Department of Research, Cizik School of Nursing at the University of Texas Health Science Center Houston, SON 592, 6901 Bertner Ave., Houston, TX 77030 USA.
The SHARP Research Lab, University of Connecticut, Storrs, CT 06268 USA.
Drug Alcohol Depend. 2019 Jun 1;199:136-143. doi: 10.1016/j.drugalcdep.2019.02.025. Epub 2019 Apr 23.
Recovery support models (RSMs) integrate peer supports and continuing care to promote sustained recovery for adolescents with substance use disorder. RSMs aim to build recovery capital (RC), the personal, social, and environmental resources required to sustain recovery. The Alternative Peer Group (APG) is an RSM that integrates pro-recovery peers and social activities into clinical practice. APGs aim to build adolescents' RC and help them establish pro-recovery social networks. The Recovery Capital for Adolescents Model (RCAM) is a proposed framework for identifying assets to enhance and barriers to address in supporting adolescents' recovery. The RCAM has never been directly applied in APG research so little is known about the process of building RC while participating in an APG.
This study is a secondary analysis of semi-structured interviews with APG participants. Using a deductive analytic approach, the RCAM was systematically applied to participants' narratives to examine the model's utility for identifying recovery barriers and resources that promote adolescent recovery.
This study's findings confirmed the RCAM's utility for identifying specific recovery assets and barriers to recovery faced by adolescents. APG participants' narratives generally reflected the RCAMs RC domains (financial, human, social and community) as proposed and added details to refine the model. Specific strategies employed by the APG to enhance RC and address recovery barriers are presented and illustrated with qualitative exemplars.
The RCAM is a useful model for identifying the multiple, interrelated factors inherent to adolescents' recovery experience and potential pathways of RC resource-building.
恢复支持模式 (RSM) 将同伴支持和持续护理相结合，以促进有物质使用障碍的青少年持续康复。RSM 的目的是建立恢复资本 (RC)，即维持康复所需的个人、社会和环境资源。替代同伴小组 (APG) 是一种 RSM，它将支持康复的同伴和社交活动融入临床实践。APG 的目的是建立青少年的 RC，并帮助他们建立支持康复的社交网络。青少年恢复资本模型 (RCAM) 是一个用于确定资产以增强和解决支持青少年康复过程中的障碍的框架。RCAM 从未直接应用于 APG 研究中，因此对于参与 APG 时建立 RC 的过程知之甚少。
本研究是对 APG 参与者半结构化访谈的二次分析。使用演绎分析方法，系统地将 RCAM 应用于参与者的叙述，以检查该模型用于识别促进青少年康复的恢复障碍和资源的有效性。
本研究的结果证实了 RCAM 用于识别青少年面临的特定恢复资产和恢复障碍的有效性。APG 参与者的叙述通常反映了 RCAM 的 RC 领域（财务、人力、社会和社区），并提出了详细信息来完善该模型。还提出了 APG 用来增强 RC 和解决恢复障碍的具体策略，并通过定性范例进行了说明。
RCAM 是一种有用的模型，可用于识别青少年康复体验中固有的多个相互关联的因素，以及 RC 资源建设的潜在途径。
