Trang Nguyen Thu, Giang Le Minh, Hoe Han Dinh, Anh Nguyen Huu, Thuy Dinh Thi Thanh, Bart Gavin
Center for Training and Research on Substance Use & HIV, Hanoi Medical University, Vietnam.
Center for Training and Research on Substance Use & HIV, Hanoi Medical University, Vietnam.
Int J Drug Policy. 2025 Jan;135:104681. doi: 10.1016/j.drugpo.2024.104681. Epub 2024 Dec 23.
Compulsory drug rehabilitation continues to be a major governmental response to illicit drug use in East and Southeast Asia despite repeated calls for its discontinuation. Extensive evidence from individuals with substance use disorders and advocacy groups highlights the adverse health, social and economic outcomes associated with compulsory drug rehabilitation. However, the perspective of families on this issue remains relatively unexplored.
Between April 2020 and August 2022, we conducted in-depth interviews in three major cities in Vietnam with 20 family members of people who recently returned from or were about to leave compulsory drug rehabilitation centers. Interviews explored how compulsory rehabilitation met the needs of families, how effective families perceived compulsory rehabilitation was and what families' needs or concerns that remained unmet.
Compulsory drug rehabilitation centers, despite their recognized limitations, were perceived as the last resort for family members after multiple failed attempts to protect their loved ones from the consequences of drug use and to relieve themselves from constant drug-related stress. Family members considered the effectiveness of compulsory rehabilitation to be the short-term improvements in the health and mood that their loved ones exhibited while in the centers. However, families predominantly worried about the risk of relapse after release and employed three main strategies consisting of conditional support, employment and close monitoring to prevent it. The support available to families to support recovery at post-release was severely limited.
The study underscores the urgent need to alleviate the burden of drug use on families affected by substance use disorders. It is imperative to develop community-based and evidence-based rehabilitation options for PWUD and supportive services for their families.
尽管有人多次呼吁停止强制戒毒，但在东亚和东南亚地区，强制戒毒仍然是政府应对非法药物使用的主要措施。来自患有物质使用障碍的个人和倡导团体的大量证据表明，强制戒毒会带来不良的健康、社会和经济后果。然而，家庭在这个问题上的观点仍未得到充分探讨。
在2020年4月至2022年8月期间，我们在越南的三个主要城市对20名最近从强制戒毒中心返回或即将离开强制戒毒中心的人员的家庭成员进行了深入访谈。访谈探讨了强制戒毒如何满足家庭的需求，家庭成员认为强制戒毒的效果如何，以及家庭尚未得到满足的需求或担忧。
尽管强制戒毒中心存在公认的局限性，但在多次试图保护亲人免受吸毒后果影响并使自己摆脱持续的毒品相关压力均告失败后，家庭成员将其视为最后的手段。家庭成员认为强制戒毒的效果是他们的亲人在戒毒中心时健康和情绪方面的短期改善。然而，家庭主要担心戒毒人员获释后复发的风险，并采用了三种主要策略，即有条件支持、就业和密切监测来预防复发。家庭在戒毒人员获释后可获得的支持恢复的资源严重有限。
该研究强调迫切需要减轻吸毒对受物质使用障碍影响家庭的负担。为吸毒者开发基于社区和循证的康复方案以及为其家庭提供支持性服务势在必行。
