Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore

Abstract Background In Singapore, where drug use is a highly stigmatized and criminalized issue, there is limited understanding of the challenges faced by individuals, particularly sexual minority men, in their journey towards recovery from substance dependence or addiction. This qualitative study a...

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Main Authors: Tzy Hyi Wah, Adeline Jia Xin Ong, Kuhanesan N. C. Naidu, Syaza Hanafi, Kelvin Tan, Alaric Tan, Tricia Jia Jing Ong, Eleanor Ong, Daniel Weng Siong Ho, Mythily Subramaniam, Maha Yewtuck See, Rayner Kay Jin Tan
Format: Article
Language:English
Published: BMC 2024-04-01
Series:Substance Abuse Treatment, Prevention, and Policy
Subjects:
Online Access:https://doi.org/10.1186/s13011-024-00605-x
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author Tzy Hyi Wah
Adeline Jia Xin Ong
Kuhanesan N. C. Naidu
Syaza Hanafi
Kelvin Tan
Alaric Tan
Tricia Jia Jing Ong
Eleanor Ong
Daniel Weng Siong Ho
Mythily Subramaniam
Maha Yewtuck See
Rayner Kay Jin Tan
author_facet Tzy Hyi Wah
Adeline Jia Xin Ong
Kuhanesan N. C. Naidu
Syaza Hanafi
Kelvin Tan
Alaric Tan
Tricia Jia Jing Ong
Eleanor Ong
Daniel Weng Siong Ho
Mythily Subramaniam
Maha Yewtuck See
Rayner Kay Jin Tan
author_sort Tzy Hyi Wah
collection DOAJ
description Abstract Background In Singapore, where drug use is a highly stigmatized and criminalized issue, there is limited understanding of the challenges faced by individuals, particularly sexual minority men, in their journey towards recovery from substance dependence or addiction. This qualitative study aimed to investigate the driving forces behind drug use, the factors contributing to drug cessation, and the elements influencing the recovery process. Methods Data were extracted from clinical records provided by  The Greenhouse Community Services Limited between January 2020 to May 2022. These records encompassed information from four distinct forms: the intake assessment, progress notes, case closing summary, and the care plan review. Thematic analysis was employed to identify and categorize recurring themes within the data. Results Data from beneficiaries (n = 125) were analyzed and yielded a series of themes related to facilitators of drug use, motivations to cease drug use, and managing one’s ongoing recovery. Within the facilitators of drug use, two sub-themes were identified: (a) addressing trauma and triggers and (b) managing emotions. Additionally, managing one’s recovery was marked by four significant sub-themes: (a) uncovering personal identities, (b) losing motivation and drive, (c) overcoming obstacles, and (d) preparing for aftercare. Conclusions The study contributes valuable insights into the dynamics of ongoing recovery management, offering potential avenues for interventions that could enhance support for individuals in their journey to overcome substance dependence. Enhancing psychoeducation and fostering peer support have the potential to facilitate the recovery process. Clearly, a holistic approach is needed to address these complex issues that cuts across our societies.
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spelling doaj.art-ab6e49eaf134476482fe97bc938debf72024-04-21T11:08:46ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2024-04-0119111610.1186/s13011-024-00605-xNavigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in SingaporeTzy Hyi Wah0Adeline Jia Xin Ong1Kuhanesan N. C. Naidu2Syaza Hanafi3Kelvin Tan4Alaric Tan5Tricia Jia Jing Ong6Eleanor Ong7Daniel Weng Siong Ho8Mythily Subramaniam9Maha Yewtuck See10Rayner Kay Jin Tan11The Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedThe Greenhouse Community Services LimitedAbstract Background In Singapore, where drug use is a highly stigmatized and criminalized issue, there is limited understanding of the challenges faced by individuals, particularly sexual minority men, in their journey towards recovery from substance dependence or addiction. This qualitative study aimed to investigate the driving forces behind drug use, the factors contributing to drug cessation, and the elements influencing the recovery process. Methods Data were extracted from clinical records provided by  The Greenhouse Community Services Limited between January 2020 to May 2022. These records encompassed information from four distinct forms: the intake assessment, progress notes, case closing summary, and the care plan review. Thematic analysis was employed to identify and categorize recurring themes within the data. Results Data from beneficiaries (n = 125) were analyzed and yielded a series of themes related to facilitators of drug use, motivations to cease drug use, and managing one’s ongoing recovery. Within the facilitators of drug use, two sub-themes were identified: (a) addressing trauma and triggers and (b) managing emotions. Additionally, managing one’s recovery was marked by four significant sub-themes: (a) uncovering personal identities, (b) losing motivation and drive, (c) overcoming obstacles, and (d) preparing for aftercare. Conclusions The study contributes valuable insights into the dynamics of ongoing recovery management, offering potential avenues for interventions that could enhance support for individuals in their journey to overcome substance dependence. Enhancing psychoeducation and fostering peer support have the potential to facilitate the recovery process. Clearly, a holistic approach is needed to address these complex issues that cuts across our societies.https://doi.org/10.1186/s13011-024-00605-xSubstance useDependenceHolistic interventionsRecoveryQualitativeSingapore
spellingShingle Tzy Hyi Wah
Adeline Jia Xin Ong
Kuhanesan N. C. Naidu
Syaza Hanafi
Kelvin Tan
Alaric Tan
Tricia Jia Jing Ong
Eleanor Ong
Daniel Weng Siong Ho
Mythily Subramaniam
Maha Yewtuck See
Rayner Kay Jin Tan
Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore
Substance Abuse Treatment, Prevention, and Policy
Substance use
Dependence
Holistic interventions
Recovery
Qualitative
Singapore
title Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore
title_full Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore
title_fullStr Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore
title_full_unstemmed Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore
title_short Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community-based service in Singapore
title_sort navigating drug use cessation and recovery a retrospective case notes review among sexual minority men at a community based service in singapore
topic Substance use
Dependence
Holistic interventions
Recovery
Qualitative
Singapore
url https://doi.org/10.1186/s13011-024-00605-x
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