Friends Research Institute, Inc, Baltimore, Maryland, USA.
Medical Director & Senior Research Scientist, Friends Research Institute, Inc, Baltimore, Maryland, USA.
Subst Abus. 2021;42(4):990-997. doi: 10.1080/08897077.2021.1901178. Epub 2021 Mar 24.
Despite the considerable literature associating certain characteristics of caregivers and family structures with risks of adolescent/young adult (youth) substance use, there has been little study of the role of caregivers in opioid use disorder (OUD) treatment outcomes. This qualitative study sought to understand and contextualize the factors that influenced the resources caregivers provided their youth after residential treatment. In order to improve understandings of the role caregivers play both during and after residential OUD treatment, 31 caregivers of youth who were in a residential substance use disorder treatment center were interviewed at baseline, three-months, and six-months following their youth's discharge. This analysis focused on the provision of caregiver resources and identified three key influences - OUD understandings and expectations, relationships with youth, and the emotional toll on caregivers. This has important implications as residential treatment success rates are relatively low among this population. These findings suggest that engagement of caregivers and families in outpatient care following residential treatment could offer an important opportunity for interventions that promote youth recovery.
尽管有大量文献将护理人员和家庭结构的某些特征与青少年/年轻成年人（青年）物质使用风险联系起来，但很少有研究关注护理人员在阿片类药物使用障碍（OUD）治疗结果中的作用。这项定性研究旨在了解和阐明影响护理人员在青少年住宅治疗后为其提供资源的因素。为了提高对护理人员在住宅 OUD 治疗期间和之后所扮演角色的理解，在青少年出院后三个月和六个月时，对 31 名居住在物质使用障碍治疗中心的青少年的护理人员进行了基线访谈。本分析重点关注护理人员资源的提供，并确定了三个关键影响因素 - OUD 的理解和期望、与青少年的关系以及对护理人员的情感影响。这具有重要意义，因为在这一人群中，住宅治疗的成功率相对较低。这些发现表明，在住宅治疗后让护理人员和家庭参与门诊护理可能为促进青年康复的干预措施提供一个重要机会。
