Abstract

Inpatient detoxification is often required before a client can move on to additional substance abuse treatment services. Although often short-term, time spent in inpatient detoxification tends to have long-lasting effects on the recovery process. This qualitative study focuses on one treatment facility in Tampa, Florida that offers a range of recovery services, including inpatient detox and outpatient treatment. Focus groups (N = 70 participants) captured client perceptions of direct clinical care operations, access to resources, and relationships with direct care staff within the inpatient detox program. Perceptions were then assessed using a thematic analysis approach with attention to the literature on person-centered care best practices, behavior change, and patient engagement theories to better understand how facility practices affect treatment engagement and retention. Findings elucidated several practical facilitators and barriers to recovery such as facility resources, services offered, transition to aftercare, and sustainability of treatment. Findings also illuminated several personal facilitators and barriers including patient-staff interactions, personal motivation, and family and community support. The resulting recommendations for practice and research are discussed.

摘要

在客户可以转移到额外的药物滥用治疗服务之前，通常需要住院戒毒。尽管通常是短期的，但住院排毒时间往往会对康复过程产生长期影响。这项定性研究的重点是佛罗里达州坦帕市的一家治疗机构，该机构提供一系列康复服务，包括住院排毒和门诊治疗。焦点小组（N  = 70 名参与者）捕获了客户对住院排毒计划中直接临床护理操作、资源访问以及与直接护理人员的关系的看法。然后使用主题分析方法评估感知，并关注以人为本的护理最佳实践、行为改变和患者参与理论的文献，以更好地了解设施实践如何影响治疗参与和保留。调查结果阐明了恢复的几个实际促进因素和障碍，例如设施资源、提供的服务、向善后护理的过渡以及治疗的可持续性。调查结果还阐明了几个个人促进因素和障碍，包括医患互动、个人动机以及家庭和社区支持。讨论了由此产生的实践和研究建议。