Pathways to recovery model of youth substance misuse in Assam, India

Bibliographic Data

ID19508648
AuthorsAnna Madill (0000-0002-9406-507X, School of Psychology University of Leeds Leeds UK, corresponding author), Raginie Duara (0000-0002-3004-9185, School of Psychology University of Leeds Leeds UK), Sangeeta Goswami (Institute of Positive Mental Health & Research Guwahati Assam India), Rebecca Graber (0000-0002-9152-4998, School of Humanities and Social Science University of Brighton Brighton East Sussex UK), Siobhan Hugh-Jone (0000-0002-5307-1203, School of Psychology University of Leeds Leeds UK), Siobhan Hugh‐Jones
Year2023
Volume26
Issue1
Pages318-328
Publication date2023-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13658
PMID36349556
OpenAlexW4308602320
LanguageEN
Citations received9
References cited34

INTRODUCTION: There are global calls for better understanding of substance use disorder (SUD) to inform prevention, risk reduction and treatment of this relapse-prone disorder. Our aim in this article is to understand the pathways to recovery of youth in Assam, India who have suffered SUD. METHODS: We recruited 15 participants (11 men and 4 women) via two rehabilitation facilities. All are addicts-in-recovery aged 19-24 years. Material was generated through photo-led interviews, analysed using an inductive variant of thematic analysis and the resulting model refined through expert and participant checks. RESULTS: We present a multiroute, multidirectional pathway to recovery model. It has three phases, Recreational Use, Addiction (Relaxed, Chaotic, Strategic) and Supported Recovery, each phase consisting of cycling between, or transitioning through, a series of stages. CONCLUSIONS: The model enhances psycho-socio-cultural insights into the experience of risk and recovery, and informs prevention and treatment for youth substance misuse in Assam. This is the first model of its kind and an important public health resource. We discuss the possible transferability of the model to a wider range of contexts. PATIENT OR PUBLIC CONTRIBUTION: The model presented was generated through analysis of interviews with addicts-in-recovery. Four of these addicts-in-recovery, and two mental health and rehabilitation service providers, conducted participant and expert checks of the model leading to its improvement

Addiction · Harm reduction · Mental health · Mental illness · Participant observation · Physical therapy · Psychiatry · Public health · Qualitative research · Relapse prevention · Sociology · Thematic analysis · Applied Psychology · Homelessness and Social Issues · Medicine · Nursing · Opioid Use Disorder Treatment · Psychology · Substance Abuse Treatment and Outcomes · Rehabilitation

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