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

Notley, Caitlin, Blyth, Annie, Maskrey, Vivienne, Craig, Jean and Holland, Richard (2013) The experience of long-term opiate maintenance treatment and reported barriers to recovery: A qualitative systematic review. European Addiction Research, 19. pp. 287-298. ISSN 1421-9891

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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.

Item Type: Article
Additional Information: Copyright © 2013 S. Karger AG, Basel.
Uncontrolled Keywords: opioid maintenance,qualitative research,systematic review,methadone maintenance treatment,client experience
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 05 Sep 2013 05:23
Last Modified: 21 Jul 2020 23:48
URI: https://ueaeprints.uea.ac.uk/id/eprint/42704
DOI: 10.1159/000346674

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