Navigating drug use, cessation, and recovery: a retrospective case notes review among sexual minority men at a community‐based service in Singapore (2024)

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.

Substance Abuse Treatment, Prevention, and Policy (2024) 19:23

https://doi.org/10.1186/s13011-024-00605-x

Background: Sexualised drug use (SDU) has been identified as a major risk factor for HIV, as well as other mental health comorbidities among gay, bisexual and other men who have sex with men (GBMSM). While multiple studies have been conducted on the topic, few have explored the role of trauma in underpinning experiences of SDU among substance use treatment-experienced GBMSM. This qualitative study investigates life histories of trauma, and proposes a framework to better situate the factors driving SDU among treatment-experienced GBMSM.

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