Friday, 13 January 2006 - 12:00 PM
8P

Comparing Consumer and Provider Views of the Role of Faith in Substance Abuse Recovery

Sara L. Schwartz, MSW, Portland State University.

The abuse of alcohol and drugs ranks as one of the leading health and social concerns in the United States. The protective and healing role spirituality plays in addictions is well established in the literature; however few studies examine this connection from the perspective of the recovery community. This project sought to gain a better understanding of the connection between faith and recovery from the perspective of consumers and the providers who serve them. Method One hundred consumers and 84 providers were recruited from six substance abuse treatment agencies in Portland, Oregon. Measures were developed by the research team and administered by consumer interviewers (i.e. individuals in recovery and experienced with the local treatment system). Questions inquired about the role of faith in life and recovery and how faith needs are met. Items were rated with either a yes/no or on a 4pt scale. Results Significant differences were found between consumer and provider perceptions of the importance faith plays in consumer lives t(154.47) = -3.86, p =.000 and recovery t(165.55) = -2.91, p=.004. To investigate the influence of race, groups were dichotomized on the race variable (white/non-white) and four additional tests were run. Significant differences were found in three of four comparisons, with white consumer and provider views of the importance of faith in recovery being the only contrast that was not significant. The majority of the consumers (78%) and providers (75%) felt it important that providers address the faith needs of persons in recovery. Sixty-eight percent the consumers and 74% of the providers believe that faith is adequately addressed. Significantly more providers (82%) felt that consumers get their faith needs met outside of treatment than consumers (75%) reported, c (1, N=184) = 12.64, p<.001. The significant difference was maintained within the white, c (1, n=86)=7.44, p<.01, and non-white respondents, c(1, n=93)=5.40, p<.05. Seventy-two percent of the consumers do not want help addressing faith beyond what is provided. Half (48%) of the providers believe that their ability to meet client faith needs could be enhanced. Discussion This research is innovative because it examines the role of faith in addictions treatment from the perspective of the recovery community. Findings suggest that there are significant differences between consumers and the providers who serve them. In particular, consumers rate the importance of faith at significantly higher levels than providers. This is interesting, especially since there is agreement that agencies adequately address faith and over three quarters of the consumers meet their faith needs outside of the program. These findings are important considering the political push for offering spiritual support through treatment agencies. It appears that consumers would like providers to appreciate the importance faith plays in their lives and recovery and would like more opportunities to receive faith support outside of the provider agency. Findings indicate that diversity issues may warrant consideration. Practice implications include provider education on the role of faith and development of new strategies to address consumer faith needs.


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