Abstract

Even though various pathways to addiction recovery have been identified, knowledge on overarching essential components of addiction recovery processes remains limited. To explore these essential components, in-depth interviews were conducted with a heterogeneous group of individuals across pathways to addiction recovery (i.e. a low-threshold activation center, Narcotics Anonymous, a CRA + vouchers out-patient program, residential treatment programs, and ‘natural’ recovery). The interviews (n = 25) were audio-taped, transcribed verbatim, and thematically analyzed. In-depth analysis of the data resulted in a model that includes essential components of addiction recovery processes and their dynamic relationship. ‘Time’ and ‘supportive environments’ were identified as the foundations and facilitators for the transformative changes required in addiction recovery processes, which in turn contributed to ‘developing a sense of self’ and ‘developing a sense of future’. These components, interrelated and in a continuous interplay with each other, facilitated recovery processes. As a result, recovery-oriented support should be strengthened and specifically focus on supporting these essential components, by providing tailor-made and continuously available support. Given the relational character of addiction recovery processes, social networks and society at large should evolve towards the development of responsive and inclusive spaces to support persons in addiction recovery.

摘要

尽管已经确定了成瘾恢复的各种途径，但关于成瘾恢复过程的总体基本组成部分的知识仍然有限。为了探索这些基本组成部分，我们对不同成瘾恢复途径的一组异质个体（即低阈值激活中心、匿名麻醉品、CRA + 代金券门诊计划、住院治疗计划和“自然'恢复）。访谈（n = 25）被录音，逐字转录，并进行主题分析。对数据的深入分析产生了一个模型，其中包括成瘾恢复过程的基本组成部分及其动态关系。“时间”和“支持性环境”被确定为成瘾恢复过程所需变革性变化的基础和促进因素，这反过来又有助于“发展自我意识”和“发展未来感”。这些相互关联并持续相互作用的组成部分促进了恢复进程。因此，应加强以恢复为导向的支持，并通过提供量身定制和持续可用的支持，特别关注支持这些重要组成部分。鉴于成瘾恢复过程的相关特征，