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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
Redefining retention: recovery from the patient's perspective
Shannon Gwin Mitchell1, Rika Morioka, Heather Schacht Reisinger
1Friends Research Institute, Inc., 1040 Park Avenue, Suite 103, Baltimore, MD 21201, USA. smitchell@friendsresearch.org
Journal of Psychoactive Drugs
|August 24, 2011
Summary
Patients discharged from methadone treatment often reenter the system, viewing recovery as ongoing change. Clinic rules don't always align with patient recovery goals, leading to fragmented treatment episodes.
Area of Science:
- Addiction Medicine
- Psychiatry
- Sociology of Health
Background:
- Voluntary methadone treatment entry does not preclude administrative discharge.
- Patient perspectives on recovery differ from program goals.
- Discharge can interrupt but not necessarily halt recovery efforts.
Purpose of the Study:
- To explore the experiences of patients readmitted to treatment after administrative discharge.
- To understand patient-centered recovery trajectories following methadone program discharge.
- To analyze the factors contributing to discharge and subsequent reentry into treatment.
Main Methods:
- Grounded theory methodology applied to semistructured interviews.
- Longitudinal data collection at treatment entry and 4, 8, 12 months post-entry.
- Qualitative analysis of six participants' treatment reentry journeys.
Main Results:
- Patients often perceive recovery as continuous positive change, irrespective of program rules.
- Discrepancies between patient goals and program expectations contribute to administrative discharge.
- Patients actively navigate the treatment system to maintain engagement despite discharge.
Conclusions:
- Administrative discharge for rule violations does not equate to patient-perceived treatment failure.
- Recovery is often fragmented, characterized by cyclical treatment episodes rather than continuous care.
- Fragmented treatment can impede optimal recovery progress for patients in methadone programs.
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