Relative Importance of Abstinence in Clients’ and Clinicians’ Perspectives of Recovery from Drug and Alcohol Abuse

Maffina, Lauren; Deane, Frank P.; Lyons, Geoffrey; Crowe, Trevor P; Kelly, Peter J.

doi:10.3109/10826084.2013.782045

Cited by 12 publications

(12 citation statements)

References 31 publications

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“…This programme involves skills training, psycho-education, 12-step based interventions and individual case management and counselling. Further information regarding the programme can be found in other studies (Deane et al, 2014;Maffina et al, 2013). Funding for the programme consists of on 30 per cent government funding, 30 per cent Salvation Army funding, 30 per cent client contribution (often welfare benefits) and 10 per cent other donations made to The Salvation Army.…”

Section: Participantsmentioning

confidence: 99%

Community participation and mental health prior to treatment

McGaffin

Deane

Kelly

2017

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Purpose The purpose of this paper is to investigate Keyes’ (2007) model of mental health, the presence (flourishing) or absence (languishing) of social, emotional and psychological wellbeing, in the context of drug and alcohol misuse and the frequency and pattern of community participation (engaging in society). Design/methodology/approach Participants were 1,815 individuals (70 per cent male) who entered residential substance misuse treatment provided by The Salvation Army. Questionnaires were completed at intake assessments with The Salvation Army staff. The data were compared with population norms of community participation utilising t-tests, while multiple linear regression was used to examine continuous mental health. Findings Although participants have lower levels of community participation compared to Australian population norms, those participants who were experiencing flourishing mental health had higher rates of community participation than Australian norms. Keeping in touch with friends and family was the most common form of participation. Informal social connectedness and civic engagement were the strongest predictors of mental health over and above more traditional substance use outcomes such as cravings. Originality/value This is one of the first studies to describe the relationships between community participation, substance use and mental health in participants seeking treatment for substance misuse. Despite having a drug or alcohol addiction requiring treatment, those participants with flourishing mental health have higher levels of community participation than community norms. Furthermore, community participation predicts mental health. This offers promise for interventions that increase community participation but further research using longitudinal designs is needed to replicate and clarify the direction of these relationships.

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Section: Participantsmentioning

confidence: 99%

Community participation and mental health prior to treatment

McGaffin

Deane

Kelly

2017

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“…In the UK, individuals seeking treatment also often identify abstinence as their primary goal [7], and even the only change they hope to achieve [8]. In a recent survey, the majority of staff and clients in a treatment programmed in Australia were of the opinion that to remain in recovery means to remain abstinent from all drugs and alcohol [9]. In a multiple-choice survey, more than three quarters of individuals in America and Australia who self-identified as in recovery endorsed 'total abstinence' as their personal goal and definition of recovery [5,10].…”

Section: Different Meanings Of "Recovery"mentioning

confidence: 99%

“…Involvement in religious and self-help groups in the community consistently shows a modest positive relationship with abstinence [38][39][40]. Religious and spiritual factors have been said to be amongst the three most important factors in recovering from heroin use in Glasgow [21,41] and are rated more important as time in recovery increases [9]. However, many individuals entering addiction treatment show lower levels of spiritual or religious involvement relative to the general population.…”

Section: Recovery As Affiliation With Self-help Groupsmentioning

confidence: 99%

“…Recovering individuals report that there is a distinction between negative factors (adverse consequences of drug dependence), which are important in initiating change, and positive factors, which help to maintain change [44,45]. As people address their substance abuse there is an initial focus almost entirely on staying abstinent, but the longer an individual is in recovery the less important abstinence and more important other components become [9,46]. Non-abstinence factors include employment, education, family reunification, emotional health, physical health and spirituality.…”

Section: Factors Facilitating Recoverymentioning

confidence: 99%

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Narrative review: The Meaning of “Recovery” for Addiction Treatment and Research

Kaar¹

2017

AAD

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Background "Recovery" has been made the focus of UK drug policy. It is a term that means different things to different people and is difficult to operationalize. In this narrative review a discourse analysis was conducted on the use of the term "Recovery" and its many associated connotations in the literature on addiction treatment. Key findings "Recovery" has been most commonly equated with abstinence. It is also often associated with participation in 12-step fellowships. When used in this context, and increasingly as the word is used in academic literature, "recovery" goes beyond abstinence to incorporate transformation and growth in many areas of life. "Recovery" is neither a clearly defined state of being nor a single path or programmed. However, there is reasonable consensus on factors associated with or facilitating recovery. Social reintegration, stable housing, relationships, employment and a meaningful social role have long been recognized as key markers of good treatment outcomes and have recently been rebranded 'recovery capital'. Conclusion Use of the term "recovery" involves an ideological shift, based on the limitations of professional treatment and the greater importance of family and societal support. It is widely understood as a long-term process. Funding treatment services based on clients achieving "recovery" narrowly defined as abstinence from all drugs not only misses the broader meaning of "recovery" but potentially compromises the effectiveness of treatment in reducing harm from drug dependence.

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“…Traditional definitions of addiction recovery often focus on individuals abstaining from substances . However, research has shown that service users perceive recovery as involving more than just abstinence , and it is recognised that many other internal and external factors have a significant impact on an individual's recovery journey . These additional factors are captured by the term ‘recovery capital’, which is an overarching concept used to describe the multiple resources people use to aid their recovery from substance addiction .…”

Section: Introductionmentioning

confidence: 99%

The Recovery Strengths Questionnaire for alcohol and drug use disorders

Rettie

Hogan

2018

Drug and Alcohol Review

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Introduction and Aims The Recovery Strengths Questionnaire (RSQ) is a 15‐item self‐report questionnaire that assesses an addicted individual's recovery strengths. This study aimed to validate the RSQ as a measure of recovery capital. Design and Methods As part of a larger study, 151 participants in addiction recovery groups from across the UK completed the RSQ. Participants also completed the Assessment of Recovery Capital questionnaire and provided some demographic information. Results The RSQ was found to be psychometrically sound, with high internal consistency and concurrent validity with the Assessment of Recovery Capital. RSQ scores were positively correlated with length of time in recovery and length of membership in recovery groups, and the scores could be used to discriminate between those in early and late recovery. Principal components analysis revealed a two‐factor structure of recovery capital. These two factors were named ‘within‐group recovery strengths’ and ‘externally generated recovery strengths’, and it was found that only the within‐group factor scale (i.e. resources developed within recovery groups) predicted length of time in recovery and recovery groups. Discussion and Conclusions These results highlight the important role that recovery groups can play in an individual's recovery, and they provide an alternative factor structure to the one‐factor structure of the Assessment of Recovery Capital.

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Relative Importance of Abstinence in Clients’ and Clinicians’ Perspectives of Recovery from Drug and Alcohol Abuse

Cited by 12 publications

References 31 publications

Community participation and mental health prior to treatment

Community participation and mental health prior to treatment

Narrative review: The Meaning of “Recovery” for Addiction Treatment and Research

The Recovery Strengths Questionnaire for alcohol and drug use disorders

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