Pathways to recovery model of youth substance misuse in Assam, India.

Pathways to recovery model of youth substance misuse in Assam, India.
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DOI:
10.1111/hex.13658
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发表时间:
2023-02
影响因子:
3.2
通讯作者:
Hugh-Jones, Siobhan
Hugh-Jones, Siobhan
中科院分区:
医学2区
文献类型:
--
作者:
Madill, Anna;Duara, Raginie;Goswami, Sangeeta;Graber, Rebecca;Hugh-Jones, Siobhan

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全球呼吁更好地了解物质使用障碍(SUD),以预防,降低风险和治疗这种易复发的疾病。我们在这篇文章中的目的是了解在印度阿萨姆邦的青年谁遭受SUD恢复的途径。我们通过两个康复机构招募了15名参与者(11名男性和4名女性)。所有人都是19-24岁的戒毒者。材料是通过照片引导的访谈产生的,使用主题分析的归纳变体进行分析,并通过专家和参与者检查改进所得模型。我们提出了一个多路线,多方向的路径恢复模型。它有三个阶段,反复使用,成瘾(放松,混乱,战略)和支持恢复,每个阶段包括一系列阶段之间的循环或过渡。该模型增强了对风险和恢复经验的心理社会文化见解,并为阿萨姆邦青少年药物滥用的预防和治疗提供信息。这是第一个此类模型,也是一个重要的公共卫生资源。我们讨论了可能的可移植性的模型,以更广泛的背景。所提出的模型是通过对康复中的成瘾者的访谈分析而产生的。其中四名康复中的成瘾者和两名心理健康和康复服务提供者对该模型进行了参与者和专家检查,导致其改进。
There are global calls for better understanding of substance use disorder (SUD) to inform prevention, risk reduction and treatment of this relapse‐prone disorder. Our aim in this article is to understand the pathways to recovery of youth in Assam, India who have suffered SUD. We recruited 15 participants (11 men and 4 women) via two rehabilitation facilities. All are addicts‐in‐recovery aged 19–24 years. Material was generated through photo‐led interviews, analysed using an inductive variant of thematic analysis and the resulting model refined through expert and participant checks. We present a multiroute, multidirectional pathway to recovery model. It has three phases, Recreational Use, Addiction (Relaxed, Chaotic, Strategic) and Supported Recovery, each phase consisting of cycling between, or transitioning through, a series of stages. The model enhances psycho‐socio‐cultural insights into the experience of risk and recovery, and informs prevention and treatment for youth substance misuse in Assam. This is the first model of its kind and an important public health resource. We discuss the possible transferability of the model to a wider range of contexts. The model presented was generated through analysis of interviews with addicts‐in‐recovery. Four of these addicts‐in‐recovery, and two mental health and rehabilitation service providers, conducted participant and expert checks of the model leading to its improvement.
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发表时间: 2022-08
影响因子: 3.2
作者:
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