Psychosocial reintegration process in patients who receive maintenance treatment with methadone: A qualitative analysis
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| Format: | Artículo científico |
| Sprache: | en |
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Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2019
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| _version_ | 1876441949259431936 |
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| author | David B. Diaz-Negrete |
| author_facet | David B. Diaz-Negrete |
| contents | Psychosocial reintegration process in patients who receive maintenance treatment with methadone: A qualitative analysis David B. Diaz-Negrete Marina Velázquez-Altamirano José L. Benítez-Villa Carmen Fernández-Cáceres Medicina methadone social stigma heroin dependence Social reintegration qualitative research Introduction The evaluation of methadone maintenance programs reports generally positive outcomes.Objective To explore the psychosocial factors that contribute to achieve treatment goals even when patients live in conditions of precariousness and exclusion.Method Qualitative study of multiple cases, with a sample of 12 interviews with patients participating in a maintenance and detoxification program with methadone; a thematic and discursive-narrative analysis was undertaken.Results We identified the predominance of a typical discursive scheme composed of clearly differentiated narrative segments: previous conditions, establishment of a relationship with the therapeutic system, process of adjustment as a part of treatment and social reintegration. Two main themes were also identified: addiction and dealing with substances, and the problem of normative integration; there was also an experience of acceptance and recognition that constitutes a central factor for treatment.Discussion and conclusion These findings are discussed in light of the disaffiliated conditions of people using injected heroin and the need to consider psychosocial and normative adjustment as a relevant factor for treatment and social reintegration, which leads to the suggestion to include psychotherapeutic interventions to accompany and reinforce the process. 2019 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58261087005 https://www.redalyc.org/journal/582/58261087005/ https://www.redalyc.org/journal/582/58261087005/html/ https://www.redalyc.org/journal/582/58261087005/58261087005.epub https://www.redalyc.org/journal/582/58261087005/movil 10.17711/SM.0185-3325.2019.023 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.4 Vol.42 |
| format | Artículo científico |
| id | redalyc_58261087005 |
| institution | Redalyc |
| language | en |
| publishDate | 2019 |
| publisher | Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz |
| spellingShingle | Psychosocial reintegration process in patients who receive maintenance treatment with methadone: A qualitative analysis David B. Diaz-Negrete Medicina methadone social stigma heroin dependence Social reintegration qualitative research Psychosocial reintegration process in patients who receive maintenance treatment with methadone: A qualitative analysis David B. Diaz-Negrete Marina Velázquez-Altamirano José L. Benítez-Villa Carmen Fernández-Cáceres Medicina methadone social stigma heroin dependence Social reintegration qualitative research Introduction The evaluation of methadone maintenance programs reports generally positive outcomes.Objective To explore the psychosocial factors that contribute to achieve treatment goals even when patients live in conditions of precariousness and exclusion.Method Qualitative study of multiple cases, with a sample of 12 interviews with patients participating in a maintenance and detoxification program with methadone; a thematic and discursive-narrative analysis was undertaken.Results We identified the predominance of a typical discursive scheme composed of clearly differentiated narrative segments: previous conditions, establishment of a relationship with the therapeutic system, process of adjustment as a part of treatment and social reintegration. Two main themes were also identified: addiction and dealing with substances, and the problem of normative integration; there was also an experience of acceptance and recognition that constitutes a central factor for treatment.Discussion and conclusion These findings are discussed in light of the disaffiliated conditions of people using injected heroin and the need to consider psychosocial and normative adjustment as a relevant factor for treatment and social reintegration, which leads to the suggestion to include psychotherapeutic interventions to accompany and reinforce the process. 2019 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58261087005 https://www.redalyc.org/journal/582/58261087005/ https://www.redalyc.org/journal/582/58261087005/html/ https://www.redalyc.org/journal/582/58261087005/58261087005.epub https://www.redalyc.org/journal/582/58261087005/movil 10.17711/SM.0185-3325.2019.023 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.4 Vol.42 |
| title | Psychosocial reintegration process in patients who receive maintenance treatment with methadone: A qualitative analysis |
| topic | Medicina methadone social stigma heroin dependence Social reintegration qualitative research |
| url | https://www.redalyc.org/articulo.oa?id=58261087005 https://www.redalyc.org/journal/582/58261087005/ https://www.redalyc.org/journal/582/58261087005/html/ https://www.redalyc.org/journal/582/58261087005/58261087005.epub https://www.redalyc.org/journal/582/58261087005/movil |