Historique
Article de Périodique
Looking beyond drugs: A scoping review of recovery in the context of illicit substance use among adolescents and young adults (2024)
Auteur(s) :
EEKHOUDT, C. R. ;
SANDHU, M. ;
MNISZAK, C. ;
GOODYEAR, T. ;
TURUBA, R. ;
MARCHAND, K. ;
BARBIC, S. ;
FAST, D.
Année :
2024
Page(s) :
art. 104598
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
ADOLESCENT
;
JEUNE
;
JEUNE ADULTE
;
PRODUIT ILLICITE
;
GUERISON
;
ABSTINENCE
;
PRISE EN CHARGE
;
DEFINITION
;
PERCEPTION
;
TRAITEMENT
Résumé :
Background: Despite extensive literature exploring the harms associated with illicit substance use among young people who use drugs (YPWUD), the concept of "recovery" among this population has received significantly less attention. Addressing this literature gap can inform efforts to better support YPWUD as they pursue their goals.
Objective: To examine the qualitative literature on how young people (< 30 years of age) understand and navigate substance use recovery and healing in the context of illicit substance use, including how interventions and caregivers are implicated in these processes.
Methods: The design for this scoping review was guided by Arksey and O'Malley's framework and informed by Levac et al. refinements. We surveyed five bibliographic databases for English, peer-reviewed, empirical studies published between 1999 and 2023. Studies were independently reviewed by two reviewers. We charted, synthesized, and assessed studies for common themes.
Findings: A total of 28 articles met the inclusion criteria for this scoping review. Studies show varied definitions and enactments of recovery as part of a continuum of substance use care, frequently extending beyond the notion of recovery as abstinence. Caregivers providing emotional, material, and social support are crucial to recovery; however, the challenges of supporting a young person's recovery are manifold, including misaligned expectations about recovery definitions and processes.
Conclusion: Findings underscore the need for recovery-oriented care that aligns with young people's diverse and shifting needs, goals, and contexts. Recovery programs must range from harm reduction to abstinence-based approaches across institutional and non-institutional settings and actively engage YPWUD and caregivers. [Author's abstract]
Highlights:
Synthesizes the literature on substance use recovery and healing among young people.
Young people have diverse understandings of substance use recovery and healing.
Young people challenge the relationship between abstinence and recovery and healing.
Social supports can be pivotal to recovery and healing among young people.
Objective: To examine the qualitative literature on how young people (< 30 years of age) understand and navigate substance use recovery and healing in the context of illicit substance use, including how interventions and caregivers are implicated in these processes.
Methods: The design for this scoping review was guided by Arksey and O'Malley's framework and informed by Levac et al. refinements. We surveyed five bibliographic databases for English, peer-reviewed, empirical studies published between 1999 and 2023. Studies were independently reviewed by two reviewers. We charted, synthesized, and assessed studies for common themes.
Findings: A total of 28 articles met the inclusion criteria for this scoping review. Studies show varied definitions and enactments of recovery as part of a continuum of substance use care, frequently extending beyond the notion of recovery as abstinence. Caregivers providing emotional, material, and social support are crucial to recovery; however, the challenges of supporting a young person's recovery are manifold, including misaligned expectations about recovery definitions and processes.
Conclusion: Findings underscore the need for recovery-oriented care that aligns with young people's diverse and shifting needs, goals, and contexts. Recovery programs must range from harm reduction to abstinence-based approaches across institutional and non-institutional settings and actively engage YPWUD and caregivers. [Author's abstract]
Highlights:
Synthesizes the literature on substance use recovery and healing among young people.
Young people have diverse understandings of substance use recovery and healing.
Young people challenge the relationship between abstinence and recovery and healing.
Social supports can be pivotal to recovery and healing among young people.
Affiliation :
Department of Medicine, University of British Columbia, Vancouver, BC, Canada
British Columbia Centre on Substance Use, Vancouver, BC, Canada
British Columbia Centre on Substance Use, Vancouver, BC, Canada
Cote :
Abonnement