Former inpatients’ narratives of substance use four years after substance use disorder treatment: A qualitative follow-up study

Aim: The aim of this study was to explore the narratives of former substance use disorder (SUD) inpatients about substance use after their discharge from long-term SUD treatment in 2017. Method: We conducted semi-structured in-depth interviews with 11 former inpatients of SUD treatment. The data were analysed using a qualitative, thematic analysis model. Findings: During the analysis, two main themes emerged pertaining to participant reflections on substance use – their experience of non-problematic substance use (that is, substance use without declining into pre-treatment levels of misuse behaviours) and problematic substance use (that is, substance use associated with destructive patterns). All participants except one had engaged in substance use after their discharge three to four years ago. The commonly used substance was alcohol, which also appeared to be the most common substance for which there was consensus among the informants regarding non-problematic use. Conclusions: Most of the participants continued to use substances in some way, and some reported that such use did not affect them negatively. Healthcare providers and therapists in SUD treatment should avoid defining a relapse or failed treatment outcome in concrete terms. What is perceived as an actual relapse or a failed treatment outcome is highly subjective. Furthermore, complete sobriety might not necessarily be the best or the only way to measure the SUD treatment stay. An improvement in the quality of life and well-being, even when core symptoms are still present, may be considered a successful treatment outcome.

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Patient-centred care for addiction treatment: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2018-024588 ◽

2018 ◽

Vol 8 (12) ◽

pp. e024588 ◽

Cited By ~ 6

Author(s):

Kirsten Marchand ◽

Scott Beaumont ◽

Jordan Westfall ◽

Scott MacDonald ◽

Scott Harrison ◽

...

Keyword(s):

Substance Use ◽

Scoping Review ◽

Addiction Treatment ◽

Grey Literature ◽

Healthcare Providers ◽

Open Science ◽

Patient Centred Care ◽

Healthcare Settings ◽

Problematic Substance Use ◽

Problematic Substance

IntroductionSubstance use disorders are chronic conditions that require a multidimensional treatment approach. Despite ongoing efforts to diversify such treatments, evidence continues to illuminate modest rates of treatment engagement and perceived barriers to treatment. Patient-centred care (PCC) is one approach that may strengthen the responsiveness of treatments for people with problematic substance use. The aim of this scoping review is to explore how the principles of PCC have been implemented and operationalised in healthcare settings for people with problematic substance use.Methods and analysisThis scoping review follows the iterative stages of the Arksey and O’Malley framework. Both empirical (from Medline, Embase, PsycINFO, CINAHL and ISI Web of Science) and grey literature references will be considered if they focused on populations with problematic substance use and described or measured PCC or one of its principles in a health-oriented context. Two reviewers will independently screen references in two successive stages of title/abstract screening and then full-text screening for references meeting title/abstract criteria. A descriptive overview, tabular and/or graphical summaries, and a directed content analysis will be carried out on extracted data. This scoping review has been registered with Open Science Framework (https://osf.io/5swvd/).Ethics and disseminationThis review will systematically examine the extent and nature of existing evidence of PCC in addiction research and clinical practice. Such evidence will contribute to the operationalisation of PCC for people with problematic substance use. A multidisciplinary team has been gathered to represent the needs of people with problematic substance use, healthcare providers and decision-makers. The team’s knowledge users will be engaged throughout this review and will participate in dissemination activities (eg, workshops, presentations, publications, reports).

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Predictors for successful treatment outcome in patients with comorbid attention-deficit/hyperactivity disorder (ADHD) and substance use disorder (SUD): an international observational cohort study

http://isrctn.com/ ◽

10.1186/isrctn15998989 ◽

2020 ◽

Author(s):

Johan Franck

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Substance Use ◽

Cohort Study ◽

Treatment Outcome ◽

Substance Use Disorder ◽

Attention Deficit ◽

Observational Cohort Study ◽

Hyperactivity Disorder ◽

Successful Treatment Outcome ◽

Observational Cohort

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Community Based Interventions for Problematic Substance Use in Later Life: A Systematic Review of Evaluated Studies and Their Outcomes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17217994 ◽

2020 ◽

Vol 17 (21) ◽

pp. 7994

Author(s):

Trish Hafford-Letchfield ◽

Tricia McQuarrie ◽

Carmel Clancy ◽

Betsy Thom ◽

Briony Jain

Keyword(s):

Systematic Review ◽

Substance Use ◽

Older People ◽

Age Groups ◽

Later Life ◽

Well Being ◽

Community Based Interventions ◽

Complex Needs ◽

Problematic Substance Use ◽

Problematic Substance

Problematic substance use (PSU) in later life is a growing global problem of significant concern in tandem with a rapidly ageing global population. Prevention and interventions specifically designed for older people are not common, and those designed for mixed-age groups may fail to address the unique and sometimes complex needs of ageing communities. We report findings from a systematic review of the empirical evidence from studies which formally evaluated interventions used with older people and reported their outcomes. Nineteen studies were included, of which thirteen focused solely on alcohol-related problems. Eight interventions utilised different types of screening, brief advice and education. The remaining drew on behavioural, narrative and integrated or multi-disciplinary approaches, which aimed to meet older people’s needs holistically. Quality assessment of study design helped to review evaluation practice. Findings point to recommendations for sustainable and well-designed intervention strategies for PSU in later life, which purposefully align with other areas of health and well-being and are delivered in locations where older people normally seek, or receive, help. There is further scope for engagement with older people’s own perspectives on their needs and help-seeking behaviours. Economic evaluation of the outcome of interventions would also be useful to establish the value of investing in targeted services to this underserved population.

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Lessons learned in COVID-19: mothers with problematic substance use and involvement with child protective services need support to promote family well-being

Community Work & Family ◽

10.1080/13668803.2021.1975650 ◽

2021 ◽

pp. 1-5

Author(s):

Hanna Valeriote ◽

Karen Milligan

Keyword(s):

Substance Use ◽

Child Protective Services ◽

Well Being ◽

Lessons Learned ◽

Protective Services ◽

Problematic Substance Use ◽

Need Support ◽

Problematic Substance

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Problematic Substance Use (Alcohol Use Disorder and Substance Use Disorder)

Canadian Family Practice Guidelines ◽

10.1891/9780826194985.0129 ◽

2019 ◽

Cited By ~ 1

Keyword(s):

Substance Use ◽

Alcohol Use ◽

Substance Use Disorder ◽

Alcohol Use Disorder ◽

Problematic Substance Use ◽

Problematic Substance

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Changes in Social, Romantic, and General Life Satisfaction Over the Course of a Substance Use Disorder

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.734352 ◽

2021 ◽

Vol 12 ◽

Author(s):

Nina C. Christie ◽

Vanya Vojvodic ◽

Pranav Meda ◽

John R. Monterosso

Keyword(s):

Substance Use ◽

Social Life ◽

Well Being ◽

Prescription Opioids ◽

Drug Of Choice ◽

Problematic Substance Use ◽

Problematic Substance ◽

Domains Of Life ◽

History Of ◽

The Relationship

Background: The pandemic has highlighted the importance of social connection for health and well-being. Satisfaction across domains of life is associated with substance use outcomes, such as risk of relapse and mortality. Previous work has delineated the relationship between substance use and social connections, yet there is a lack of research exploring the relationship between substance use and satisfaction with domains of life over time.Methods: We retrospectively assessed satisfaction with social life, romantic life, and general life across five phases of substance use among 339 adults, of whom 289 identify as formerly having a problem with substance use, and a comparison group of 50 who report no history of problematic drug use. We compared those whose primary drug of choice was alcohol, marijuana, methamphetamine, non-prescription opioids, and prescription opioids.Results: Those who used prescription opioids reported a larger drop in satisfaction in social life, romantic life, and general life during the course of substance use than those who used other drugs. However, we report no significant differences in current satisfaction, social well-being, or quality of life between people in recovery and people with no history of problematic substance use.Conclusions: These findings—alongside neuropsychological work on the opioid system and sociality—paint a picture that those who formerly used prescription opioids may experience lower satisfaction across life domains during the course of their substance use than those who used other substances. However, people in prolonged recovery—regardless of their drug of choice—all show similar levels of satisfaction compared to people with no history of problematic substance use.

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