Department of Medicine, University of British Columbia, 317 - 2194 Health Sciences Mall, Vancouver, BC V6T 1Z3, Canada; British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC V6Z 2A9, Canada.
Department of Medicine, University of British Columbia, 317 - 2194 Health Sciences Mall, Vancouver, BC V6T 1Z3, Canada; British Columbia Centre on Substance Use, 400-1045 Howe Street, Vancouver, BC V6Z 2A9, Canada.
Int J Drug Policy. 2024 Nov;133:104598. doi: 10.1016/j.drugpo.2024.104598. Epub 2024 Oct 7.
Despite extensive literature exploring the harms associated with illicit substance use among young people who use drugs (YPWUD), the concept of "recovery" among this population has received significantly less attention. Addressing this literature gap can inform efforts to better support YPWUD as they pursue their goals.
To examine the qualitative literature on how young people (< 30 years of age) understand and navigate substance use recovery and healing in the context of illicit substance use, including how interventions and caregivers are implicated in these processes.
The design for this scoping review was guided by Arksey and O'Malley's framework and informed by Levac et al. refinements. We surveyed five bibliographic databases for English, peer-reviewed, empirical studies published between 1999 and 2023. Studies were independently reviewed by two reviewers. We charted, synthesized, and assessed studies for common themes.
A total of 28 articles met the inclusion criteria for this scoping review. Studies show varied definitions and enactments of recovery as part of a continuum of substance use care, frequently extending beyond the notion of recovery as abstinence. Caregivers providing emotional, material, and social support are crucial to recovery; however, the challenges of supporting a young person's recovery are manifold, including misaligned expectations about recovery definitions and processes.
Findings underscore the need for recovery-oriented care that aligns with young people's diverse and shifting needs, goals, and contexts. Recovery programs must range from harm reduction to abstinence-based approaches across institutional and non-institutional settings and actively engage YPWUD and caregivers.
尽管有大量文献探讨了年轻人吸毒（YPWUD）与非法药物使用相关的危害，但该人群的“康复”概念却受到了较少关注。填补这一文献空白可以为更好地支持 YPWUD 实现目标提供信息。
考察年轻人（<30 岁）如何理解和驾驭非法药物使用背景下的药物使用康复和康复过程的定性文献，包括干预措施和护理人员如何参与这些过程。
本范围综述的设计受 Arksey 和 O'Malley 框架的指导，并借鉴了 Levac 等人的改进。我们调查了五个英文同行评审的文献数据库，以获取 1999 年至 2023 年期间发表的实证研究。由两名评审员独立对研究进行审查。我们对研究进行图表绘制、综合和评估，以确定共同主题。
共有 28 篇文章符合本范围综述的纳入标准。研究表明，康复的定义和实施各不相同，是药物使用护理连续体的一部分，经常超出了康复作为戒断的概念。提供情感、物质和社会支持的护理人员对康复至关重要；然而，支持年轻人康复的挑战是多方面的，包括对康复定义和过程的期望不一致。
研究结果强调了需要以康复为导向的护理，以符合年轻人多样化和不断变化的需求、目标和背景。康复计划必须从减少伤害到基于禁欲的方法，在机构和非机构环境中进行，并积极吸引 YPWUD 和护理人员。
