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个体摆脱物质使用障碍(SUD)的康复之路:新兴的康复证据基础对成瘾精神病学和实践有哪些影响?

Individual Paths to Recovery from Substance Use Disorder (SUD): What Are the Implications of the Emerging Recovery Evidence Base for Addiction Psychiatry and Practice?

机构信息

Business, Law and Social Sciences, University of Derby, One Friar Gate Square, Derby, Derbyshire DE1 1DF, United Kingdom.

Business, Law and Social Sciences, University of Derby, One Friar Gate Square, Derby, Derbyshire DE1 1DF, United Kingdom.

出版信息

Psychiatr Clin North Am. 2022 Sep;45(3):547-556. doi: 10.1016/j.psc.2022.04.006. Epub 2022 Aug 1.

DOI:10.1016/j.psc.2022.04.006
PMID:36055738
Abstract

Although the research base around 12-step effectiveness has been grown markedly in recent years, there has also been growth in the broader evidence base around recovery models, and this article reviews three key components: the transition to a social model of recovery; the emergence of a metric of recovery progress, recovery capital focused on building strengths; and multiple pathways to recovery, involving mutual aid groups, recovery community organizations, and access to jobs, friends, and housing. We conclude with an overview of the practical implications for addiction treatment and sustaining the gains made in specialist treatment services.

摘要

尽管近年来围绕 12 步有效性的研究基础显著增加,但围绕康复模式的更广泛证据基础也在增加,本文综述了三个关键组成部分:向社会康复模式的转变;康复进展衡量标准的出现,以康复资本为重点,强调优势建设;以及多种康复途径,包括互助小组、康复社区组织以及获得工作、朋友和住房的机会。最后,我们概述了成瘾治疗的实际影响以及维持专科治疗服务取得的成果。

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