Alcohol Research Group, Public Health Institute, 6475 Christie Avenue, Suite 400, Emeryville, CA 94608-1010, USA.
J Psychoactive Drugs. 2012 Jul-Aug;44(3):224-36. doi: 10.1080/02791072.2012.703103.
Affordable alcohol- and drug-free housing that supports recovery is limited in many areas. Sober living houses (SLHs) offer a unique living environment that supports abstinence and maintenance of a recovery lifestyle. Previous studies show that SLH residents make improvements on alcohol, drug and other problems that are maintained at 18-month follow-up (Polcin et al. 2010). However, for SLHs to maximize their impact they must recognize how they are viewed by community stakeholders and successfully address barriers. This pilot study recruited a convenience sample of two stakeholder groups, certified alcohol and drug counselors (N = 85) and licensed mental health therapists (N = 49), to explore knowledge and views about SLHs using an online survey. Therapists and counselors had similar views about SLHs, although counselors had more direct experience with them and were more knowledgeable. Both groups were highly supportive of increasing the role of SLHs to address addiction problems in their communities. Those who were most supportive had more knowledge about SLHs, agreed that alcohol and drug problems were caused by a physical disease, and agreed that successful recovery required an abstinent living environment. Both groups identified a variety of barriers, particularly social stigma. Recommendations are made for knowledge dissemination and decreasing barriers.
在许多地区,能够负担得起且不含酒精和毒品的住房支持康复的数量有限。戒毒康复所 (SLH) 提供了一种独特的生活环境,支持戒除毒瘾和维持康复生活方式。先前的研究表明,SLH 居民在酒精、毒品和其他问题上有所改善,并在 18 个月的随访中得到维持(Polcin 等人,2010 年)。然而,为了使 SLH 最大限度地发挥其影响力,他们必须认识到社区利益相关者如何看待他们,并成功解决障碍。这项试点研究招募了两个利益相关者群体的便利样本,即认证酒精和毒品顾问(N = 85)和持牌心理健康治疗师(N = 49),使用在线调查探讨他们对 SLH 的知识和看法。治疗师和顾问对 SLH 的看法相似,尽管顾问对 SLH 有更直接的经验,并且更了解。这两个群体都非常支持增加 SLH 的作用,以解决他们社区中的成瘾问题。那些最支持的人对 SLH 有更多的了解,他们认为酒精和毒品问题是由身体疾病引起的,并且认为成功康复需要一个戒除毒瘾的生活环境。两个群体都确定了各种障碍,特别是社会耻辱。为知识传播和减少障碍提出了建议。