Table 3.
Summary of results reported in systematic reviews for facilitators of SUD treatment.
| Levels | Facilitatorsa |
|---|---|
| Individual | Personal motivation: Establishment of a non-addict identity (10), Personal motivation (1, 4, 5) |
| Social | Family: Supportive family (3) |
| Friends: Influential safe peers (5), Safe model of peers (5), Supportive friends (1, 4) | |
| Treatment team: A supportive and confidential individual counselling approach and Trusting relationship with the treatment team (1, 2, 4, 9, 12) | |
| Structural | The setting of treatment provider services: Training of key skills for creating an opportunity for children to be with parents (for mothers) (1, 2), Availability of effective treatment (3, 12), Appropriate context for discussion (11), Open communication between the NCM and SUD counsellors (7), Training for GPs and staff (3, 11, 7), Access to financial support (3, 4, 10, 7), Peer involvement in the governance and management of the programme (5), The direct participation of people who use drugs as outreach workers (5). |
| The logistic of treatment programme: Implementation of prior experiences and management stability (11), Multidisciplinary and coordinated care delivery models (7), Employ clinical pharmacists for medication dosing management (11), Developing systems that provide care & feedback for patients (11), Home induction helping (11), Case management, & counselling for complicated patients (11), The use of culturally relevant programming (5), Flexible models of service delivery which are open to change (5), The inclusion of structural interventions which address broader issues (5), Women-only programme for females (12), Residential treatment (12), Providing child care (1, 4, 12), Intensive case management and aftercare support (12) | |
| Policy and other organisation: A positive relationship between the institution and the broader community, political support, policy support and recognition as a valuable organisation by local health authorities (5), Peer influence and social networks; providing training and support to peers in their work (5), Successful harm reduction programmes (5) The leadership of peers in promoting health fosters behaviour change (5), Hiring female peer outreach workers to specifically target vulnerable populations (5), Offering women-friendly outreach kits and referrals to female-specific services (5), Police support (5). |
a
The below numbers in front of each facilitator refer to the first column, article number, in Table 1.