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Eur Addict Res. 2013;19(6):287-98. doi: 10.1159/000346674. Epub 2013 May 7.

The experience of long-term opiate maintenance treatment and reported barriers to recovery: a qualitative systematic review.

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1
Norwich Medical School, University of East Anglia, Norwich, UK.

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.

PMID:
23652159
DOI:
10.1159/000346674
[Indexed for MEDLINE]
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