Historique
Article de Périodique
The experience of long-term opiate maintenance treatment and reported barriers to recovery: a qualitative systematic review (2013)
Auteur(s) :
NOTLEY, C. ;
BLYTH, A. ;
MASKREY, V. ;
CRAIG, J. ;
HOLLAND, R.
Année :
2013
Page(s) :
287-298
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
44
Domaine :
Drogues illicites / Illicit drugs
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.
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.
Affiliation :
Norwich Medical School, University of East Anglia, Norwich, UK
Cote :
Abonnement