Medina Stephany, Van Deelen Anna, Tomaszewski Robyn, Hager Keri, Chen Nathaniel, Palombi Laura
South Dakota State University - University of South Dakota Joint Master of Public Health Program, Brookings, SD, USA.
Pharmacy Practice and Pharmaceutical Sciences, University of Minnesota - College of Pharmacy, Duluth, MN, USA.
Subst Abuse. 2022 May 30;16:11782218221097396. doi: 10.1177/11782218221097396. eCollection 2022.
Substance use disorders (SUD) pose emotional, mental, and physical threats to persons worldwide. There is a paucity of research focused on capturing individual perspectives on supports and barriers to recovery from a SUD. This need has been identified in areas of Minnesota where a gap in evidence-based substance use support exists. A team of interdisciplinary professionals distributed a qualitative survey assessing supports and barriers to SUD recovery within recovery circles in order to inform the efforts of local organizations. This paper and online access survey was adapted from an existing survey created by Faces and Voices of Recovery. The online survey was accessed by a link and distributed to persons in recovery across Minnesota over 7 months. Data from this survey were analyzed through a consensual qualitative research (CQR) coding method. Notable themes emerged in the following domains: healthcare, environment, individual, and community. Community-wide stigma was an overarching concern, and the study yielded unique insights into stigma within healthcare and the community at-large. Barriers and support to recovery were reported. Barriers included experiencing high levels of stigma and identifying a need for community education on SUDs and recovery. Support included local recovery groups, peer recovery support, and access to healthcare and medication. Our findings illuminate the needs of the recovery community from the perspective of individuals with lived experience and will inform local organizations in specifying resources to help meet the identified needs. This survey may also be adapted and used around the world to inform substance use prevention, treatment, and recovery programing.
物质使用障碍（SUD）对全球各地的人们构成了情感、心理和身体上的威胁。目前针对了解从物质使用障碍中康复的支持因素和障碍的个人观点的研究较少。明尼苏达州的一些地区已经认识到了这一需求，因为在这些地区，基于证据的物质使用支持存在缺口。一个跨学科专业团队开展了一项定性调查，评估康复圈子内物质使用障碍康复的支持因素和障碍，以便为当地组织的工作提供信息。本文及在线访问调查改编自康复面孔与声音组织创建的一项现有调查。在线调查通过链接进行访问，并在7个月内分发给明尼苏达州各地的康复者。通过共识定性研究（CQR）编码方法对该调查的数据进行了分析。在以下领域出现了显著的主题：医疗保健、环境、个人和社区。社区层面的耻辱感是一个首要问题，该研究对医疗保健领域和整个社区内的耻辱感产生了独特的见解。报告了康复的障碍和支持因素。障碍包括遭受高度耻辱感以及认识到需要开展关于物质使用障碍和康复的社区教育。支持因素包括当地的康复团体和同伴康复支持，以及获得医疗保健和药物的机会。我们的研究结果从有实际经历的个人角度阐明了康复社区的需求，并将为当地组织确定资源以帮助满足已确定的需求提供信息。这项调查也可以在世界各地进行改编和使用，以为物质使用预防、治疗和康复规划提供信息。
