How Are Some Older People with SUD Forced to Withdraw from Residential Treatment Programs?

• In Event: Assessing and Improving Substance Abuse Treatment Programs

Abstract

The rising percentage of older individuals with substance use disorder in Hong Kong has highlighted the challenges they face in rehabilitation, including being socially isolated from individuals who facilitate their recovery. Differential association theory proposes that the association with non-delinquent peers could distance one from such norms and behaviors. Yet the mechanism that leads individuals to withdraw from positive peers, in particular those that took place in drug rehabilitation settings in the non-western contexts, is underexplored.

By adopting differential association theory, this study examines the reasons and consequences of forced withdrawal from drug rehabilitation communities among older individuals with SUD. Findings collect through in-depth interview with 50 older individuals with SUD reveal that forced withdrawal occurs due to the (1) alleged infringement of institutional rules, (2) interpersonal conflicts, and (3) completion of the rehabilitation program without continued support upon reintegration into society. As a result, older people with SUD either get enrolled in other SUD treatment programs or return back to their drug-using peers.

Our findings shed light on the dynamics involved in the process of disengagement from institutionally built positive associations. We also emphasize the importance of an inclusive environment in treatment facilities and continuous post-treatment supportive social networks.

Authors

• Vincent Cheng, Hong Kong Polytechnic University

• Serena Yunran Zhang, Aalborg University

• Grace WY Au, Hong Kong Metropolitan University