The Greenhouse Community Services Limited, Singapore, Singapore.
Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2, MD1 Tahir Foundation Building #10-01, Singapore, Singapore.
Subst Abuse Treat Prev Policy. 2024 Apr 16;19(1):23. doi: 10.1186/s13011-024-00605-x.
In Singapore, where drug use is a highly stigmatized and criminalized issue, there is limited understanding of the challenges faced by individuals, particularly sexual minority men, in their journey towards recovery from substance dependence or addiction. This qualitative study aimed to investigate the driving forces behind drug use, the factors contributing to drug cessation, and the elements influencing the recovery process.
Data were extracted from clinical records provided by The Greenhouse Community Services Limited between January 2020 to May 2022. These records encompassed information from four distinct forms: the intake assessment, progress notes, case closing summary, and the care plan review. Thematic analysis was employed to identify and categorize recurring themes within the data.
Data from beneficiaries (n = 125) were analyzed and yielded a series of themes related to facilitators of drug use, motivations to cease drug use, and managing one's ongoing recovery. Within the facilitators of drug use, two sub-themes were identified: (a) addressing trauma and triggers and (b) managing emotions. Additionally, managing one's recovery was marked by four significant sub-themes: (a) uncovering personal identities, (b) losing motivation and drive, (c) overcoming obstacles, and (d) preparing for aftercare.
The study contributes valuable insights into the dynamics of ongoing recovery management, offering potential avenues for interventions that could enhance support for individuals in their journey to overcome substance dependence. Enhancing psychoeducation and fostering peer support have the potential to facilitate the recovery process. Clearly, a holistic approach is needed to address these complex issues that cuts across our societies.
在新加坡，吸毒是一个高度污名化和犯罪化的问题，人们对性少数群体男性等个体在物质依赖或成瘾康复过程中所面临的挑战了解有限。本 qualitative 研究旨在探讨吸毒的驱动力、导致停药的因素以及影响康复过程的因素。
数据来自 2020 年 1 月至 2022 年 5 月期间 The Greenhouse Community Services Limited 提供的临床记录。这些记录包含了四种不同形式的信息：入组评估、进展记录、案例关闭摘要和护理计划审查。采用主题分析方法对数据中的反复出现的主题进行识别和分类。
对受益人的数据（n = 125）进行分析，得出了一系列与吸毒促进因素、停药动机和管理持续康复相关的主题。在吸毒促进因素中，确定了两个子主题：（a）解决创伤和触发因素，（b）管理情绪。此外，管理康复过程的四个重要子主题包括：（a）揭示个人身份，（b）失去动力和动力，（c）克服障碍，以及（d）为后续护理做准备。
本研究深入了解了持续康复管理的动态，为干预措施提供了有价值的见解，以增强对个体克服物质依赖的支持。增强心理教育和培养同伴支持有潜力促进康复过程。显然，需要采取整体方法来解决这些跨越我们社会的复杂问题。
