Share This Article:

Change Process, Supports and Barriers in Residential Treatment Program: A Qualitative Approach

Abstract PP. 1-8
DOI: 10.4236/oalib.1101095    1,092 Downloads   1,294 Views   Citations
Author(s)    Leave a comment

ABSTRACT

Various studies have employed quantitative and qualitative methods in order to explore the process of behavioral change emerging during a drug addiction treatment, i.e. the factors both encouraging and discouraging such change. Treatment has been conceived as a process of maturation (“maturing out” theory) or as a sudden behavioral change (“rock bottom experience”). This article focuses on the qualitative approach of the therapeutic procedures of a residential treatment program. The participants of the study were 46 clients undergoing a substances treatment. In order to collect the data, we used the semi-structured interview. All conversation data were taped and later on elaborated with the help of the contextual content analysis. Three main categories derived from these analyses: the supports and the barriers clients face, as well as the way they handle the idea of changing during their addiction treatment. The findings highlight the importance of communality within such a framework, emotional management, practical matters the addicts must face, as well as the contribution of personal characteristics, such as strong will and determination. The implications of the study for clinical practice and future research are still debated.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Flora, K. (2014) Change Process, Supports and Barriers in Residential Treatment Program: A Qualitative Approach. Open Access Library Journal, 1, 1-8. doi: 10.4236/oalib.1101095.

References

[1] Winick, C. (1962) Maturing out of Narcotic Addiction. Bulletin on Narcotics, 14, 1-7.
[2] Waldorf, D. (1983) Natural Recovery from Opiate Addiction: Some Social-Psychological Processes of Untreated Recovery. Journal of Drug Issues, 13, 237-280.
[3] Greaves, G. (1980) An Existential Theory of Drug Dependence. In: Lettieri, D.J., Sayers, M. and Pearson, H.M., Eds., Theories on Drug Abuse, Research Monograph 30, National Institute on Drug Abuse, Rockville, 24-28.
[4] Vaillant, G.E. (1966) A 12-Year Follow-Up of New York Addicts IV: Some Characteristics and Determinants of Abstinence. American Journal of Psychiatry, 123, 573-584.
[5] Vaillant, G.E. (1983) The Natural History of Alcoholism. Harvard University Press, Cambridge.
[6] Wille, R. (1983) Processes of Recovery from Heroin Dependence: Relationship to Treatment, Social Changes and Drug Use. Journal of Drug Issues, 13, 333-342.
[7] Prochaska, J.O., Diclemente, C.C. and Norcross, J.C. (1992) In Search of How People Change: Applications to Addictive Behaviors. American Psychologist, 47, 1102-1114.
http://dx.doi.org/10.1037/0003-066X.47.9.1102
[8] Miller, W.R. and Hester, R.K. (1986) Inpatient Alcoholism Treatment: Who Benefits? American Psychologist, 41, 794-805.
http://dx.doi.org/10.1037/0003-066X.41.7.794
[9] Costello, R.M. (1975) Alcoholism Treatment and Evaluation II: Collation of Two-Year Follow-Up Studies. International Journal of Addictions, 10, 857-867.
[10] Peele, S. (1985) The Meaning of Addiction: An Unconventional View. Jossey Bass Publishers, San Francisco.
[11] Ravenna, Μ., Hölzl, Ε., Kirshler, Ε., Palmonari, Α. and Costarelli, S. (2002) Drug Addicts in Therapy—Changes in Life Space in the Course of One Year. Journal of Community & Applied Social Psychology, 12, 353-368.
http://dx.doi.org/10.1002/casp.688
[12] Felix-Ortiz, M., Salazar, M.R., Gonzalez, J.R., Sorensen, J.L. and Plock, D. (2000) A Qualitative Evaluation of an Assisted Self-Help Group for Drug-Addicted Clients in a Structured Outpatient Treatment Setting. Community Mental Health Journal, 36, 339-350.
http://dx.doi.org/10.1023/A:1001983527309
[13] Allen, J. (1984) Correlates of Success in Health Change Efforts. Annual Conference of the American Psychological Association, Toronto, 24-28 August 1984.
[14] Miller, W.R. (2006) Motivational Factors in Addictive Behaviors. In: Miller, W. and Carroll, K., Eds., Rethinking Substance Abuse: What the Science Shows, and What We Should Do about It, Guilford Press, New York, 134-150.
[15] Allen, K. and Dixon, M. (1994) Psychometric Assessment of the Allen Barriers to Treatment Instrument. International Journal of the Addictions, 29, 545-563.
[16] Tucker, J.A., Vuchinich, R.E. and Rippens, P.D. (2004) A Factor Analytic Study of Influences on Patterns of Help-Seeking Treated and Untreated Alcohol Dependent Persons. Journal of Substance Abuse Treatment, 26, 327-242.
http://dx.doi.org/10.1016/S0740-5472(03)00209-5
[17] Allen, K. (1994) Development of an Instrument to Identify Barriers to Treatment for Addicted Women, from Their Perspective. International Journal of Addictions, 29, 429-444.
[18] Wilkinson, S. (2003) Focus Groups. In: Smith, J.A., Ed., Qualitative Psychology: A Practical Guide to Research Methods, Sage Publications, London, 184-204.
[19] Smith, J.A., Ed. (2003) Qualitative Psychology: A Practical Guide to Research Methods. Sage Publications, London.
[20] Cavanagh, S. (1997) Content Analysis: Concepts, Methods and Applications. Nurse Researcher, 4, 5-13.
http://dx.doi.org/10.7748/nr1997.04.4.3.5.c5869
[21] Ζafeiridis, F. (2009) Εξαρτησειç και κοινωνíα. (τóμοç 1) Θεραπευτικεç κοινóτητεç. Ομáδεç αυτοβοηθειαç. (Addiction and Society (Vol. 1) Therapy Groups. Self-Help Groups). Kedros Publishing House, Athens, 65-66.

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.