Struggling to Recover Without a Formal Rehabilitation Program: A Case Study of Drug Users

Lailatutthoyyibah Lailatutthoyyibah, Elizabeth Kristi Poerwandari

Abstract


The recovery process has challenges at every stage and requires a supportive and adequate program. The high number of single-use drug users in Indonesia after the COVID-19 pandemic is not supported by adequate rehabilitation services. The negative stigma attached to drug users can also hinder efforts to participate in rehabilitation programs. This study explored the recovery process of drug users without formal rehabilitation program services. The method used is a single instrumental case study with thematic analysis on individuals undergoing a 6-year recovery period. The thematic analysis found that participants progressed through the stages of change theory to achieve recovery. Despite a relapse, the participant reached the final stage. In each phase, there are crucial things that can affect the course of the recovery process. One of them is the family, which has an important role in helping drug users to recover. Further research can be conducted using other methods or approaches, and with participants who face different difficulties or challenges

Proses pemulihan dari ketergantungan narkoba memiliki tantangan tersendiri di setiap tahapannya, membutuhkan adanya program yang menunjang dan memadai. Namun dengan tingginya pengguna narkoba sekali pakai di Indonesia pasca pandemi covid-19, layanan rehabilitasi saat ini tidak cukup memadai. Stigma negatif yang melekat pada pengguna narkoba juga dapat menghambat upaya untuk mengikuti program rehabilitasi. Penelitian ini dilakukan dengan tujuan menggali bagaimana proses pemulihan pada pengguna narkoba yang tidak mendapatkan layanan program rehabilitasi formal. Metode yang digunakan adalah single instrumental case study dengan analisis tematik pada individu yang telah menjalani masa pemulihan selama 6 tahun. Dari hasil analisis tematik yang dilakukan di temukan bahwa partisipan mampu melewati fase pemulihan berdasarkan teori stage of change hingga tahap akhir. Meskipun partisipan sempat mengalami kekambuhan namun ia dapat kembali mencapai tahap akhir. Pada setiap fase terdapat hal-hal penting dan krusial yang dapat mempengaruhi keberjalanan proses pemulihan. Salah satunya adalah keluarga yang memiliki peran yang cukup penting pembantu pengguna narkoba untuk pulih. Penelitian lebih lanjut dapat dilakukan dengan metode atau pendekatan yang lain serta pemilihan partisipan  dengan kesulitan atau  tantangan yang berbeda


Keywords


Drugs, Recovery, Rehabilitation, Case study

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References


Aditya, D. P., & Minza, W. M. (2021). Relasi Sosial pada Mantan Pengguna Narkoba yang Diasingkan. In Jurnal Psikologi Forensik Indonesia (Vol. 1, Issue 1).

Bassiony, M. M., Seleem, D., Khalil, Y., & Saad, A. (2022). Suicide risk and ideation among patients with substance use disorders in Egypt. Journal of Substance Use, 27(6). https://doi.org/10.1080/14659891.2021.1995059

Bautista, T., James, D., & Amaro, H. (2019). Acceptability of mindfulness-based interventions for substance use disorder: A systematic review. In Complementary Therapies in Clinical Practice (Vol. 35). https://doi.org/10.1016/j.ctcp.2019.02.012

Belete, H., Mekonen, T., Fekadu, W., Legas, G., & Getnet, A. (2019). Help seeking behavior for problematic substance uses in north-West Ethiopia. Substance Abuse: Treatment, Prevention, and Policy, 14(1). https://doi.org/10.1186/s13011-019-0202-9

Carroll, K. M. (2021). The Profound Heterogeneity of Substance Use Disorders: Implications for Treatment Development. Current Directions in Psychological Science, 30(4), 358–364. https://doi.org/10.1177/09637214211026984

Cavaiola, A. A., & Smith, M. (2020). A Comprehensive Guide to Addiction Theory and Counseling Techniques. In A Comprehensive Guide to Addiction Theory and Counseling Techniques. https://doi.org/10.4324/9780429286933

Creswell, J. W. (2013). John W. Creswell - Qualitative Inquiry And Research Design_ Choosing Among Five Approaches-SAGE Publications (2013). In Sage Publications.

Czeisler, M. É., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R., Weaver, M. D., Robbins, R., Facer-Childs, E. R., Barger, L. K., Czeisler, C. A., Howard, M. E., & Rajaratnam, S. M. W. (2020). Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(32). https://doi.org/10.15585/mmwr.mm6932a1

Dassieu, L., Kaboré, J. L., Choinière, M., Arruda, N., & Roy, É. (2020). Painful lives: Chronic pain experience among people who use illicit drugs in Montreal (Canada). Social Science and Medicine, 246. https://doi.org/10.1016/j.socscimed.2019.112734

Edmond, M. B., Aletraris, L., & Roman, P. M. (2015). Rural substance use treatment centers in the United States: An assessment of treatment quality by location. American Journal of Drug and Alcohol Abuse, 41(5). https://doi.org/10.3109/00952990.2015.1059842

Fisher, G. L., & Harrison, T. C. (2018). Substance Abuse Information for School Counselors, Social Workers, Therapists, and Counselors (sixth Edition). Pearson.

Gallagher, J. R., Whitmore, T. D., Horsley, J., Marshall, B., Deranek, M., Callantine, S., & Woodward Miller, J. (2019). A Perspective from the Field: Five Interventions to Combat the Opioid Epidemic and Ending the Dichotomy of Harm-reduction versus Abstinence-Based Programs. Alcoholism Treatment Quarterly, 37(3). https://doi.org/10.1080/07347324.2019.1571877

Grant, S., Colaiaco, B., Motala, A., Shanman, R., Booth, M., Sorbero, M., & Hempel, S. (2017). Mindfulness-based Relapse Prevention for Substance Use Disorders: A Systematic Review and Meta-analysis. In Journal of Addiction Medicine (Vol. 11, Issue 5). https://doi.org/10.1097/ADM.0000000000000338

Hogue, A., Becker, S. J., Wenzel, K., Henderson, C. E., Bobek, M., Levy, S., & Fishman, M. (2021). Family involvement in treatment and recovery for substance use disorders among transition-age youth: Research bedrocks and opportunities. Journal of Substance Abuse Treatment, 129. https://doi.org/10.1016/j.jsat.2021.108402

Howitt, D. (2019). Introduction to Qualitative Research Methods in Psychology: Putting Theory into Practice. In Pearson Education Limited.

Jhanjee, S. (2014). Evidence based psychosocial interventions in substance use. In Indian Journal of Psychological Medicine (Vol. 36, Issue 2). https://doi.org/10.4103/0253-7176.130960

Kabisa, E., Biracyaza, E., Habagusenga, J. d’Amour, & Umubyeyi, A. (2021). Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre. Substance Abuse: Treatment, Prevention, and Policy, 16(1). https://doi.org/10.1186/s13011-021-00347-0

Khalid, F., Jaan, A., Aslam, M. M. S., Ahmed, Z., Raheem, A., Bodla, Z. H., Basit, A., Hussain, B., Iftikhar, A., Tayyeb, M., Khalid, A., & Rehman, U. (2020). Social Stigmatization of Drug Abusers in a Developing Country: A Cross-Sectional Study. Cureus. https://doi.org/10.7759/cureus.10661

Konkel, R. H., Harris, M. N., & Hoffman, C. Y. (2022). Are we Truly “Safer-At-Home”? A Test of Contextual Effects on Mental Health and Drug Overdose Incidents During the COVID-19 Pandemic. Journal of Drug Issues, 52(3). https://doi.org/10.1177/00220426211073912

Kring, A. M., Johnson, S. L., Davison, G. C., & Neale, J. M. (2014). ABNORMAL PSYCHOLOGY.

Lander, L., Howsare, J., & Byrne, M. (2013). The impact of substance use disorders on families and children: From theory to practice. Social Work in Public Health, 28(3–4). https://doi.org/10.1080/19371918.2013.759005

López, G., Orchowski, L. M., Reddy, M. K., Nargiso, J., & Johnson, J. E. (2021). A review of research-supported group treatments for drug use disorders. In Substance Abuse: Treatment, Prevention, and Policy (Vol. 16, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s13011-021-00371-0

Motta-Ochoa, R., Bertrand, K., Flores-Aranda, J., Patenaude, C., Brunelle, N., Landry, M., & Brochu, S. (2017). A Qualitative Study of Addiction Help-Seeking in People with Different Co-occurring Mental Disorders and Substance Use Problems. International Journal of Mental Health and Addiction, 15(4), 883–899. https://doi.org/10.1007/s11469-017-9762-y

Pei, F., Wang, Y., Wu, Q., Shockley McCarthy, K., & Wu, S. (2020). The roles of neighborhood social cohesion, peer substance use, and adolescent depression in adolescent substance use. Children and Youth Services Review, 112. https://doi.org/10.1016/j.childyouth.2020.104931

Pettersen, H., Landheim, A., Skeie, I., Biong, S., Brodahl, M., Oute, J., & Davidson, L. (2019). How Social Relationships Influence Substance Use Disorder Recovery: A Collaborative Narrative Study. Substance Abuse: Research and Treatment, 13. https://doi.org/10.1177/1178221819833379

Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1). https://doi.org/10.4278/0890-1171-12.1.38

Rantelaen, T. N., & Huwae, A. (2022). Pemulihan Hidup Mantan Pecandu Narkoba Studi Resiliensi dengan Penyesuaian Diri. Psikostudia Jurnal Psikologi, 11.

Ray, L. A., Meredith, L. R., Kiluk, B. D., Walthers, J., Carroll, K. M., & Magill, M. (2020). Combined pharmacotherapy and cognitive behavioral therapy for adults with alcohol or substance use disorders: A systematic review and meta-analysis. In JAMA Network Open (Vol. 3, Issue 6). https://doi.org/10.1001/jamanetworkopen.2020.8279

Richert, T., Anderberg, M., & Dahlberg, M. (2020). Mental health problems among young people in substance abuse treatment in Sweden. Substance Abuse: Treatment, Prevention, and Policy, 15(1). https://doi.org/10.1186/s13011-020-00282-6

Rizkia, K., & Sokhivah. (2024). Tahapan Perubahan Perilaku Pecandu Narkoba Di Yayasan Sakinah Harakah Bhakti Tangerang Selatan. Jurnal Hukum, Pendidikan Dan Sosial Humaniora, 1(5), 238–250. https://doi.org/https://doi.org/10.61132/jubid.v1i3.413

Schoenberger, S. F., Park, T. W., dellaBitta, V., Hadland, S. E., & Bagley, S. M. (2022). “My Life Isn’t Defined by Substance Use”: Recovery Perspectives Among Young Adults with Substance Use Disorder. Journal of General Internal Medicine, 37(4). https://doi.org/10.1007/s11606-021-06934-y

Substance Abuse and Mental Health Services Administration. (2012). SAMHSA’s working definition of recovery: 10 guiding principles of recovery. https://library.samhsa.gov/sites/default/files/pep12-recdef.pdf

Sudraba, V., Millere, A., Deklava, L., Millere, E., Zumente, Z., Circenis, K., & Millere, I. (2015). Stress Coping Strategies of Drug and Alcohol Addicted Patients in Latvia. Procedia - Social and Behavioral Sciences, 205. https://doi.org/10.1016/j.sbspro.2015.09.099

Suharniyati, & Mahzaniar. (2022). Proses Pemulihan Korban Penyalahgunaan NAPZA (Narkotika, Psikotropika dan Zat Adiktif) di Balai Rehabilitasi Sosial Korban Penyalahgunaan NAPZA “Insyaf” Medan Sumatera Utara. Jurnal Inovasi Penelitian, 2(11), 3737–3744. https://doi.org/https://doi.org/10.47492/jip.v2i11.1417

UNODC. (2022). UNODC World Drug Report 2022 Highlights Trends on Cannabis Post-Legalization, Environmental Impacts of Illicit Drugs, and Drugs among Woman and Youth. In United Nation Organization Drugs and Crime.

Vanderplasschen, W., Colpaert, K., Autrique, M., Rapp, R. C., Pearce, S., Broekaert, E., & Vandevelde, S. (2013). Therapeutic communities for addictions: A review of their effectiveness from a recovery-oriented perspective. In The Scientific World Journal (Vol. 2013). https://doi.org/10.1155/2013/427817

Willig, C. (2013). Introducing Qualitative Research in Psychology Third Edition. Handbook of Qualitative Research.

Wong, D. F. K., Zhuang, X. Y., & Ng, T. K. (2020). Effectiveness of a culturally-attuned integrated cognitive behavioural therapy for Chinese young people with drug abuse in Hong Kong. Children and Youth Services Review, 113. https://doi.org/10.1016/j.childyouth.2020.104970

Yiǧitoǧlu, G., & Keskin, G. (2019). Relationship between dysfunctional beliefs and stress coping methods in drug-addicted patients: A sample of Turkey. Indian Journal of Psychiatry, 61(5). https://doi.org/10.4103/psychiatry.IndianJPsychiatry_285_17

Zou, Z., Wang, H., d’Oleire Uquillas, F., Wang, X., Ding, J., & Chen, H. (2017). Definition of substance and non-substance addiction. In Advances in Experimental Medicine and Biology (Vol. 1010). https://doi.org/10.1007/978-981-10-5562-1_2




DOI: http://dx.doi.org/10.30872/psikostudia.v14i4.21209

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