Journal
JOURNAL OF CLINICAL MEDICINE
Volume 12, Issue 18, Pages -Publisher
MDPI
DOI: 10.3390/jcm12185914
Keywords
recovery capital; comorbidity; addiction; mental illness; intellectual disability
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This study explores the viability of using negative recovery capital (NRC) in individuals with substance use disorder (SUD), psychiatric comorbidities, and an intellectual disability. The study finds that all recovery domains are prevalent and relevant, influenced by critical life events, and individuals prioritize individual skill development during treatment.
Recovery capital (RC) encompasses the wide range of resources individuals can employ to recover from Substance Use Disorder (SUD). It consists of five subdomains: human, social, cultural, financial, and community RC. Negative recovery capital (NRC) represents the obstacles to recovery. Research on (N)RC in complex multimorbid populations is scarce. This study offers an initial exploration of the viability of (N)RC in three individuals with SUD, psychiatric comorbidities, and an intellectual disability (a triple diagnosis) in inpatient addiction treatment. We collected case file data, ranked recovery goals, and conducted follow-up interviews. The data were subjected to template analysis, using (N)RC domains as codes. All domains were prevalent and relevant, showing dynamic and reciprocal effects, influenced by critical life events acting as catalysts. Notably, during treatment, patients prioritized individual skill development despite challenges in other domains. RC emerges as a valuable concept for mapping recovery barriers and facilitators in individuals with a triple diagnosis, serving as an alternative to the medical model and complementing the biopsychosocial model. It provides a systematic framework to assess critical factors for recovery in complex cases and accordingly align interventions. Future studies should explore the intersections of NRC domains and the dynamic nature of (N)RC to enhance the understanding of the challenges faced by individuals with a triple diagnosis.
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