Piloting "Positive Peer Journaling" a Journaling Practice to Support Recovery From Addiction

Inclusion Criteria:

- minimum 18 years of age,

- meet DSM-V criteria for past-year SUD as primary or secondary diagnosis,

- English literacy sufficient to make short written lists needed to complete PPJ and
homework assessments,

- minimum 2 weeks sustained abstinence,

- completed first 2 weeks of treatment at Wayside (approximately 2 weeks), a residential
substance use disorder treatment program and the recruitment site,

- priority will go to participants who are from or moving back to a rural area or small
town defined as a population less than 10,500,

- agree to be audio recorded in group meetings and in individual meetings with research
staff,

- currently are clients in the Wayside residential program,

- participants must be English speaking and literacy must be strong enough to write
short lists and to understand the questions asked in the questionnaires.

- Priority will go to women who will be residing at Wayside for the duration of the
study activities (and not moving out after one week, for example).

Exclusion Criteria:

- presence of a psychotic disorder, psychiatric condition (e.g., suicidal ideation), or
cognitive impairment (e.g., severe dementia, traumatic brain injury) limiting ability
to give consent and/or participate in the study;

- severe psychiatric illness (current schizophrenia, major depression with suicidal
ideation);

- personality disorders that would interfere with satisfactory participation in or
completion of the study protocol,

- inability to give informed, voluntary consent to participate,

- lack of sufficient English literacy to participate, defined as inability to make a
list of 5 things they did yesterday and inability to understand questionnaire items,

- any impairment, activity, or situation that in the judgement of the research staff
would prevent satisfactory participation in or completion of the study protocol.