To read this content please select one of the options below:

What stops people on long-term opioid substitution from completing treatment?

Tatenda Kondoni (Surrey and Borders Partnership NHS Foundation Trust, Epsom, UK)
Christos Kouimtsidis (Surrey and Borders Partnership NHS Foundation Trust, Epsom, UK)

Drugs and Alcohol Today

ISSN: 1745-9265

Article publication date: 4 December 2017

183

Abstract

Purpose

Opioid substitution treatment is effective in reducing harm for the person and society. However, the introduction of the recovery agenda has changed treatment philosophy. Associated targets such as successful treatment completions have introduced new expectations from treatment providers and service users. The purpose of this paper is to provide a service user-centred evaluation of underlying reasons that might prevent them from considering completion of treatment.

Design/methodology/approach

Ten service users who were stable on opioid substitution treatment for more than five years were interviewed face-to-face using a semi-structured format. Detailed inductive coding and thematic analysis of all transcripts was conducted.

Findings

Most participants expressed fear of change to their treatment and in particular reduction of the prescribed medication, due to past traumatic withdrawal experience, fear of relapse, fear of negative impact on their mental and physical health. Nevertheless all were optimistic about their future lives and were hoping to be able to complete their treatment at some point. A three-month follow-up revealed little change, with most participants not considering changing their medication dose in the future.

Practical implications

It could be argued that treatment providers, instead of focussing their efforts on stable service users in promoting treatment exit, should focus on new service users, avoiding coercion to treatment aims and rushed detoxifications.

Originality/value

This small qualitative study confirms results of other recent studies on the same theme and argues for the importance of the quality of the treatment experience of new people accessing treatment.

Keywords

Citation

Kondoni, T. and Kouimtsidis, C. (2017), "What stops people on long-term opioid substitution from completing treatment?", Drugs and Alcohol Today, Vol. 17 No. 4, pp. 232-241. https://doi.org/10.1108/DAT-09-2017-0055

Publisher

:

Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited

Related articles