Polcin Douglas L, Mahoney Elizabeth, Mericle Amy A
Behavioral Health and Recovery Studies, Public Health Institute, Oakland, California.
Alcohol Research Group, Public Health Institute, Emeryville, California.
J Subst Use. 2021;26(2):151-155. doi: 10.1080/14659891.2020.1789230. Epub 2020 Jul 24.
Alcohol and drug treatment providers are increasingly emphasizing the role of long-term, community-based systems of care. A good example is Sober Living Houses (SLHs), which are peer operated alcohol- and drug-free living environments. Studies show residents of SLHs make significant improvements in multiple areas. However, little attention has been devoted to describing the critically important role of SLH managers who oversee these homes.
Thirty-five SLH managers completed interviews about the characteristics and operations of their houses, their activities as managers, and ways their own recovery was affected by their work.
Managers reported widespread use of some but not all principles of social model recovery. Manager roles varied dramatically in terms of time spent managing houses, activities related to their roles, and training they received. Some reported extensive amounts of time proving support to residents, while others viewed their role as primarily administrative.
Research is needed to understand reasons for manager differences, optimal manager functioning, and manager training needs. Research is also needed to assess whether different house characteristics require different manager roles.
酒精和药物治疗服务提供者越来越强调长期的、基于社区的护理系统的作用。一个很好的例子是清醒生活之家(SLHs),它们是由同伴运营的无酒精和无毒品生活环境。研究表明,清醒生活之家的居民在多个方面有显著改善。然而,很少有人关注描述监督这些住所的清醒生活之家管理人员的至关重要的作用。
35名清醒生活之家管理人员完成了关于他们住所的特征和运营、他们作为管理人员的活动以及他们自己的康复如何受到工作影响的访谈。
管理人员报告说,他们广泛使用了社会模式康复的一些但不是所有原则。管理人员的角色在管理住所的时间、与其角色相关的活动以及他们接受的培训方面有很大差异。一些人报告说花费大量时间为居民提供支持,而另一些人则认为他们的角色主要是行政性的。
需要进行研究以了解管理人员差异的原因、最佳管理人员职能和管理人员培训需求。还需要进行研究以评估不同的住所特征是否需要不同的管理人员角色。