HomeJournal of Interdisciplinary Perspectivesvol. 2 no. 6 (2024)

Building a Path to Sobriety: Challenges and Strategies of Rehabilitation Workers in the Aftercare Process of Substance-Abuse Individuals

Edmar Jane P Cerna | Nica Ella B Acebo | Daryll T Dingal | Jhade R Villarde | Darwin F Ignacio

Discipline: social work

 

Abstract:

Rehabilitation workers contribute to sustaining the sobriety of substance-abuse individuals who have finished their formal treatment by delivering the aftercare process. The study explored the challenges and strategies of rehabilitation workers in the aftercare process of substance-abuse individuals. The researchers utilized the phenomenological research design to describe the challenges faced by the rehabilitation workers in the aftercare process of substance-abuse individuals and the strategies they employ as well. The researchers interviewed nine rehabilitation workers at the JJ Valderrama Behavioral Management Center in Davao City. Utilizing the thematic analysis approach created by Virginia Braun and Victoria Clarke, the results revealed various challenges that rehabilitation workers face: manpower shortage and other implications, clients' commitment to aftercare, handling deception, unforeseen circumstances, maintaining professional roles, and existing workers' limitations. Further, implementing treatment program activities, incorporating various counseling therapies, collaborative approaches, skills, and insight-driven approaches, emanating warmth, personality, and individualized approaches, and exhausting all efforts emerged as the strategies employed. The findings suggested that while rehabilitation workers assist clients, they are also human beings with limitations. Additionally, workers must utilize strategies and adjust when things do not go as planned, as recovery is a complex process. Aftercare is of paramount importance in building the path toward sobriety.



References:

  1. American Addiction Centers Editorial Staff. (2023). Drug Abuse Careers.
  2. Antonio, C. a. T., Guevarra, J. P., Cavinta, L. L., Cabrera, P. J. D. L., Castillo, E. C., Hembra, M. S., Fuderanan, C. H., Reyes-Sare, M. L., & Vista, S. B. D. (2019). The Philippine Experience on the ‘Basic Training Course for Rehabilitation Workers on the Assessment and Management of Drug Dependence’, 2013–2016. International Journal of Training Research, 17(2), 187–198. doi: 10.1080/14480220.2019.1644784
  3. Antonio, S. D. (2023). Conservative Daily News: Drug addiction aftercare.
  4. Bizzarri, J. V., Piacentino, D., Kotzalidis, G. D., Moser, S., Cappelletti, S., Weissenberger, G., ... & Conca, A. (2020). Aggression and violence toward healthcare workers in a psychiatric service in Italy: A retrospective questionnaire-based survey. The Journal of Nervous and Mental Disease, 208(4), 299-305.
  5. Brorson, H. H., Arnevik, E. A., Rand, K., & Duckert, F. (2013). Drop-out from Addiction Treatment: A Systematic Review of Risk factors. Clinical Psychology Review, 33(8), 1010–1024. doi: 10.1016/j.cpr.2013.07.007
  6. Busetto, L., Wick, W., & Gumbinger, C. (2020). How to use and assess qualitative research methods. Neurological Research and Practice, 2(1). doi: 10.1186/s42466-020-00059-z
  7. Center for Substance Abuse Treatment. (2006). Clinical Issues, Challenges, and Strategies in Intensive Outpatient Treatment. In Treatment Improvement Protocol.
  8. Coast, J. E. (2015). After Addiction Treatment.
  9. Davidson, A., Kelly, J. T., Ball, L., Morgan, M., & Reidlinger, D. P. (2022). What do patients experience? Interprofessional Collaborative Practice for Chronic Conditions in Primary Care: an Integrative review. BMC Primary Care, 23(1). doi: 10.1186/s12875-021-01595-6
  10. De Costa, A. S. (2019). Drug Rehabilitation: Is it effective in decreasing the drug epidemic on Long Island, New York [Long Island University]. In Digital Commons @ LIU.
  11. Daigre, C., Rodríguez, L. P., Roncero, C., Palma-Álvarez, R. F., Perea-Ortueta, M., Sorribes, M., Martínez-Luna, N., Ros-Cucurull, E., Ramos-Quiroga, J. A., & Grau-López, L. (2021). Treatment retention and abstinence of patients with substance use disorders according to addiction severity and psychiatry comorbidity: a six-month follow-up study in an outpatient unit. Addictive Behaviors, 117, 106832. doi: 10.1016/j.addbeh.2021.106832
  12. Editorial Staff. (2023). Addiction Recovery & Aftercare: Programs, activities & support groups. American Addiction Centers.
  13. Elias, S. C. (2017). Rehabilitated substance abusers’ experience of aftercare following completion of inpatient treatment [Mini-thesis, University of the Western Cape].
  14. Farber, B. A. (2019). Client deception about substance use: Research findings and a case study. Journal of Clinical Psychology, 76(2), 277–285. doi:10.1002/jclp.22894
  15. Felman, A. (2018). What are the treatments for addiction?
  16. Fronek, P., Kendall, M., Ungerer, G., Malt, J., Eugarde, E., & Geraghty, T. (2009). Too hot to handle: reflections on professional boundaries in practice. Reflective Practice, 10(2), 161–171. doi: 10.1080/14623940902786172
  17. Frost, J. (2022). Purposive Sampling: Definition & Examples. Statistics by Jim.
  18. Hill, E. (2023). Understanding the impact that bad habits play on relapse | Bicycle Health. Bicycle Health.
  19. Hilton, T. F., & Pilkonis, P. A. (2015). The Key to Individualized Addiction Treatment is Comprehensive Assessment and Monitoring of Symptoms and Behavioral Change. Behavioral Sciences, 5(4), 477–495. doi: 10.3390/bs5040477
  20. Ho, L., & Limpaecher, A. (2022). What is Phenomenological Research Design?.
  21. Ignacio, D. (2023). Exploring the Psychosocial Experiences and Mental Health Support of First-Generation Working College Students. World Education Connect Multidisciplinary E-Publication, 3(12), 30. doi: 10.5281/zenodo.10499798
  22. Ignacio, D. F. (2023). Virtual Care: Counseling Experiences of Guidance Counselors and Clients in the New Normal. International Journal of Applied Guidance and Counseling, 4(1).
  23. Addiction Center. (2022). Life After Rehab.
  24. Lamb, D., & Cogan, N. (2016). Coping with work‐related stressors and building resilience in mental health workers: A comparative focus group study using interpretative phenomenological analysis. Journal of Occupational and Organizational Psychology, 89(3), 474-492.
  25. Legha, R., Raleigh-Cohn, A., Fickenscher, A., & Novins, D. K. (2014). Challenges to providing quality substance abuse treatment services for American Indian and Alaska native communities: perspectives of staff from 18 treatment centers. BMC Psychiatry, 14(1). doi: 10.1186/1471-244x-14-181
  26. Lifetime Recovery. (2023). Dealing With Addiction Triggers? Try These Coping Skills.
  27. Main, P. (2022). Carl Rogers’ Theory. Structural Learning.
  28. Manuel, J. I., Yuan, Y., Herman, D. B., Svikis, D. S., Nichols, O., Palmer, E., & Deren, S. (2017). Barriers and facilitators to successful transition from long-term residential substance abuse treatment. Journal of Substance Abuse Treatment, 74, 16–22. doi: 10.1016/j.jsat.2016.12.001
  29. Marchand, K., Beaumont, S., Westfall, J., Macdonald, S., Harrison, S., Marsh, D. C., Schechter, M. T., & Oviedo‐Joekes, E. (2019). Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review. Substance Abuse Treatment, Prevention, and Policy, 14(1). doi: 10.1186/s13011-019-0227-0
  30. Moudatsou, M., Stavropoulou, A., Philalithis, Α., & Koukouli, S. (2020). The Role of Empathy in Health and Social Care Professionals. Healthcare, 8(1), 26. doi: 10.3390/healthcare8010026
  31. Muthelo, L., Mbombi, M. O., Mphekgwana, P. M., Mabila, L. N., Dhau, I., Tlouyamma, J., Nemuramba, R., Mashaba, R. G., Mothapo, K., Ntimana, C. B., & Maimela, E. (2023). Exploring roles of stakeholders in combating substance abuse in the DIMAMO Surveillance Site, South Africa. Substance Abuse: Research and Treatment, 17. doi: 10.1177/11782218221147498
  32. The impact of honesty recovery. (2021). Northstar Transitions.
  33. Palm partners offers aftercare programs for recovering addicts and their families: Palm partners, a florida-based drug and alcohol addiction treatment center, provides aftercare programs focused on long-term recovery for drug and alcohol addicts and their families. (2015). PR Newswire.
  34. Parker, K. A., Roberson, L., Ivanov, B., Carter, R., & Riney, N. (2021). The Road to Recovery from Addiction: A Qualitative Exploration of Motivators and Challenges to Achieving Sobriety in Recovery Housing. The International Journal of Health, Wellness & Society, 11(2), 159–172. doi: 10.18848/2156-8960/cgp/v11i02/159-172
  35. Plaut, S. M. (2011). Handbook of Clinical Sexuality for Mental Health professionals (S. B. Levine, C. B. Risen, & S. E. Althof, Eds.). Routledge.
  36. Reist, C., Petiwala, I., Latimer, J. C., Raffaelli, S. B., Chiang, M., Eisenberg, D., & Campbell, S. (2022). Collaborative mental health care: A narrative review. Medicine, 101(52), e32554. doi: 10.1097/md.0000000000032554
  37. Samson, J., RN. (2021). Factors Affecting the Aftercare Program of Drug Dependents. International journal of advanced multidisciplinary studies, 1(3), 58.
  38. Sang, J., Patton, R., & Park, I. (2022). Comparing Perceptions of Addiction Treatment between Professionals and Individuals in Recovery. Substance Use & Misuse, 57(6), 983–994. doi: 10.1080/10826084.2022.2058706
  39. Sereta, B. N., Amimo, F., Ouma, P., & Ondimu, T. O. (2016). An assessment of effectiveness of drug rehabilitation programs in Kisii County- Kenya. Journal of Health Education Research & Development, 04(01). doi:10.4172/2380-5439.1000165
  40. Social Work and Substance Abuse: How to Treat Addiction. (2023). Florida State University.
  41. Syan, S. K., Minhas, M., Oshri, A., Costello, J., Sousa, S., Samokhvalov, A. V., Rush, B., & MacKillop, J. (2020). Predictors of premature treatment termination in a large residential addiction medicine program. Journal of Substance Abuse Treatment, 117, 108077. doi: 10.1016/j.jsat.2020.108077
  42. Tuliao, A. P., & Liwanag, M. E. C. D. (2011). Predictors of Relapse in Filipino Male Methamphetamine Users: A Mixed Methods Approach. Journal of Ethnicity in Substance Abuse, 10(2), 162–179. doi:10.1080/15332640.2011.573319
  43. Villegas, P. S. (2022). The Relapse Prevention Plan for Aftercare Patients of City of San Jose Del Monte Anti-Drug Abuse Council. International Journal of Innovative Science and Research Technology, 7(5), 441.
  44. World Health Organization: WHO. (2023). Rehabilitation.
  45. Yue, H., & Pena, E. (2022, November 11). Addiction psychotherapeutic care. StatPearls - NCBI Bookshelf.