Center for the Study of Addictions and Recovery at National Development and Research Institutes, Inc., (NDRI), NYC, NY 10010, USA.
J Subst Abuse Treat. 2010 Jan;38(1):51-9. doi: 10.1016/j.jsat.2009.06.003. Epub 2009 Jul 23.
Substance use disorders (SUD) are, for many, chronic conditions that are typically associated with severe impairments in multiple areas of functioning. "Recovery" from SUD is, for most, a lengthy process; improvements in other areas of functioning do not necessarily follow the attainment of abstinence. The current SUD service model providing intense, short-term, symptom-focused services is ill-suited to address these issues. A recovery-oriented model of care is emerging, which provides coordinated recovery-support services using a chronic-care model of sustained recovery management. Information is needed about substance users' priorities, particularly persons in recovery who are not currently enrolled in treatment, to guide the development of recovery-oriented systems. As a first step in filling this gap, we present qualitative data on current life priorities among a sample of individuals that collectively represent successive recovery stages (N = 356). Findings suggest that many areas of functioning remain challenging long after abstinence is attained, most notably employment and education, family/social relations, and housing. Although the ranking of priorities changes somewhat across recovery stages, employment is consistently the second most important priority, behind working on one's recovery. Study limitations are noted, and the implications of findings for the development and evaluation of recovery-oriented services are discussed.
物质使用障碍（SUD）是许多人面临的慢性疾病，通常与多个功能领域的严重障碍相关。对于大多数人来说，从 SUD 中“康复”是一个漫长的过程；其他功能领域的改善并不一定伴随着戒除的实现。目前提供集中、短期、以症状为重点的服务的 SUD 服务模式并不适合解决这些问题。一种以康复为导向的护理模式正在出现，它使用持续康复管理的慢性病护理模式提供协调的康复支持服务。需要了解物质使用者的优先事项，特别是那些目前未接受治疗但正在康复中的人，以指导康复导向系统的发展。作为填补这一空白的第一步，我们展示了一组个体的当前生活优先事项的定性数据，这些个体共同代表了连续的康复阶段（N=356）。研究结果表明，在戒除后很长一段时间内，许多功能领域仍然存在挑战，尤其是就业和教育、家庭/社会关系和住房。尽管在不同的康复阶段，优先事项的排名会有所变化，但就业始终是仅次于康复工作的第二重要优先事项。研究的局限性已被指出，并讨论了这些发现对康复导向服务的开发和评估的影响。
