Jason Leonard A, Stevens Edward B, Doogan Nathan J, Light John M
DePaul University.
Ohio State University.
Alcohol Treat Q. 2020;38(1):126-142. doi: 10.1080/07347324.2019.1633977. Epub 2019 Jul 4.
Key characteristics of recovery homes include governance style (which can play a central role in structuring recovery mechanisms), social embeddedness (e.g., social relationships within the home), economic viability (e.g., the individual's ability to be self-supporting), and learned recovery skills (such as coping with stress, avoiding putting one's self in risky situations, etc.). These domains can have important associations with perceived quality of life (measured across physical, psychological, social relationships, and environmental domains). The current study investigated relationships among these key "active ingredients" (Moos, 2007) of recovery homes. In addition, we present dynamic model consistent with these observed relationships, to illustrate how relevant mechanisms interact over time to and affect system evolution. Data were collected from recovery home residents in three states. Findings supported our overall hypotheses indicating that social embeddedness, stress, and self-efficacy were related to quality of life, and policy and treatment-design implications are further examined by simulating system dynamics.
康复之家的关键特征包括治理风格（在构建康复机制中可发挥核心作用）、社会融入（例如康复之家内的社会关系）、经济可行性（例如个人的自我维持能力）以及习得的康复技能（如应对压力、避免置身于危险境地等）。这些领域可能与感知到的生活质量（在身体、心理、社会关系和环境领域进行衡量）有重要关联。本研究调查了康复之家这些关键“有效要素”（莫斯，2007年）之间的关系。此外，我们提出了一个与这些观察到的关系相一致的动态模型，以说明相关机制如何随时间相互作用并影响系统演变。数据收集自三个州的康复之家居民。研究结果支持了我们的总体假设，表明社会融入、压力和自我效能与生活质量相关，并通过模拟系统动力学进一步探讨了政策和治疗设计方面的影响。
