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New Study Highlights Impact of Mosaic Group’s Reverse the Cycle Program

Jun 11, 2025 | News, Our Impact, Reverse The Cycle, White Papers and Studies

Friends Research Institute (FRI), in partnership with The Mosaic Group, has published a new peer-reviewed study in the The American Journal of Emergency Medicine evaluating the impact of Mosaic’s Reverse the Cycle (RTC) intervention on hospital utilization among patients with substance use disorders.

The study, titled “Changes in hospital utilization following peer-led intervention for substance use disorders in hospital emergency departments,” analyzed data from 6,566 patients at seven Maryland hospitals who received RTC services. The intervention integrates peer recovery coaches (PRCs) into emergency departments to provide universal screening, support for initiating medications for opioid use disorder, and connections to ongoing community care.

Key findings

  • A significant drop in emergency department (ED) visits (from 83% to 50% predicted probability).
  • A reduction in overdose-related hospital events (from 7% to 4%).
  • A rise in inpatient admissions (from 21% to 28%), potentially reflecting complex medical needs.

The findings underscore the effectiveness of the RTC model in reducing avoidable ED visits and improving care pathways for individuals with substance use disorders.

Read the full article here (free for a limited time).

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