wow-inequalities/02-data/intermediate/wos_sample/265a4dd161c5c055de8eb79c3894679b-kruk-edward-and-san/info.yaml

abstract: 'Background: We report on an in-depth qualitative study of 28 active and

  former substance addicted women of low or marginal income on the core

  components of a harm reduction-based addiction recovery program. These

  women volunteered to be interviewed about their perceptions of their

  therapeutic needs in their transition from substance addiction to

  recovery.

  Method: Data were gathered about women''s experiences and essential needs

  in addiction recovery, what helped and what hindered their past efforts

  in recovery, and their views of what would constitute an effective

  woman-centred recovery program. The research was based upon the

  experience and knowledge of the women in interaction with their

  communities and with recovery programs. The study was informed by harm

  reduction practice principles that emphasize the importance of

  individual experience in knowledge construction, reduction of harm, low

  threshold access, and the development of a hierarchy of needs in regard

  to addiction recovery.

  Results: Three core needs were identified by study participants:

  normalization and structure, biopsychosocial-spiritual safety, and

  social connection. What hindered recovery efforts as identified by

  participants was an inner urban location, prescriptive recovery,

  invidious treatment, lack of safety, distress-derived distraction,

  problem-focused treatment, coercive elements of mutual support groups,

  and social marginalization. What helped included connection in

  counselling and therapy, multidisciplinary service provision,

  spirituality focus, opportunities for learning and work, and a safe and

  flexible structure. Core components of an effective recovery program

  identified by women themselves stand in contrast to the views of service

  providers and policymakers, particularly in regard to the need for a

  rural location for residential programs, low threshold access,

  multidisciplinary service provision of conventional and complementary

  modalities and therapies for integrated healing, long-term multi-phase

  recovery, and variety and choice of programming.

  Conclusion: A key barrier to the addiction recovery of women is the

  present framework of addiction treatment, as well as current drug laws,

  policies and service delivery systems. The expectation of women is that

  harm reduction-based recovery services will facilitate safe, supportive

  transitioning from the point of the decision to access services, through

  independent living with community integration.'
affiliation: 'Kruk, E (Corresponding Author), Univ British Columbia, Sch Social Work,
  2080 West Mall, Vancouver, BC V6T 1Z2, Canada.

  Kruk, Edward, Univ British Columbia, Sch Social Work, Vancouver, BC V6T 1Z2, Canada.

  Sandberg, Kathryn, BC Minist Children \& Family Dev Child \& Youth Men, Comox, BC
  V9M 4H5, Canada.'
article-number: '39'
author: Kruk, Edward and Sandberg, Kathryn
author-email: edward.kruk@ubc.ca
author_list:
- family: Kruk
  given: Edward
- family: Sandberg
  given: Kathryn
da: '2023-09-28'
doi: 10.1186/1477-7517-10-39
eissn: 1477-7517
files: []
journal: HARM REDUCTION JOURNAL
keywords-plus: ABUSING WOMEN; ADDICTION; PROGRAM; GENDER
language: English
month: DEC 20
number-of-cited-references: '51'
papis_id: 00eb2cbe2985b6bdcdf35ee97f0cfbf2
ref: Kruk2013homebody
times-cited: '14'
title: 'A home for body and soul: Substance using women in recovery'
type: article
unique-id: WOS:000330113300001
usage-count-last-180-days: '0'
usage-count-since-2013: '24'
volume: '10'
web-of-science-categories: Substance Abuse
year: '2013'