Developing a realist theory of community-based residential substance use treatment

Original research
by
Mutschler, Christina et al

Release Date

2022

Geography

Canada

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

The purpose of the present study was to develop a realist program theory of a community-based residential treatment centre to understand which components of treatment are most effective, who benefits from treatment, and why.

Findings/Key points

The analysis identified an overarching organizational context and 11 context-mechanism-outcome (CMO) configurations that comprise the program theory. The CMOs were grouped into three themes (i.e. relational, psychological, and diversity), underscoring the multiple pathways in which recovery is achieved for individuals with SUDs. Across the themes, the importance of building peer recovery relationships, creating structure, and inter-agency collaborations were highlighted.

Design/methods

Qualitative interviews (n=27)

Keywords

Wrap-around services
Transitions in care/treatment