G-CHIME Framework to Examine Adolescent Addiction Recovery in Alternative Peer Groups: A Qualitative Analysis.

Background: Research examining mechanisms that underlie adolescent addiction recovery can help inform best practices for this at-risk group. Alternative Peer Groups (APGs) are recovery supports intending to facilitate positive peer connections and prosocial activities. Consistent with the G-CHIME framework (Ogilvie & Carson, 2022), theory suggests APGs enhance adolescent recovery through Connectedness with APG peers and leaders, leading to Growth, Hope, Identity, Meaning, and Empowerment. In this study, we conducted qualitative analyses using the G-CHIME framework to examine recovery processes among APG participants.

Methods: This was a secondary analysis of interviews with former APG participants (n=14; 71% male; M_age =20.4) and with leaders of those APGs (n = 7). G-CHIME elements were used as preliminary codes and sub-codes were generated during transcript review, including the addition of Motivation. Transcripts were analyzed using the constant comparative method.

Results: G-CHIME generally mapped onto recovery processes but in several novel ways. For example, connection to APG peers/staff was integral to recovery for most, but not all participants. Transitioning from being selfish to selfless emerged as a key process mapping onto G-CHIME domains of Identity, Meaning, and Empowerment, often depicted through 'helping others' or becoming considerate. Motivation, although not a formal G-CHIME component, appeared throughout, suggesting this construct underlies many of the G-CHIME components.

Conclusions: Using the G-CHIME framework may provide a more comprehensive understanding of youth recovery narratives. This enhanced understanding of pathways taken when participating in recovery support services may help program staff leverage such knowledge to increase engagement and positive outcomes.