Criminology and Social Sciences, University of Derby, Derby, UK.
Recovery Research Institute, Center for Addiction Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston, MA, USA.
Addiction. 2022 Apr;117(4):1139-1145. doi: 10.1111/add.15732. Epub 2021 Dec 1.
The concept of recovery capital (RC) has emerged in studies and discussions of the addiction recovery process and as a potential metric and marker for recovery gains. Although conceptual and applied development of the concept in the 20 years since the term was coined has increased, there remains insufficient clarity of key domains, factors and best practice research and applications for populations experiencing addiction. We aimed to review progress around the conceptualisation and operationalisation of RC and to consider future directions for a science of recovery capital.
We provided a brief overview of theoretical foundations and advances, empirical measurement and application in treatment and continuing care settings. We next introduced four primary areas for addiction science to address, namely: (i) conceptual development (e.g. how RC domains are unique, but interrelated entities, valence of RC), (ii) empirical testing, adequacy of measurement and analysis, (iii) directions for novel application in treatment and recovery settings and (iv) dissemination and communication to policy, practice and lived experience groups. In this review, we also focussed on some of the challenges that must be addressed for a science of RC, which could produce long-term impact in treatment and policy.
Despite burgeoning empirical work on RC, its application and translation has been unsystematic. The field currently relies on self-report questionnaires for the development of the theory and quantification of RC. Therefore, there is an urgent need for rigorous and systematic conceptual and empirical development of RC.
A formal collaboration between scholars, practitioners and experts by experience worldwide would move recovery capital forward in an empirically driven and culturally appropriate manner, as would testing its applicability at individual, organisational and societal levels.
恢复资本(RC)的概念在成瘾康复过程的研究和讨论中已经出现,并且可以作为衡量和标记康复收益的潜在指标。尽管自该术语提出以来的 20 年中,该概念在概念和应用方面的发展有所增加,但对于经历成瘾的人群,其关键领域、因素和最佳实践研究与应用仍然不够清晰。我们旨在回顾 RC 的概念化和操作化方面的进展,并考虑恢复资本科学的未来方向。
我们简要概述了理论基础和进展、治疗和持续护理环境中的经验测量和应用。接下来,我们引入了成瘾科学需要解决的四个主要领域,即:(i)概念发展(例如,RC 领域如何是独特但相互关联的实体,RC 的价值),(ii)实证检验、测量和分析的充分性,(iii)在治疗和康复环境中进行新颖应用的方向,以及(iv)向政策、实践和生活经验群体传播和交流。在本次审查中,我们还重点关注了 RC 科学必须解决的一些挑战,这些挑战可能会对治疗和政策产生长期影响。
尽管 RC 的实证工作不断涌现,但它的应用和转化一直缺乏系统性。该领域目前依赖于自我报告问卷来发展 RC 的理论和量化。因此,迫切需要对 RC 进行严格和系统的概念和实证发展。
全球学者、从业者和经验丰富的专家之间的正式合作将以经验驱动和文化上适当的方式推动恢复资本的发展,同时还将测试其在个人、组织和社会层面的适用性。