|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|
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus TOXIBASETRAITEMENT DE MAINTENANCE ; ETUDE QUALITATIVE ; METHADONE ; SUBSTITUTION ; GUERISON
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|