Linking social capital and the political economy of substance treatment delivery: The case of recovery-oriented systems of care in Illinois

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE International Journal of Drug Policy Pub Date : 2024-09-05 DOI:10.1016/j.drugpo.2024.104561

Carissa van den Berk-Clark , Emily Duncan , Ian Galbreath , Andrew Marino , Elizabeth A. Baker

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Abstract

Background

Recovery-oriented systems of care have been a widely supported approach to transforming existing substance treatment programs across different states through developing recovery programs and interagency networks. However, little is known about the facilitators and barriers influencing their development and implementation.

Methods

Qualitative study of 5 different recovery-oriented systems of care in Illinois. Nineteen respondents completed individual interviews.

Results

A total of 124 codes and 2 themes were identified, reflecting constraints and opportunities. Theme 1 focused on how ROSC programs developed bonding, bridging, and linking social capital. Theme 2 focused on the ROSC coordinator and lead agency's power and accountability.

Conclusions

The roles of lead agencies and ROSC coordinators were highlighted in the development and implementation of ROSCs. ROSC membership structures allow for bonding, bridging, and linking social capital. Still, additional technical support is needed to improve accountability, reduce power differentials and turf battles, and ensure greater participation among more diverse stakeholders.

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将社会资本与提供药物治疗的政治经济联系起来：伊利诺伊州以康复为导向的护理系统案例。

背景：以康复为导向的护理系统是一种广受支持的方法，它通过发展康复计划和机构间网络来改变各州现有的药物治疗计划。然而，人们对影响其发展和实施的促进因素和障碍知之甚少：方法：对伊利诺伊州 5 个不同的以康复为导向的护理系统进行定性研究。19名受访者完成了个人访谈：结果：共确定了 124 个代码和 2 个主题，反映了制约因素和机遇。主题 1 侧重于康复护理系统计划如何发展纽带、桥梁和联系社会资本。主题 2 侧重于 ROSC 协调员和牵头机构的权力和责任：在制定和实施 ROSC 的过程中，领导机构和 ROSC 协调员的作用得到了强调。ROSC 成员结构允许社会资本的结合、连接和联系。不过，还需要更多的技术支持，以加强问责制，减少权力差异和地盘争夺，并确保更多利益相关者的参与。

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.