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Subst Abuse. 2019 Apr 26;13:1178221819844996. doi: 10.1177/1178221819844996. eCollection 2019.

Helpful Ingredients in the Treatment of Long-Term Substance Use Disorders: A Collaborative Narrative Study.

Substance abuse : research and treatment

Henning Pettersen, Anne Landheim, Ivar Skeie, Stian Biong, Morten Brodahl, Victoria Benson, Larry Davidson

Affiliations

  1. Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders and Mental Health Division, Innlandet Hospital Trust, Brumunddal, Norway.
  2. Inland Norway University of Applied Sciences, Elverum, Norway.
  3. SERAF - Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway.
  4. District Psychiatric Centre Gjøvik, Innlandet Hospital Trust, Brumunddal, Norway.
  5. Faculty for Health Sciences, University College of Southeast Norway, Kongsberg, Norway.
  6. Program for Recovery and Community Health, School of Medicine, Yale University, New Haven, CT, USA.

PMID: 31065215 PMCID: PMC6487766 DOI: 10.1177/1178221819844996

Abstract

Relatively few individuals with a substance use disorder (SUD) seek or receive treatment, and knowledge about the effective ingredients in SUD treatment, from the perspective of those who receive it, is scarce. Our study purpose was to explore the experiences of those with long-term SUDs and the aspects they found helpful during treatment and long-term recovery. Semi-structured interviews were conducted with 18 participants, each of whom had been diagnosed with a long-term SUD, and who had been abstinent for at least 5 years. A resource group of peer consultants in long-term recovery from SUDs contributed to study planning, preparation, and initial analyses. Participants preferred individualized, long-term treatment, and support from both therapists and other clients. They further acknowledged the importance of their own sense of responsibility for their treatment and recovery success. Greater focus should be placed on viewing long-term SUD as a long-term condition, similar to somatic diseases, and SUD treatment services should place greater emphasis on developing partnership care models, long-term monitoring and support, and actively engaging recovered clients in the care of others in SUD treatment.

Keywords: client experiences; collaborative research; substance use disorder; treatment

Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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