Redefining Retention: Recovery from the Patient's Perspective
Redefining Retention: Recovery from the Patient's Perspective
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DOI：
10.1080/02791072.2011.587392
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发表时间：
2011-04-01
影响因子：
2.8
通讯作者：
Schwartz, Robert P.
中科院分区：
文献类型：
--
作者：
Mitchell, Shannon Gwin;Morioka, Rika;Schwartz, Robert P.
本研究考察了六名自愿进入治疗但行政上从美沙酮治疗计划中出院的参与者的出院和再入治疗过程。参与者在治疗开始时以及治疗开始后4个月、8个月和12个月完成了半结构化访谈。扎根理论的方法被用于从患者的角度来检查治疗再入的现象，患者通常将他们的康复视为积极变化的积累。患者寻求治疗的目标和动机与治疗方案存在差异，再加上治疗过程中遇到的困难，最终导致出院。然而，这些患者随后能够以不同的方式通过治疗系统导航，以便继续接受治疗。作者得出的结论是，从患者的角度来看，未能遵守治疗诊所规则并不一定构成“治疗失败”，即使从项目的角度来看，治疗进展并不理想，但患者往往希望继续接受治疗。因此，恢复过程可能更加分散，并且通常以一系列周期性治疗事件为特征，而不是连续的治疗时间，从而阻碍了他们的康复进程。
This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who often viewed their recovery as an accumulation of positive changes. Differences in terms of the patients' goals and motivations for seeking treatment from those of the treatment programs, combined with difficulties encountered during the treatment process eventually led to discharge. However, these patients were then able to navigate their way through the treatment system in different ways in order to remain in treatment. The authors conclude that failure to abide by treatment clinic rules do not necessary constitute "treatment failure" from the perspective of patients, who often wish to remain in treatment even if it is not progressing optimally from the program's perspective. As a result, the recovery process can be more fragmented and is often characterized by a series of cyclical treatment episodes rather than continuous time in treatment, thereby impeding their progress towards recovery.