TY - JOUR
KW - Adult
KW - African Americans
KW - Baltimore
KW - European Continental Ancestry Group
KW - Female
KW - Goals
KW - Humans
KW - Longitudinal Studies
KW - Male
KW - Methadone/therapeutic use
KW - Motivation
KW - Narcotics/therapeutic use
KW - Opioid-Related Disorders/psychology/rehabilitation
KW - Patient Discharge
KW - Patient Readmission
KW - Patients/psychology
KW - Recovery of Function
KW - Substance Abuse Treatment Centers
KW - Treatment Failure
AU - S. G. Mitchell
AU - R. Morioka
AU - H. S. Reisinger
AU - J. A. Peterson
AU - S. M. Kelly
AU - M. H. Agar
AU - B. S. Brown
AU - K. E. O'Grady
AU - R. P. Schwartz
A1 - 
AB - This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who often viewed their recovery as an accumulation of positive changes. Differences in terms of the patients' goals and motivations for seeking treatment from those of the treatment programs, combined with difficulties encountered during the treatment process eventually led to discharge. However, these patients were then able to navigate their way through the treatment system in different ways in order to remain in treatment. The authors conclude that failure to abide by treatment clinic rules do not necessary constitute "treatment failure" from the perspective of patients, who often wish to remain in treatment even if it is not progressing optimally from the program's perspective. As a result, the recovery process can be more fragmented and is often characterized by a series of cyclical treatment episodes rather than continuous time in treatment, thereby impeding their progress towards recovery.
BT - Journal of psychoactive drugs
C5 - Opioids & Substance Use
CP - 2
CY - United States
DO - 10.1080/02791072.2011.587392
IS - 2
JF - Journal of psychoactive drugs
N2 - This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who often viewed their recovery as an accumulation of positive changes. Differences in terms of the patients' goals and motivations for seeking treatment from those of the treatment programs, combined with difficulties encountered during the treatment process eventually led to discharge. However, these patients were then able to navigate their way through the treatment system in different ways in order to remain in treatment. The authors conclude that failure to abide by treatment clinic rules do not necessary constitute "treatment failure" from the perspective of patients, who often wish to remain in treatment even if it is not progressing optimally from the program's perspective. As a result, the recovery process can be more fragmented and is often characterized by a series of cyclical treatment episodes rather than continuous time in treatment, thereby impeding their progress towards recovery.
PP - United States
PY - 2011
SN - 0279-1072; 0279-1072
SP - 99
EP - 107
EP - 
T1 - Redefining retention: recovery from the patient's perspective
T2 - Journal of psychoactive drugs
TI - Redefining retention: recovery from the patient's perspective
U1 - Opioids & Substance Use
U2 - 21858956
U3 - 10.1080/02791072.2011.587392
VL - 43
VO - 0279-1072; 0279-1072
Y1 - 2011
ER -