Abstract

Following the paradigm shift to recovery in the Anglophone world, recovery is also gaining momentum in drug policy and practice in Flanders (Belgium) and the Netherlands. Since the meaning of recovery is being debated internationally, broadening the assessment of how the recovery framework is applied in policy discourse and how it is implemented in various international contexts is imperative. This comparative policy analysis aims to assess similarities and differences in addiction recovery vision, implementation, and evaluation in Flanders and the Netherlands. The thematic analysis draws upon a triangulation of different data collection methods: a focus group (n = 14) and interviews (n = 21) with key figures in the addictions field, followed by analyses of relevant policy documents (n = 9). Our findings show that a holistic vision of addiction recovery is endorsed in both countries. Although differences in policy development occurred (i.e. centrally driven in Flanders versus ‘bottom-up’ in the Netherlands), similar challenges emerged concerning recovery-oriented addiction policies. While policymakers in Flanders and the addiction sector in the Netherlands strongly proclaim recovery, structural implementation, dedicated funding, and systematic evaluation of recovery-oriented policies are lacking. This study suggests that systematic inclusion of experts by experience and aligning government and practice level funding and policies are crucial.

摘要

随着英语世界向复苏的范式转变，佛兰德斯（比利时）和荷兰的毒品政策和实践的复苏也在获得动力。由于复苏的含义正在国际上进行辩论，因此必须扩大对复苏框架如何应用于政策讨论以及如何在各种国际背景下实施的评估。该比较政策分析旨在评估佛兰德斯和荷兰在成瘾恢复愿景、实施和评估方面的异同。专题分析利用不同数据收集方法的三角测量：焦点小组（n  = 14）和 与成瘾领域关键人物的访谈（n = 21），然后分析相关政策文件（n  = 9）。我们的研究结果表明，这两个国家都认可对成瘾康复的整体看法。尽管政策制定存在差异（即在法兰德斯集中驱动与在荷兰“自下而上”），但在以恢复为导向的成瘾政策方面出现了类似的挑战。虽然法兰德斯的政策制定者和荷兰的成瘾部门强烈宣布复苏，但缺乏结构性实施、专项资金以及对面向复苏的政策的系统评估。这项研究表明，系统地吸收经验丰富的专家以及调整政府和实践层面的资金和政策至关重要。