College of Social Sciences, Theology and Education, Africa University, Mutare, Zimbabwe.
Clinical Research Center, Africa University, Mutare, Zimbabwe.
BMC Public Health. 2023 Apr 20;23(1):723. doi: 10.1186/s12889-023-15633-8.
The church and other religious-affiliated organizations have promising yet underexplored potential to provide social support services for young people recovering from substance abuse in communities where drug and substance rehabilitation services are limited. This study aimed to establish the barriers and facilitators of accessing psychosocial support, the role of the church, and strategies to promote access to psychosocial support for youths recovering from drug and substance abuse.
This was a qualitative cross-sectional study, and semi-structured interviews of 18 church-going youths and three youth pastors were conducted in eastern Zimbabwe. Data were collected using recorded telephone interviews. Data were transcribed and analyzed using the thematic network analysis technique of producing basic themes, which build into organizing themes. Organizing themes produces one overarching global theme. The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for reporting on qualitative research were used in reporting the study findings.
The interviews produced the following basic themes under organizing theme barriers: stigma and discrimination, parental/guardian denial, radical religious beliefs, and negative role models. Under the organizing theme facilitators, the basic themes were acceptance, confidentiality, peer and parental support, and an organized support program. The church acted as the bridge between the barriers to access to services and support seeking through innovative, inclusive projects and activities, as well as a pillar of social support.
Acceptance of one's addiction problem is critical to initiate seeking psychosocial support. Confidentiality, support from trustworthy relationships, and the availability of a well-coordinated recovery program enable young people to seek support. We recommend formal training church-based counselors in the ethical aspects of psychotherapy to reduce the preconceived social stigma associated with drug and substance abuse.
教会和其他宗教附属组织在为社区中药物和物质康复服务有限的康复中的年轻人提供社会支持服务方面具有很大的潜力，但尚未得到充分探索。本研究旨在确定获得心理社会支持的障碍和促进因素、教会的作用以及促进年轻人从药物和物质滥用中康复获得心理社会支持的策略。
这是一项定性的横断面研究，在津巴布韦东部对 18 名常去教堂的年轻人和 3 名青年牧师进行了半结构化访谈。使用录音电话访谈收集数据。使用主题网络分析技术对数据进行转录和分析，该技术产生基本主题，这些主题构成组织主题。组织主题产生一个总体的全球主题。本研究报告使用了定性研究报告的统一标准报告准则（COREQ）来报告研究结果。
访谈产生了以下基本主题，这些主题属于组织主题障碍：耻辱和歧视、父母/监护人否认、激进的宗教信仰和负面的榜样。在组织主题促进因素下，基本主题包括接受、保密、同伴和父母的支持以及有组织的支持计划。教会通过创新、包容的项目和活动以及作为社会支持支柱，充当了服务和支持寻求之间的桥梁，克服了获得服务的障碍。
接受自己的成瘾问题是开始寻求心理社会支持的关键。保密性、来自可信赖关系的支持以及协调良好的康复计划的可用性使年轻人能够寻求支持。我们建议对教会基础顾问进行心理治疗伦理方面的正式培训，以减少与药物和物质滥用相关的先入为主的社会耻辱感。
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