The recovery experiences of homeless service users with substance use disorder: A systematic review and qualitative meta-synthesis

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2024-08-01 DOI:10.1016/j.drugpo.2024.104528

Branagh R. O'Shaughnessy , Paula Mayock , Aimen Kakar

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引用次数: 0

Abstract

Background

The relationship between homelessness and substance use disorder (SUD) is layered and complex. Adults pursuing recovery while dealing with homelessness and SUD face many challenges. Little research has inspected qualitative first-person accounts of recovery in the context of homelessness and SUD, and few studies have employed conceptualisations of recovery beyond abstinence. In this systematic review study, we examine the qualitative literature on the recovery experiences of adult homeless service users with SUD.

Methods

2,042 records were identified via database and secondary searching strategy. After title and abstract and full text screening, 15 eligible studies remained. Critical Appraisal Skills Programme quality appraisal criteria was used to assess potential bias in the studies. Meta-ethnography was employed to synthesise extracted data.

Results

Four themes were generated from the extracted data: Two sides of the Service Coin; Navigating Relationships; Recovery Practices and Personal Attributes; and Housing as Foundational for Recovery.

Conclusion

Unconditional housing, a broad array of supports, opportunities to contribute to society, and family reunification supports all facilitate the development of recovery for adults with SUD experiencing homelessness. Implications for policy are discussed.

查看原文本刊更多论文

患有药物使用障碍的无家可归者的康复经历：系统回顾与定性元综合。

背景：无家可归与药物使用障碍（SUD）之间的关系是多层次和复杂的。追求康复的成年人在面对无家可归和药物滥用障碍时面临着许多挑战。很少有研究对无家可归和药物依赖性障碍背景下的第一人称康复情况进行定性分析，也很少有研究采用戒断以外的康复概念。在这项系统性综述研究中，我们考察了有关患有药物依赖性疾病的成年无家可归者的康复经历的定性文献。方法：通过数据库和二次检索策略确定了 2,042 条记录。经过标题、摘要和全文筛选后，符合条件的研究仍有 15 项。采用 "批判性评估技能计划 "质量评估标准来评估研究中可能存在的偏差。采用元人类学方法对提取的数据进行综合：从提取的数据中产生了四个主题：服务硬币的两面；关系导航；康复实践与个人属性；住房是康复的基础：结论：无条件的住房、广泛的支持、为社会做贡献的机会以及家庭团聚支持都有助于无家可归的患有 SUD 的成年人实现康复。本文还讨论了对政策的影响。

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

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.