加纳一家精神病院采用治疗社区模式治疗物质使用障碍，对该模式下住院医生的体验的研究。
Experiences of residents in a therapeutic community model of substance use disorder treatment in a mental hospital in Ghana.
机构信息
Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast, Central Region, Cape Coast, Ghana.
Department of Communication, College of Arts, University of Cape Coast, Central Region, Cape Coast, Ghana.
出版信息
BMC Psychiatry. 2024 Oct 18;24(1):704. doi: 10.1186/s12888-024-06179-z.
BACKGROUND
In Ghana, the use of illegal drugs and alcohol has been classified as endemic. To manage this menace, the Therapeutic Community model for Substance Use Disorders (SUD) was introduced in Ghana about a decade ago as an alternative to other existing strategies. However, the effectiveness of this treatment modality for substance use disorders in Pantang Mental Hospital and Accra Psychiatric Hospital has not been scientifically studied.
OBJECTIVE
This study, therefore, sought to explore the experiences of substance users or residents enrolled in the Therapeutic Community programme toward recovery from substance use disorders.
METHOD
This research employed an explorative-descriptive design. Participants (N = 20) were enrolled purposively sampled and recruited into the study. Face-to-face interviews were conducted using a semi-structured guide and data were analyzed using Colaizzi's descriptive phenomenology data analysis process.
RESULTS
Two main themes emerged from the data: "Why I stayed" (Motivation), and "All things are new" (Life transformation). The study pointed out that residents or participants mainly expressed positive experiences in the programme, including experiencing a sense of belongingness, enhanced self-esteem/self-worth, and most importantly, developing hope of a life free of addiction.
CONCLUSION
In conclusion, the study found that participants in the Therapeutic Community (TC) program generally had positive experiences and believed in its effectiveness for recovery. Factors such as a relaxed environment, supportive staff, and interactions with other residents contributed to their positive experience. The study discovered that motivation, a conducive environment for care, structured program activities, and relationships among residents were key factors that motivated participants to stay and actively participate in the therapeutic community program. These factors fostered hope and a sense of belonging, ultimately contributing to their recovery journey. However, participants expressed the need for self-actualization, which they hoped to achieve after completing the program and reintegrating into the community.
背景
在加纳，非法药物和酒精的使用已被归类为地方性问题。为了应对这一威胁，大约十年前，加纳引入了用于物质使用障碍（SUD）的治疗社区模式，作为其他现有策略的替代方案。然而，这种物质使用障碍治疗模式在潘塘精神病院和阿克拉精神病院的有效性尚未经过科学研究。
目的
因此，本研究旨在探索参加治疗社区计划的物质使用者或居民在戒除物质使用障碍方面的经验。
方法
本研究采用了探索性描述设计。参与者（N=20）是通过目的性抽样被招募入组的。使用半结构化指南进行了面对面访谈，数据采用 Colaizzi 的描述现象学数据分析过程进行分析。
结果
数据中出现了两个主要主题：“我为什么留下”（动机）和“一切都是新的”（生活转变）。研究指出，居民或参与者主要表达了他们在该计划中的积极体验，包括归属感增强、自尊心/自我价值感提高，最重要的是，他们对无成瘾的生活产生了希望。
结论
总的来说，研究发现治疗社区（TC）计划的参与者普遍有积极的体验，并相信该计划对康复有效。例如，放松的环境、支持性的工作人员以及与其他居民的互动等因素促成了他们的积极体验。研究发现，动机、有利于护理的环境、结构化的项目活动以及居民之间的关系是促使参与者留下来并积极参与治疗社区计划的关键因素。这些因素激发了希望和归属感，最终促进了他们的康复之旅。然而，参与者表达了对自我实现的需求，他们希望在完成计划并重新融入社区后实现这一目标。
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