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从监狱重返社区期间的问题性物质使用问题探索:主题分析。

Exploring Problematic Substance Use during Reentry from Prison to the Community: A Thematic Analysis.

机构信息

Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon, USA.

Department of Learning, Development and Professional Practice, The University of Auckland, Auckland, New Zealand.

出版信息

Subst Use Misuse. 2021;56(13):2049-2058. doi: 10.1080/10826084.2021.1967989. Epub 2021 Sep 5.

Abstract

The reentry process from prison to the community is rife with obstacles. Substance use problems, in particular, can present significant barriers to successful reentry. However, little research has examined the various roles that substance use plays during reentry from the perspective of those reentering the community. The current study explores reentry experiences of people who have been recently released from prison with a specific focus on their experiences with substance use during the reentry process. Using thematic analysis, the present study explored substance use experiences from 26 semi-structured interviews. Seven main themes emerged: recovery and sobriety, substance use programs, relapse, substance use exposure, triggers and other challenges, impact of incarceration on substance use, and reflections about substance use. Within each of these broad themes, additional subthemes emerged. Findings suggest complex histories of substance use spanning ecological contexts, including family, neighborhood, and corrections facilities as well as provide support for the pervasive and persistent nature of substance use among previously incarcerated individuals. Implications for practice and policy are discussed as well as potential future directions for research.

摘要

从监狱重新融入社区的过程充满了障碍。特别是药物使用问题,可能会对成功重新融入社会造成重大障碍。然而,很少有研究从重新融入社区的人的角度来探讨药物使用在重新融入过程中所扮演的各种角色。本研究从 26 次半结构化访谈中探讨了最近刚从监狱获释的人的重新融入经历,特别关注他们在重新融入过程中药物使用的经历。使用主题分析,本研究探讨了药物使用的经验。七个主要主题出现:恢复和清醒,药物使用计划,复发,药物使用暴露,触发因素和其他挑战,监禁对药物使用的影响,以及对药物使用的反思。在这些广泛的主题中,又出现了其他的子主题。研究结果表明,药物使用的历史复杂,跨越了生态环境,包括家庭、社区和惩教设施,并为以前被监禁的人药物使用的普遍和持久性质提供了支持。讨论了对实践和政策的影响,以及研究的潜在未来方向。

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