Narratives of recovery in people with coexisting mental health and alcohol misuse difficulties

Stott, Andrew; Priest, Helena

doi:10.1108/add-08-2017-0012

Cited by 17 publications

(27 citation statements)

References 35 publications

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“…Though limited, growing research suggests self-acceptance can play a crucial role in recovery (Webb & Toussaint, 2018); Kang et al (2018) identified "embracing the essence of one's own existence" as pivotal in addiction recovery. Feeling accepted is particularly crucial for individuals who are affected by the double stigma associated with both mental illness and addiction (Stott & Priest, 2018). As participant C explains: "You have to learn to accept yourself for who you are, and you just have to accept your life is the way it is.…”

Section: Acceptancementioning

confidence: 99%

A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders

Milani

Nahar

Ware³

et al. 2020

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Purpose Dual Diagnosis Anonymous (DDA) is a peer-led programme developed in the USA, which aims to address mental and addictive disorders in an integrated manner. This study is part of a mixed-methods evaluation of the first DDA pilot in the UK, and the purpose of this study is to explore the impact and mechanism of change of the programme through the perspective of DDA attendees, facilitators and the funding commissioners. Design/methodology/approach Six DDA members were interviewed three times over a period of 12 months, the facilitators were interviewed twice and the commissioner was interviewed once. The qualitative longitudinal data were analysed using a trajectory thematic analysis. Findings DDA attendance was perceived to have had a positive impact on five main areas: acceptance of self, of others and from others; social functioning; self-development; recovery progression; and feeling of hope. The possibility of addressing both mental health and addiction at the same time was a key factor in the recovery process. The facilitators observed that DDA had contributed to integrate members into employment and education, while the commissioner stressed the importance of joint commissioning and sustainability. Originality/value The longitudinal approach provided a unique insight into the recovery process of DDA members. Being able to address the mental health as well as the substance use problems was considered to be a fundamental strength of DDA in comparison to the single purpose peer-support fellowships.

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Section: Acceptancementioning

confidence: 99%

A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders

Milani

Nahar

Ware³

et al. 2020

ADD

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“…[7][8][9][10][11] Furthermore, research suggests that social support can be even more powerful for maintaining sobriety when combined with practical support. 12,13 This indicates that mutual activity directed toward a shared goal can catalyze the attainment of stable recovery. However, recent studies further emphasize that the nature and quality of the social network is fundamental for positive behavior change and that social relationships in treatment settings can both encourage and inhibit recovery.…”

Section: Introductionmentioning

confidence: 99%

How Social Relationships Influence Substance Use Disorder Recovery: A Collaborative Narrative Study

et al. 2019

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Individuals with a substance use disorder (SUD) often have fewer social support network resources than those without SUDs. This qualitative study examined the role of social relationships in achieving and maintaining stable recovery after many years of SUD. Semi-structured interviews were conducted with 18 participants, each of whom had been diagnosed with a SUD and each of whom had been abstinent for at least 5 years. A resource group of peer consultants in long-term recovery from SUDs contributed to the study planning, preparation, and initial analyses. The relationship that most participants described as helpful for initiating abstinence was recognition by a peer or a caring relationship with a service provider or sibling. These findings suggest that, to reach and maintain abstinence, it is important to maintain positive relationships and to engage self-agency to protect oneself from the influences of negative relationships. Substance use disorder service providers should increase the extent to which they involve the social networks of clients when designing new treatment approaches. Service providers should also focus more on individualizing services to meet their clients on a personal level, without neglecting professionalism or treatment strategies.

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“…In a longitudinal, qualitative study that investigated experiences of social relationships among persons with co-occurring conditions in homeless services in New York, participants described a desire for long-lasting social relationships, however, also challenges in entering and maintaining such relationships related to a need for privacy, ongoing life struggles of substance use and poor living conditions and complicated relations with one’s family (Padgett et al , 2008). Also, early trauma and social exclusion were described as origins of mental health and alcohol problems in a narrative study of recovery in co-occurring conditions (Stott and Priest, 2018). A total of two recent collaborative studies of relational recovery in substance use disorder without co-occurring mental health disorders have also provided accounts of social relationships that are both supportive, as well as difficult and destructive (Pettersen et al , 2019; Veseth et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

Relational recovery in co-occurring conditions: a qualitative study of first-person experiences

Brekke

Ness

Lien

2020

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Purpose The purpose of this paper is to explore and describe first-person experiences of relational recovery in co-occurring mental health and substance use conditions. Design/methodology/approach Within a phenomenological and collaborative approach, in-depth individual interviews with eight persons with co-occurring conditions were analysed using systematic text condensation. Findings Participants described interpersonal relationships as both supporting and hindering recovery in fundamental ways. Four categories of experiences of relational recovery were described as follows: choosing one’s child; living with loneliness and a painful past; sacrificing everything for one’s partner; and regaining trust and support. Originality/value This paper provides an enhanced understanding of how interpersonal relationships may be experienced by persons who live with co-occurring conditions. The results generally support an understanding of recovery as a relational process.

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Narratives of recovery in people with coexisting mental health and alcohol misuse difficulties

Cited by 17 publications

References 35 publications

A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders

A qualitative longitudinal study of the first UK Dual Diagnosis Anonymous (DDA), an integrated peer-support programme for concurrent disorders

How Social Relationships Influence Substance Use Disorder Recovery: A Collaborative Narrative Study

Relational recovery in co-occurring conditions: a qualitative study of first-person experiences

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