Long, Emer and Skelly, Treasa and Ryan, Holly and O'Reilly, Gary (2026) Personal recovery in substance use disorder: a 'best fit' framework synthesis systematic review. Community Mental Health Journal, Early online, https://doi.org/10.1007/s10597-025-01578-2.
External website: https://link.springer.com/article/10.1007/s10597-0...
Personal recovery is increasingly important in service delivery. While personal recovery has been examined in relation to several mental health issues, it has yet to be reviewed in recovery from substance use disorders. This review of qualitative studies, which followed PRISMA guidelines, used a 'Best Fit' framework synthesis. To organise studies, the a-priori, transdiagnostic CHIME framework was employed. 2885 papers were initially identified, with 3 added in updated searches; 13 papers were included for analysis. Findings show that CHIME captures many elements related to recovery from substance use. However, the original framework does not consider challenges associated with trauma, loss, and stigmatisation. Including a 'Difficulties' domain supports the use of the CHIME-D framework. Personal recovery from substance use is a complex and individual process. The CHIME-D framework emphasises the importance of professionals adopting a balanced approach to recovery, recognising both benefits and challenges.
A Substance use and dependence > Personal history of substance use (pathway) > Relapse / Recurrence
B Substances > Substances in general
B Substances > Alcohol
F Concepts in psychology > Emotion > Hope / Joy
F Concepts in psychology > Psychological stress / emotional trauma / adversity
G Health and disease > Substance use disorder (addiction)
HJ Treatment or recovery method > Spirituality and religion in treatment
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support > Peer support or coaching
L Social psychology and related concepts > Family > Family and kinship > Family support
MA-ML Social science, culture and community > Sociocultural distinctions > Prejudice (stigma / discrimination)
VA Geographic area > Europe > Ireland
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