Titre : | The experience of long-term opiate maintenance treatment and reported barriers to recovery: a qualitative systematic review (2013) |
Auteurs : | C. NOTLEY ; A. BLYTH ; V. MASKREY ; J. CRAIG ; R. HOLLAND |
Type de document : | Article : Périodique |
Dans : | European Addiction Research (Vol.19, n°6, October 2013) |
Article en page(s) : | 287-298 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés TRAITEMENT DE MAINTENANCE ; ETUDE QUALITATIVE ; METHADONE ; SUBSTITUTION ; GUERISON |
Résumé : |
Background/Aim: To inform understanding of the experience of long-term opiate maintenance and identify barriers to recovery.
Methods: A qualitative systematic review. Results: 14 studies in 17 papers, mainly from the USA (65%), met inclusion criteria, involving 1,088 participants. Studies focused on methadone prescribing. Participants reported stability; however, many disliked methadone. Barriers to full recovery were primarily 'inward focused'. Conclusion: This is the first review of qualitative literature on long-term maintenance, finding that universal service improvements could be made to address reported barriers to recovery, including involving ex-users as positive role models, and increasing access to psychological support. Treatment policies combining harm minimisation and abstinence-orientated approaches may best support individualised recovery. |
Domaine : | Drogues illicites / Illicit drugs |
Sous-type de document : | Revue de la littérature / Literature review |
Refs biblio. : | 44 |
Affiliation : | Norwich Medical School, University of East Anglia, Norwich, UK |
Cote : | Abonnement |
Lien : | http://dx.doi.org/10.1159/000346674 |
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