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超越 5 年的康复期:具有生活和生存经验的研究人员对公众参与和讨论的看法。

Beyond the 5-year recovery mark: Perspectives of researchers with lived and living experience on public engagement and discourse.

机构信息

University of Oregon, Oregon Research Institute, & Influents Innovations, USA.

College of Education & Human Development, University of North Dakota, USA.

出版信息

Int J Drug Policy. 2024 Nov;133:104599. doi: 10.1016/j.drugpo.2024.104599. Epub 2024 Sep 27.

Abstract

There has been growing attention toward including people with lived and living experience (PWLLE) with substance use, substance use disorders, and recovery in public-facing activities. The goals of including PWLLE in sharing their perspectives often include demonstrating that recovery is possible, destigmatizing and humanizing people who have substance use experiences, and leveraging their lived experience to illuminate a particular topic or issue. Recently, the National Council for Mental Wellbeing issued a set of guidelines entitled, "Protecting Individuals with Lived Experience in Public Disclosure," which included a "Lived Experience Safeguard Scale." We offer the present commentary to bolster some of the ideas presented by the Council and to articulate suggested changes to this guidance, with the goal of reducing unintentional gatekeeping and stigma. Specifically, we offer that there are numerous problems with the recommendation to only invite people who have "five or more years of sustained recovery" to contribute to public discourse. The idea of perceived stability after five years of abstinence is not new to us or the field. We suggest that this idea excludes people who have experienced the present rapidly changing substance use landscape, people who have briefly returned to use, some young people, and people with living experience who also can valuably contribute to public discourse. We offer alternative guidelines to the National Council for Mental Wellbeing and others seeking to promote practices that are inclusive to the diversity of PWLLE.

摘要

越来越多的人开始关注让有物质使用、物质使用障碍和康复经历的人(PWLLE)参与面向公众的活动。让 PWLLE 分享他们的观点的目的通常包括展示康复是可能的,消除对有物质使用经历的人的污名化和人性化,以及利用他们的生活经验来阐明特定的主题或问题。最近,国家心理健康委员会发布了一套名为“保护公开披露中具有生活经验的个人”的指导方针,其中包括“生活经验保障量表”。我们提供本评论来支持委员会提出的一些想法,并阐明对这一指导的建议修改,目标是减少无意识的把关和污名化。具体来说,我们认为只邀请那些有“五年或以上持续康复”经历的人来参与公共讨论的建议存在许多问题。五年戒断后稳定的观念对我们或该领域来说并不新鲜。我们认为,这个观念排除了那些经历了当前快速变化的物质使用环境的人、那些短暂回归使用的人、一些年轻人和有生活经验但也能为公共讨论做出有价值贡献的人。我们为国家心理健康委员会和其他寻求促进包容 PWLLE 多样性的实践提供了替代指导方针。

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