A Systematic Literature Review of Strengths-Based Approaches to Drug Use Management and Treatment

Ezell, Jerel M.; Pho, Mai T.; Jaiswal, Jessica; Ajayi, Babatunde Patrick; Gosnell, Natalie M.; Kay, Emma Sophia; Eaton, Ellen; Bluthenthal, Ricky N.

doi:10.1007/s10615-023-00874-2

Cited by 8 publications

(3 citation statements)

References 74 publications

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“…The legal system is therefore in an optimal position to provide people in jail or prison with treatment services for substance use. Strength-based paradigms of recovery emphasize the importance of developing resilience, self-confidence, and self-actualization (e.g., Ezell et al, 2023 ). Meaning in Life presence, for example, has been documented as a protective factor against substance use ( Thege et al, 2009 ; Ortíz and Flórez, 2016 ; Csabonyi and Phillips, 2020 ) and could be one way of assessing recovery from a strength-based perspective.…”

Section: Discussionmentioning

confidence: 99%

“…Alternatively, treatment programs working from a strength-based paradigm define recovery as a continual process including personal growth and sustained effort (e.g., McKenzie et al, 2016 ; Barnes-Lee, 2020 ; Best and Colman, 2020 ; Colman and Blomme, 2020 ; Fedock and Covington, 2022 ). This could include, for example, progress in substance use treatment involving improvements in resilience, self-confidence, and self-actualization (see Ezell et al, 2023 for a full review).…”

Section: Introductionmentioning

confidence: 99%

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The impact of State of Surrender on the relationship between engagement in substance use treatment and meaning in life presence: a pilot study

Sease,

Cox,

Wiese

et al. 2024

Front. Psychol.

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The current study examined the construct of State of Surrender (SoS)—defined as a willingness to accept, without resistance, what is to come—and investigated SoS as a statistical mediator of the relationship between engagement in substance use treatment and meaning in life (MIL). Using a cross-sectional design, participants were 123 people involved with the legal system participating in a 6-month residential treatment program for substance use. Results showed that measures of treatment engagement, including treatment participation, counselor rapport, and peer support, were all positively associated with SoS scores (R2s ≥ 21.16). Moreover, while controlling for time spent in treatment, SoS statistically mediated the positive association between aspects of treatment engagement and MIL. State of Surrender may be a targetable process in substance use treatment that aids in recovery by orienting clients toward what they find meaningful in life. Future directions and practical considerations are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of State of Surrender on the relationship between engagement in substance use treatment and meaning in life presence: a pilot study

Sease,

Cox,

Wiese

et al. 2024

Front. Psychol.

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“…This approach has been described as central in social work practice and as particularly important in the work with marginalized people with mental health and/or drug use problems. Harm reduction services have been pointed out as one central domain for strength-based approaches [ 40 ]. The holistic perspective that characterizes social work speaks for the importance of including social workers in most harm reduction services.…”

Section: Discussionmentioning

confidence: 99%

Harm reduction social work with people who use drugs: a qualitative interview study with social workers in harm reduction services in Sweden

Richert,

Stallwitz,

Nordgren

2023

Harm Reduct J

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Background Social work with people who use drugs (PWUD) has traditionally focused on abstinence and rehabilitation. In recent years, harm reduction has gained an increasingly more important role in social work with PWUD, and social workers are key professionals in many harm reduction services. This study investigates how social workers in harm reduction services for PWUD in Sweden understand the concept of harm reduction and how it relates to goals of rehabilitation, and how they assess and deal with dilemmas and challenges in everyday work. Methods The study is based on interviews with 22 social workers in harm reduction services for PWUD in the Scania region of Sweden. A thematic analysis in three steps was used in coding and processing the data. Results The social workers pointed to similar values between social work and harm reduction and argued for combining the two fields to improve services for PWUD. Three overarching principles for Harm Reduction Social Work (HRSW) were developed based on the social workers accounts: (1) Harm reduction is a prerequisite for rather than a counterpoint to rehabilitation and recovery, (2) motivational work must be non-mandatory and based on the client’s goals, (3) a holistic perspective is crucial for Harm Reduction Social Work. Challenges in doing HRSW concerned restrictive laws, policies, and guidelines, resistance from managers, difficulties in setting boundaries between client autonomy and life-saving interventions, and the risk of normalizing high-risk behaviors. Conclusions We use the concept of Harm Reduction Social Work to show how social work with PWUD can have a primary focus on reducing harm and risks, while at the same time it involves a holistic perspective that facilitates motivation and change. The suggested principles of HRSW can provide guidance in practical social work with vulnerable PWUD. Social workers can have important roles in most harm reduction settings and may act to enable recovery.

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Strengths-Based Approaches Addressing Stigma and Trauma: How Do We Address Stigma and Develop Trauma-Informed Approaches?

Comiskey

2024

Advances in Mental Health and Addiction

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A Systematic Literature Review of Strengths-Based Approaches to Drug Use Management and Treatment

Cited by 8 publications

References 74 publications

The impact of State of Surrender on the relationship between engagement in substance use treatment and meaning in life presence: a pilot study

The impact of State of Surrender on the relationship between engagement in substance use treatment and meaning in life presence: a pilot study

Harm reduction social work with people who use drugs: a qualitative interview study with social workers in harm reduction services in Sweden

Strengths-Based Approaches Addressing Stigma and Trauma: How Do We Address Stigma and Develop Trauma-Informed Approaches?

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