Open AccessPathways to recovery model of youth substance misuse in Assam, India
Author(s) -
Madill Anna,
Duara Raginie,
Goswami Sangeeta,
Graber Rebecca,
HughJones Siobhan
Publication year - 2023
Publication title -
health expectations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.314
H-Index - 74
eISSN - 1369-7625
pISSN - 1369-6513
DOI - 10.1111/hex.13658
Subject(s) - thematic analysis , addiction , rehabilitation , participant observation , harm reduction , psychology , relapse prevention , mental illness , mental health , psychiatry , medicine , applied psychology , qualitative research , nursing , public health , sociology , physical therapy , social science , anthropology
Abstract 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.