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Navigating the alcohol treatment pathway: a qualitative study from the service users’ perspective

Navigating the alcohol treatment pathway: a qualitative study from the service users’ perspective
Navigating the alcohol treatment pathway: a qualitative study from the service users’ perspective
Aims: Provision of effective treatment for dependent drinkers has been identified as a priority in England yet evidence suggests that access is problematic and there are low levels of retention. This qualitative study explores how the alcohol treatment system is experienced by service users, identifying barriers and facilitators that influence treatment outcomes.

Methods: A total of 20 semi-structured face-to-face interviews were conducted with patients from community alcohol treatment services in three London boroughs in 2012. Interviews were undertaken one year after initially entering treatment. A thematic analysis was conducted, with the results further abstracted to relate them to specific aspects of the treatment journey.

Results: Patients journeys were characterized by a perceived lack of control leading to help-seeking, with treatment outcomes influenced by an individuals’ self-efficacy and the capabilities and skills of staff in actively engaging and supporting patients on the journey. A focus of services on the detoxification process and fragmented care pathways impacted negatively on engagement. Conclusions: Current alcohol care pathways require significant levels of motivation and self-efficacy to navigate that few patients possess. Pathways need to better reflect the capacity and capabilities of patients to be successful in supporting recovery.
0735-0414
1-7
Gilburt, Helen
6ec8da9a-2a47-4b07-bd41-0d3a11ee7103
Drummond, Colin
87227d1b-4253-42b7-9ee4-f9ac7c7d37b3
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Gilburt, Helen
6ec8da9a-2a47-4b07-bd41-0d3a11ee7103
Drummond, Colin
87227d1b-4253-42b7-9ee4-f9ac7c7d37b3
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c

Gilburt, Helen, Drummond, Colin and Sinclair, Julia (2015) Navigating the alcohol treatment pathway: a qualitative study from the service users’ perspective. Alcohol and Alcoholism, 1-7. (doi:10.1093/alcalc/agv027). (PMID:25825267)

Record type: Article

Abstract

Aims: Provision of effective treatment for dependent drinkers has been identified as a priority in England yet evidence suggests that access is problematic and there are low levels of retention. This qualitative study explores how the alcohol treatment system is experienced by service users, identifying barriers and facilitators that influence treatment outcomes.

Methods: A total of 20 semi-structured face-to-face interviews were conducted with patients from community alcohol treatment services in three London boroughs in 2012. Interviews were undertaken one year after initially entering treatment. A thematic analysis was conducted, with the results further abstracted to relate them to specific aspects of the treatment journey.

Results: Patients journeys were characterized by a perceived lack of control leading to help-seeking, with treatment outcomes influenced by an individuals’ self-efficacy and the capabilities and skills of staff in actively engaging and supporting patients on the journey. A focus of services on the detoxification process and fragmented care pathways impacted negatively on engagement. Conclusions: Current alcohol care pathways require significant levels of motivation and self-efficacy to navigate that few patients possess. Pathways need to better reflect the capacity and capabilities of patients to be successful in supporting recovery.

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More information

Accepted/In Press date: 5 March 2015
e-pub ahead of print date: 30 March 2015
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 375936
URI: https://eprints.soton.ac.uk/id/eprint/375936
ISSN: 0735-0414
PURE UUID: afccc31f-f888-4217-855f-918ff98694c9
ORCID for Julia Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

Catalogue record

Date deposited: 21 Apr 2015 09:33
Last modified: 06 Jun 2018 13:01

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