Titre : | Acceptance of non-abstinence as an outcome goal for individuals diagnosed with substance use disorders: A narrative review of published research (2020) |
Auteurs : | H. ROSENBERG ; J. GRANT ; A. K. DAVIS |
Type de document : | Article : Périodique |
Dans : | Journal of Studies on Alcohol and Drugs (Vol.81, n°4, July 2020) |
Article en page(s) : | 405-415 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ALCOOL ; PRODUIT ILLICITE ; ABSTINENCE ; CONSOMMATION CONTROLEE ; TRAITEMENT ; CANNABIS |
Mots-clés: | acceptation |
Résumé : |
OBJECTIVE: Natural recovery and treatment outcome studies published over the past four decades indicate that some individuals with substance use problems moderate their consumption of alcohol and other drugs. Concurrently, a growing number of investigations have assessed service providers' attitudes regarding non-abstinence goals.
METHOD: To provide a summary of that research, we identified 25 articles published between 1981 and 2019 that reported agency and/or clinician acceptance of non-abstinence treatment goals, often as a function of severity of the client condition, finality of the outcome goal, type of substance consumed, and/or treatment setting. RESULTS: Although acceptance rates varied considerably across studies, respondents more often endorsed non-abstinence as an outcome goal (a) for less severely impaired rather than for more severely impaired clients; (b) as an intermediate goal on the way to achieving abstinence rather than as the final outcome goal; and (c) when the target substance is alcohol or cannabis rather than drugs such as cocaine, heroin/opioids, hallucinogens, amphetamines, and MDMA/Ecstasy (3,4-methylenedioxymethamphetamine). Acceptance also varied by treatment setting, with more acceptance of non-abstinence goals in outpatient settings than residential settings, and by geographic location, with larger proportions of service providers in Australia and European countries endorsing non-abstinence goals than those working in the United States and Canada. CONCLUSIONS: We anticipate that acceptance will increase or remain high as research continues to demonstrate improved functioning by those who achieve non-abstinence outcomes, and we recommend further evaluation of other client and clinician characteristics that might influence acceptance and rejection of non-abstinence outcome goals. |
Domaine : | Alcool / Alcohol ; Drogues illicites / Illicit drugs |
Sous-type de document : | Revue de la littérature / Literature review |
Affiliation : | Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA |
Cote : | Abonnement |
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