“You're Nothing But a Junkie”: Multiple Experiences of Stigma in an Aging Methadone Maintenance Population

Conner, Kyaien O.; Rosen, Daniel

doi:10.1080/15332560802157065

Cited by 98 publications

(94 citation statements)

References 31 publications

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“…Structural factors related to ‘the system' and institutional expectations were also analysed. Stigma, and the additive effect of multiple interacting stigmas [37], was important. A critical concept drawn out of this review was that of being ‘in limbo' between drug use and recovery [33].…”

Section: Discussionmentioning

confidence: 99%

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The Experience of Long-Term Opiate Maintenance Treatment and Reported Barriers to Recovery: A Qualitative Systematic Review

et al. 2013

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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.

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Section: Discussionmentioning

confidence: 99%

“…Clients on long-term maintenance are subject to multiple stigmas, having an additive effect, including ageing, being a previous drug addict, depression, poverty and being on methadone itself [37]. Multiple combined stigmas may represent a powerful barrier to recovery.…”

Section: Barriers To Recoverymentioning

confidence: 99%

The Experience of Long-Term Opiate Maintenance Treatment and Reported Barriers to Recovery: A Qualitative Systematic Review

et al. 2013

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“…We identified three main themes dominating the qualitative research literature on MMT. First, stigma was found to be one of the most discussed aspects of, and barriers to, daily life for people on MMT [2,4,[13][14][15][16][17]. Second, findings across the articles also highlighted ways in which one's sense of identity or self-concept is important and oftentimes transforms throughout the recovery process as individuals deal with a variety of issues that may include emotional disturbances, relationship turmoil or growth, or career changes [2,15,18,19].…”

Section: Need For An Occupational Perspective Of Mmtmentioning

confidence: 99%

Exploring the Daily Lives of People on Methadone Maintenance Treatment: An Occupational Perspective

et al. 2016

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A qualitative study was undertaken with five people on methadone maintenance treatment (MMT) to better understand their experiences and daily routines. Through an in-depth exploration of their everyday occupations, we sought to reveal the ongoing challenges and barriers they face to accessing treatment. The concept of occupation refers to 'all that people need, want and are required to do' but also extends further to encompass 'how doing contributes to processes of being, becoming and belonging ' (Huot and Laliberte Rudman, 2015). This research employed a qualitative intrinsic case study methodology (Stake, 2005). Using an occupational perspective informed by a framework for occupational justice (Stadnyk et al., 2005), the participants' narratives are presented according to four themes highlighting key aspects of their experiences: (a) descent into chaos; (b) MMT as a bridge to recovery from addiction; (c) a new normal daily life; and (d) hopes for moving forward. The findings illustrate how structural factors and contextual factors interact to create occupational injustices. Thus, MMT practices and policies should consider the occupational implications described in this article to enhance patients' experiences and further support their recovery.

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“…User Plan data showed that 60% in the age group 45 years and over had a good financial situation. However, there was self-reported poverty among the older group (Conner & Rosen, 2008;KORFOR, 2015). Of the participants in Quality Assurance Project, 56% were not satisfied with their financial situation.…”

Section: Social Issuesmentioning

confidence: 99%

“…Four stigmas were simultaneously experienced by 66% of respondents. The most common combination was being an addict, older, receiving psychotropic medication and having depression (Conner & Rosen, 2008).…”

Section: Social Issuesmentioning

confidence: 99%

Health and social issues among older patients in opioid maintenance treatment in Norway

Gaulen

Alpers

Carlsen

et al. 2017

Nordic Studies on Alcohol and Drugs

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In 2015 the Ministry of Health and Care Services was revising the National Action Plan for drug treatment and rehabilitation in Norway. Connected to this, Alcohol and Drug Research Western Norway (KORFOR) examined the health and social issues for older patients with substance-use disorder (SUD) and the possible challenges for the healthcare services. The report to the ministry (KORFOR, 2015) was divided into two general areas: the elderly and alcohol, and the elderly in opioid maintenance treatment (OMT). The report sought to answer the following questions: Which social and health issues do these two groups struggle with? How are the support services for these groups organised and developed, both in the municipalities and the specialist health services? What consequences may an increased number of the elderly in these groups have for the need to increase capacity and to change services?

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“You're Nothing But a Junkie”: Multiple Experiences of Stigma in an Aging Methadone Maintenance Population

Cited by 98 publications

References 31 publications

The Experience of Long-Term Opiate Maintenance Treatment and Reported Barriers to Recovery: A Qualitative Systematic Review

The Experience of Long-Term Opiate Maintenance Treatment and Reported Barriers to Recovery: A Qualitative Systematic Review

Exploring the Daily Lives of People on Methadone Maintenance Treatment: An Occupational Perspective

Health and social issues among older patients in opioid maintenance treatment in Norway

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