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The Experience of Long-Term Opiate Maintenance Treatment and Reported Barriers to Recovery: A Qualitative Systematic Review.

Authors :
Notley, Caitlin
Blyth, Annie
Maskrey, Vivienne
Craig, Jean
Holland, Richard
Source :
European Addiction Research. Oct2013, Vol. 19 Issue 6, p287-298. 12p. 4 Diagrams, 1 Chart.
Publication Year :
2013

Abstract

Background/Aim: To inform understanding of the experience of long-term opiate maintenance and identify barriers to recovery. Methods: A qualitative systematic review. Results: 14 studies in 17 papers, mainly from the USA (65%), met inclusion criteria, involving 1,088 participants. Studies focused on methadone prescribing. Participants reported stability; however, many disliked methadone. Barriers to full recovery were primarily 'inward focused'. Conclusion: This is the first review of qualitative literature on long-term maintenance, finding that universal service improvements could be made to address reported barriers to recovery, including involving ex-users as positive role models, and increasing access to psychological support. Treatment policies combining harm minimisation and abstinence-orientated approaches may best support individualised recovery. Copyright © 2013 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10226877
Volume :
19
Issue :
6
Database :
Academic Search Index
Journal :
European Addiction Research
Publication Type :
Academic Journal
Accession number :
91278962
Full Text :
https://doi.org/10.1159/000346674