. These circumstances have put some “recreational users” at risk for developing addictions and caused some in recovery from addictions to relapse.

At the same time, the pandemic has made it nearly impossible for mutual-help (e.g., AA, NA) recovery groups to gather in person, forcing a scramble to provide remote support through platforms like Zoom.

Now, researchers at the Cofrin Logan Center for Addiction Research and Treatment at the Life Span Institute have published their experience making SMART Recovery groups available via computer and telephone to the community in Douglas County. Their paper was published in the peer-reviewed Journal of Substance Abuse Treatment.

According to lead author Dr. Bruce Liese, professor of family medicine and psychiatry at the University of Kansas Medical Center and clinical director at the Cofrin Logan Center, his team established seven weekly in-person SMART Recovery group meetings at various community institutions prior to the pandemic. These meetings took place at the Lawrence Public Library, KU, the Douglas County jail, Mirror Inc. and the Bert Nash Community Mental Health Center.

“It’s a free mutual help group, somewhat like a 12-step program, where people support and help each other,” Liese said. “The difference is that SMART Recovery is based on scientific principles and evidence – particularly evidence about addiction, treatment, what works and what doesn’t work. It’s based on Cognitive-Behavioral Therapy and readiness-to-change research. I believed SMART Recovery would be perfect because, coming out of the university, our program had to be based on scientific evidence.”

Growth of the in-person meetings was slow at first, but soon KU researchers tallied 229 different participants who attended these groups for help with chemical and behavioral addictions ranging from addictions to alcohol, methamphetamine, cannabis, opioids, nicotine and gambling.

But that all changed once the pandemic took hold in March last year.

“They had to close the library and other facilities where we were meeting,” Liese said. “Thanks to the SMART Recovery central office, we returned online with funding for Zoom meetings from their office. And at first, we went through the same thing — meetings with just one person. But over the past months we’ve had upwards of 20 people in online meetings. So, it has grown again. SMART Recovery was very generous in providing us with a Zoom account. Once again, we can have as many meetings as the community needs. We have two active meetings in the community now: on Wednesdays and Fridays from 5 to 6:30 pm.”

As with in-person SMART Recovery meetings, the virtual meetings are led by volunteer facilitators drawn from the community and university, who receive online and live (Zoom) training.

“The SMART Recovery central office offers a facilitator training program online for people who are interested in facilitating these groups,” Liese said. “The online training involves at least 20 hours of watching videos, reading and taking exams … so it’s a pretty massive endeavor. I took the online training right away and found it interesting and stimulating. It focuses on what works, what doesn’t work, while emphasizing the importance of interpersonal relationship skills. The training teaches active listening so people know you’re hearing what they’re saying. It made sense to do this kind of training in the community. SMART’s excellent online training enabled us to quickly develop these free groups as a safety net for those who need one.”