The science of recovery capital: where do we go from here?

The science of recovery capital: where do we go from here?
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DOI:
10.1111/add.15732
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发表时间:
2022-04
期刊:
影响因子:
6
通讯作者:
Hennessy, Emily A.
Hennessy, Emily A.
中科院分区:
医学1区
文献类型:
--
作者:
Best, David;Hennessy, Emily A.

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恢复资本(RC)的概念已经出现在成瘾恢复过程的研究和讨论中,并作为恢复收益的潜在指标和标志。虽然自该术语被创造以来的20年里,这一概念的概念和应用发展有所增加,但对关键领域、因素和最佳做法研究以及对成瘾人群的应用仍然不够明确。我们的目的是审查的概念化和运作的RC周围的进展,并考虑未来的方向,回收资本的科学。我们提供了一个简短的概述的理论基础和进展,实证测量,并在治疗和持续护理环境中的应用。接下来,我们介绍了成瘾科学要解决的四个主要领域,即:(i)概念发展(例如,RC域如何是独特的,但相互关联的实体,RC的效价),(ii)实证测试,充分的测量和分析,(iii)在治疗和恢复环境中的新应用方向,以及(iv)传播和沟通的政策,实践和生活经验的群体。在这次审查中,我们还重点讨论了一些挑战,必须解决的科学RC可能会产生长期的影响,在治疗和政策。尽管对RC的实证研究蓬勃发展,但其应用和翻译一直是不系统的。该领域目前依赖于自我报告问卷的理论和量化RC的发展。因此,迫切需要对驻地协调员进行严格和系统的概念和经验发展。学者,从业者和专家之间的正式合作将推动复苏资本以一种由实践驱动和文化上适当的方式向前发展,并测试其在个人,组织和社会层面的适用性。
The concept of Recovery Capital (RC) has emerged in studies and discussions of the addiction recovery process, and as a potential metric and marker for recovery gains. Although conceptual and applied development of the concept in the 20 years since the term was coined has increased, there remains insufficient clarity of key domains, factors and best practice research and applications for populations experiencing addiction. We aimed to review progress around the conceptualisation and operationalisation of RC and to consider future directions for a science of recovery capital. We provided a brief overview of theoretical foundations and advances, empirical measurement, and application in treatment and continuing care settings. We next introduced four primary areas for addiction science to address, namely: (i) conceptual development (e.g., how RC domains are unique but interrelated entities, valence of RC), (ii) empirical testing, adequacy of measurement and analysis, (iii) directions for novel application in treatment and recovery settings, and (iv) dissemination and communication to policy, practice, and lived experience groups. In this review we also focussed on some of the challenges that must be addressed for a science of RC which could produce long-term impact in treatment and policy. Despite burgeoning empirical work on RC, its application and translation has been unsystematic. The field currently relies on self-report questionnaires for the development of the theory and quantification of RC. Thus, there is an urgent need for rigorous and systematic conceptual and empirical development of RC. A formal collaboration between scholars, practitioners and experts by experience worldwide would move Recovery Capital forward in an empirically-driven and culturally appropriate manner, as would testing its applicability at individual, organisational and societal levels.
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