Partnership to End Addiction, 711 Third Avenue, Suite 500, New York, NY 10017, United States of America.
Partnership to End Addiction, 711 Third Avenue, Suite 500, New York, NY 10017, United States of America.
J Subst Use Addict Treat. 2024 Dec;167:209512. doi: 10.1016/j.josat.2024.209512. Epub 2024 Sep 10.
Opioid use disorder (OUD) among young adults (YAs) continues to persist as a national health crisis. Best practice recommendations for YA OUD treatment highlight the importance of medication for OUD (MOUD) and family involvement across the treatment services continuum for better treatment retention and outcomes. Yet, concerned significant others (CSOs) such as family members, romantic partners, and family-of-choice members are not routinely involved in OUD and MOUD treatment for YAs.
We used convenience sampling to recruit 25 YAs (ages 21 to 36) in treatment for OUD from two urban treatment centers. We discussed with YAs the identities of their CSOs and the dynamics of those relationships, their perspectives on CSO involvement in their OUD treatment, and the beliefs and attitudes they hold about family involvement in treatment and recovery. Thematic content analysis was deductive-dominant based on a semi-structured qualitative interview guide. Group consensus coding was followed by matrix analysis.
We identified five main themes: (1) YA and CSO relationships were supportive, evolving, and complex. (2) CSO support motivated treatment engagement and participation. (3) Only a small proportion of CSOs participated in treatment activities despite actively supporting treatment in other ways. (4) YAs experienced their CSOs as supportive of their treatment and recovery goals, including MOUD. (5) YAs believed family involvement is essential to treatment and many were unsatisfied with current family involvement in their care.
In this qualitative study of OUD treatment experiences among YAs, we learned that many YAs have CSOs who are invested in their treatment and recovery and yet are not routinely involved in treatment. Moreover, YAs often expressed family involvement is essential to OUD treatment, and many expressed a desire for greater family involvement in their own treatment. Clinical recommendations for relationship-oriented treatment are presented.
年轻人（YAs）的阿片类药物使用障碍（OUD）仍然是全国性的健康危机。针对 YA OUD 治疗的最佳实践建议强调了 OUD 药物治疗（MOUD）和家庭参与贯穿整个治疗服务连续体的重要性，以提高治疗保留率和治疗效果。然而，关心的重要他人（CSO），如家庭成员、恋爱伴侣和选择的家庭成员，通常不参与 YAs 的 OUD 和 MOUD 治疗。
我们使用便利抽样法从两家城市治疗中心招募了 25 名接受 OUD 治疗的 YAs（年龄在 21 岁至 36 岁之间）。我们与 YAs 讨论了他们 CSO 的身份和这些关系的动态，他们对 CSO 参与他们的 OUD 治疗的看法，以及他们对家庭参与治疗和康复的信念和态度。主题内容分析是基于半结构化定性访谈指南的演绎主导。随后进行了小组共识编码和矩阵分析。
我们确定了五个主要主题：（1）YA 和 CSO 的关系是支持性的、不断发展的和复杂的。（2）CSO 的支持激发了治疗的参与和参与。（3）尽管以其他方式积极支持治疗，但只有一小部分 CSO 参与了治疗活动。（4）YAs 认为他们的 CSO 支持他们的治疗和康复目标，包括 MOUD。（5）YAs 认为家庭参与对治疗至关重要，许多人对目前家庭在他们的护理中的参与感到不满。
在这项针对 YAs 的 OUD 治疗经验的定性研究中，我们了解到许多 YAs 有 CSO 对他们的治疗和康复有投资，但没有例行参与治疗。此外，YAs 经常表示家庭参与对 OUD 治疗至关重要，许多人希望更多地参与自己的治疗。提出了面向关系的治疗的临床建议。
