We tested the pathways to recovery for residents in the recovery housing population. Our results have implications not only for retention as a predictor of sustained recovery and wellbeing but also for the importance of meaningful activities in promoting recovery capital and wellbeing.

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While there has been a growth in recent years in recovery research, much of this has been from the US and there is very little comparative research in this area. This paper describes the rationale, conceptual foundations and methods for a prospective, multi-country, cohort study aimed to map pathways to recovery from problematic illicit drug use, with a specific focus on gender differences in recovery pathways. Our study combines qualitative and quantitative components and examines the impact of recovery policy on the accessibility and viability of recovery pathways in England, Scotland, Belgium, and the Netherlands. Additionally, the paper describes five processes through which mechanisms for behaviour change for recovery may be triggered. This study will provide opportunities for linking recovery outcome research with analyses of national recovery policies, while also addressing the gap in literature around female pathways to recovery.

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