Abstract

While several quantitative studies exist describing the factors associated with maintaining objectives attained by people with addictions during their stay in residential therapeutic centres (RTC), few studies have examined the point of view of the residents themselves on this question. In the present study, qualitative interviews were conducted with 45 residents of an RTC in the Paris area at the end of their stay or in the 4–9 following months. Residents’ views confirmed the importance of: consolidating risk and stress management skills during their stay; adopting a holistic well-being approach; developing a truly personal health project; a treatment centre that really seems to care; peer support during and after their stay; and improving family and social networks. Obstacles included residents with rarer addictions feeling left out during group work; insufficient anticipation of the risks associated with returning to everyday life; a supportive group approach that disappears when returning to everyday life; and too great a gap between the RTC approach and the values of both the individual’s personal social network and their follow-up care professionals. In conclusion, although residents underline the therapeutic success of their stay, key questions remain concerning obstacles in recovery pathways when returning into real life situations.

摘要

虽然有几项定量研究描述了与成瘾者在住院治疗中心 (RTC) 逗留期间维持目标相关的因素，但很少有研究检查居民自己对这个问题的观点。在本研究中，对巴黎地区 RTC 的 45 名居民在逗留结束时或接下来的 4-9 个月进行了定性访谈。居民的意见证实了以下几点的重要性： 在逗留期间巩固风险和压力管理技能；采用整体福祉方法；开发一个真正的个人健康项目；一个似乎真的很关心的治疗中心；逗留期间和之后的同伴支持；并改善家庭和社交网络。障碍包括很少上瘾的居民在小组工作中感到被忽视；对回归日常生活的风险预期不足；当回到日常生活中时，一种支持性的团体方法就会消失；RTC 方法与个人的个人社交网络及其后续护理专业人员的价值观之间存在太大差距。总而言之，尽管居民强调了他们逗留期间的治疗成功，但关键问题仍然是回到现实生活中时康复途径中的障碍。RTC 方法与个人社交网络及其后续护理专业人员的价值观之间存在太大差距。总而言之，尽管居民强调了他们逗留期间的治疗成功，但关键问题仍然是回到现实生活中时康复途径中的障碍。RTC 方法与个人社交网络及其后续护理专业人员的价值观之间存在太大差距。总而言之，尽管居民强调了他们逗留期间的治疗成功，但关键问题仍然是回到现实生活中时康复途径中的障碍。