تجارب افراد وابسته به مواد افيوني از رابطه درماني ايجاد شده در مراكز توزيع متادون شهر كرمان

Opiate Dependantsʹ Experiences of the Established Therapeutic Relationship in Methadone Centers: Qualitative Study

Background & Aims: Methadone maintenance therapy is one of the treatment choices for opiate users. Understanding opiate dependantsʹ experiences of their treatment period is important for continuing the treatment with methadone and assessing their experiences may help to revise the standards of methadone centers andthus to improve the quality of treatment. This studyaims to describe the structure and essence of opiate dependantsʹ experiences with methadone centers duringtreatment. Method: It was a qualitative phenomenological approach in which participants were selected from opiate dependants referred to methadone centers inKermancity in 2007 byapplyingpurposive samplingcontinued until data saturation and obtaining a sample size of 32 participants. Data were collected by in-depth interviews. Colaize s Method was applied for data analysis. The rigor of the present study was based on transferability and credibility. Results: In whole, 26 themeswere extracted and put intostructural components. The structural components were put into topical components including: 1- positive therapeutic alliance 2- negative therapeutic alliance and 3- therapeutic alliance requests. These components show the basic structure of participantsʹ experiences oftherapeutic relationship in methadone centers. Conclusion: Client - based strategy in methadone clinics, not only leads to a positive therapeutic alliance, but can persuade patients to continue their treatment programs for long time period. Establishing a good relationship with patients in methadone centers during treatment procedure is an effective way to meet the goals of methadone maintenance treatment.