"It's time for a change. I need to. I have to": Substance misuse recovery turning points of unhoused Alaskans.

IF 0.9 Q3 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Prevention & Intervention in the Community Pub Date : 2024-04-15 DOI:10.1080/10852352.2024.2332124

Alicia F Marvin, Sara L Buckingham

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引用次数: 0

Abstract

Substance misuse is a pernicious health concern for many unhoused people. A deep understanding of turning points - what propels someone to take concrete action toward addressing substance misuse - is needed to inform recovery policies and practices. This study sought to identify common elements in turning points among unhoused people vis-à-vis a phenomenological qualitative approach. Twenty people (Mage = 47.47, SD = 9.75; 50% female) who self-identified as being in recovery while unhoused participated in semi-structured interviews in Anchorage, Alaska, a community with high rates of both houselessness and substance misuse. Survival (life- and health-sustaining), individual (intrapersonal), and relational (interpersonal) motivations all shaped turning points. Limitations include the possible underrepresentation of individuals using a harm-reduction approach or capturing differences by housing type. Programs to address substance misuse should consider these motivations. Future research should identify and refine turning points and work to understand how they interact with change processes.

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"是时候改变了。我需要改变。我必须改变"：无家可归的阿拉斯加人药物滥用康复的转折点。

药物滥用对许多无家可归的人来说是一个有害的健康问题。我们需要深入了解转折点--是什么促使人们采取具体行动来解决药物滥用问题--以便为康复政策和实践提供依据。本研究试图通过现象学定性方法，找出无家可归者转折点的共同要素。在阿拉斯加州的安克雷奇（一个无家可归和药物滥用率都很高的社区），20 名自我认同为正在康复但无家可归的人（年龄 = 47.47，标准差 = 9.75；50% 为女性）参加了半结构化访谈。生存（维持生命和健康）、个人（个人内部）和关系（人际）动机都决定了转折点。其局限性包括：采用减少伤害方法的个人可能代表性不足，或无法捕捉住房类型的差异。解决药物滥用问题的计划应考虑这些动机。未来的研究应确定并完善转折点，并努力了解它们如何与改变过程相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Prevention & Intervention in the Community PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： The Journal of Prevention & Intervention in the Communityis on the cutting edge of social action and change, not only covering current thought and developments, but also defining future directions in the field. Under the editorship of Joseph R. Ferrari since 1995, Prevention in Human Services was retitled as the Journal of Prevention & Intervention in the Communityto reflect its focus of providing professionals with information on the leading, effective programs for community intervention and prevention of problems. Because of its intensive coverage of selected topics and the sheer length of each issue, the Journal of Prevention & Intervention in the Community is the first-and in many cases, primary-source of information for mental health and human services development.