Department of Veterans Affairs, Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Bldg 210A, Los Angeles, CA, 90073, USA.
Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Jane and Terry Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Los Angeles, CA, 90095, USA.
Community Ment Health J. 2021 Jul;57(5):801-807. doi: 10.1007/s10597-021-00810-z. Epub 2021 Mar 6.
Individuals attending residential rehabilitation programs for substance misuse are particularly vulnerable to treatment disruptions spurred by the novel coronavirus disease 2019 (COVID-19) pandemic. We describe adaptations to services within a large residential rehabilitation program for under-resourced veterans, report veterans' experiences with these changes, and outline successes and challenges encountered throughout adjustment to the pandemic. Data collected from two focus groups with nine veterans engaged in this program during the pandemic highlight experiences of inconsistent communication about residential policies, interruptions to medical and addiction services, and feelings of confinement and social isolation. Overall, these findings suggest the need for health systems to support clients in taking an active role in communications, provide additional technical and social support in transitioning to virtual health services, and offer alternative means for clients to maintain social connection during a pandemic. Understanding clients' perspectives can inform strategies to promote continuity of care and enhanced care experiences.
个人参加药物滥用的住院康复项目特别容易受到新型冠状病毒病 2019（COVID-19）大流行引发的治疗中断的影响。我们描述了在一个为资源匮乏的退伍军人提供的大型住院康复计划中对服务的调整，报告退伍军人对这些变化的体验，并概述了在调整大流行过程中遇到的成功和挑战。从大流行期间参与该计划的九名退伍军人的两个焦点小组收集的数据突出了关于住院政策的沟通不一致、医疗和成瘾服务中断以及禁闭和社会孤立感的经历。总的来说，这些发现表明卫生系统需要支持客户在沟通中发挥积极作用，在过渡到虚拟健康服务时提供额外的技术和社会支持，并为客户在大流行期间提供保持社交联系的替代方式。了解客户的观点可以为促进护理连续性和增强护理体验的策略提供信息。
