Home > Methadone as social control: institutionalized stigma and the prospect of recovery.

Harris, Julie and McElrath, Karen (2012) Methadone as social control: institutionalized stigma and the prospect of recovery. Qualitative Health Research , 22 , (6) , pp. 810-824.

Methadone maintenance treatment (MMT) is an intervention used to treat opioid (heroin) dependence. Several investigators have found that MMT is effective in reducing heroin use and other behaviors; however, a disproportionate number of MMT clients leave treatment prematurely. Moreover, MMT outcome variables are often limited in terms of their measurement. Utilizing an integrated theoretical framework of social control and stigma, we focused on the experiences of methadone maintenance from the perspective of clients. We pooled interview data from four qualitative studies in two jurisdictions and found linkages between social control and institutional stigma that serve to reinforce “addict” identities, expose undeserving customers to the public gaze, and encourage clients to be passive recipients of treatment. We discuss the implications for recovery and suggest recommendations for change.

 

Item Type:Article
Date:2012
Page Range:pp. 810-824
Publisher:Sage
Volume:22
Number:6
EndNote:View
Accession Number:HRB (Not in collection)
Subjects:A Substance use, abuse, and dependence > Natural history of substance use > Recovery
VA Geographic area > Europe > Northern Ireland
MA-ML Social science, culture and community > Sociocultural aspects of substance use > Societal attitude toward substance use
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
B Substances > Opioids (opiates) > Heroin
F Concepts in psychology > Attitude and behaviour > Attitude toward substance use > Attitude toward person who uses substances (user)
MA-ML Social science, culture and community > Sociocultural discrimination concepts > Prejudice (stigma / discrimination)
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution) > Methadone maintenance

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