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首页> 外文期刊>Journal of substance abuse treatment >What are your priorities right now? Identifying service needs across recovery stages to inform service development.
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What are your priorities right now? Identifying service needs across recovery stages to inform service development.

机译：您现在优先考虑什么？在恢复阶段确定服务需求，以指导服务开发。

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摘要

Substance use disorders (SUD) are, for many, chronic conditions that are typically associated with severe impairments in multiple areas of functioning. Recovery of functioning do not necessarily follow the attainment of abstinence. The current SUD service model providing intense, short-term, symptom-focused services is ill-suited to address these issues. A recovery-oriented model of care is emerging, which provides coordinated recovery-support services using a chronic-care model of sustained recovery management. Information is needed about substance users' priorities, particularly persons in recovery who are not currently enrolled in treatment, to guide the development of recovery-oriented systems. As a first step in filling this gap, we present qualitative data on current life priorities among a sample of individuals that collectively represent successive recovery stages (N = 356). Findings suggest that many areas of functioning remain challenging long after abstinence is attained, most notably employment and education, family/social relations, and housing. Although the ranking of priorities changes somewhat across recovery stages, employment is consistently the second most important priority, behind working on one's recovery. Study limitations are noted, and the implications of findings for the development and evaluation of recovery-oriented services are discussed.
机译：在许多情况下，物质使用障碍（SUD）是慢性病，通常与多个功能领域的严重损伤有关。恢复功能并不一定要遵循禁欲。当前提供大量，短期，针对症状的服务的SUD服务模型不适合解决这些问题。一种以恢复为导向的护理模式正在兴起，该模式使用持续恢复管理的长期护理模式提供协调的恢复支持服务。需要有关物质使用者优先事项的信息，特别是目前尚未参加治疗的康复者的信息，以指导面向康复的系统的开发。作为填补这一空白的第一步，我们提供了关于当前生活优先级的定性数据，这些数据共同代表了连续的恢复阶段（N = 356）。研究结果表明，禁欲很长一段时间后，许多功能领域仍然充满挑战，最显着的是就业和教育，家庭/社会关系和住房。尽管优先顺序在恢复阶段有所不同，但就业一直是第二重要的优先事项，仅次于恢复工作。指出了研究的局限性，并讨论了研究结果对面向恢复的服务的开发和评估的意义。

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