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Arch Psychiatr Nurs. 2015 Aug;29(4):242-8. doi: 10.1016/j.apnu.2015.04.006. Epub 2015 Apr 24.

Personal recovery in individuals diagnosed with substance use disorder (SUD) and co-occurring attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD).

Author information

1
Department of Residency Training MANP Mental Health, Deventer, the Netherlands; Expertise Centre Developmental Disorders, Deventer, the Netherlands. Electronic address: l.kronenberg@dimence.nl.
2
Functie Assertive Community Treatment, Deventer, The Netherlands. Electronic address: r.verkerk-tamming@dimence.nl.
3
GGZVS, Institute for the Education of Clinical Nurse Specialists in Mental Health, Utrecht, The Netherlands; SCBS, Deventer, The Netherlands; Scientific Institute for Quality of Healthcare, Radboud University Nijmegen, Nijmegen, The Netherlands. Electronic address: p.goossens@dimence.nl.
4
Amsterdam Institute for Addiction Research, Academic Medical Center University of Amsterdam, Amsterdam, The Netherlands. Electronic address: w.vandenbrink@amc.uva.nl.
5
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen, Nijmegen, The Netherlands; Centre for Health Services and Nursing Research, KU Leuven, 3000, Leuven, Belgium; Department of Public health and Caring Sciences, Uppsala University, BMC, Uppsala, Sweden. Electronic address: theo.vanachterberg@med.kuleuven.be.

Abstract

The process of personal recovery in people diagnosed with substance use disorder and comorbid attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) was mapped. Four general themes representing four consecutive stages in the recovery process were identified in both client groups: (1) crisis and diagnosis; (2) dealing with agitation, symptoms, and burden; (3) reorganization of life; and (4) meaningful life. However, the personal recovery outcomes and the need for support were different for the two clients groups. Based on these findings, mental health nurses can offer recovery supporting care tailored to the challenging needs of these clients. For the SUD+ADHD group, overall, a coaching attitude is preferred. For the SUD+ASD group, overall, instructional, supportive and directive attitude is needed.

PMID:
26165980
DOI:
10.1016/j.apnu.2015.04.006
[Indexed for MEDLINE]

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