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<p>Personal recovery is increasingly important in service delivery. While personal recovery has been examined in relation to several mental health issues, it has yet to be reviewed in recovery from substance use disorders.&#xa0;This review of qualitative studies, which followed PRISMA guidelines, used a ‘Best Fit’ framework synthesis. To organise studies, the a-priori, transdiagnostic CHIME framework was employed.&#xa0;2885 papers were initially identified, with 3 added in updated searches; 13 papers were included for analysis. Findings show that CHIME captures many elements related to recovery from substance use. However, the original framework does not consider challenges associated with trauma, loss, and stigmatisation. Including a ‘Difficulties’ domain supports the use of the CHIME-D framework.&#xa0;Personal recovery from substance use is a complex and individual process. The CHIME-D framework emphasises the importance of professionals adopting a balanced approach to recovery, recognising both benefits and challenges.</p>

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Personal Recovery in Substance Use Disorder: A ‘Best Fit’ Framework Synthesis Systematic Review

  • 期刊论文

  • 发表日期：

    2026年2月3日

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  • Emer Long,
  • Treasa Skelly,
  • Holly Ryan,
  • Gary O’Reilly

摘要

Personal recovery is increasingly important in service delivery. While personal recovery has been examined in relation to several mental health issues, it has yet to be reviewed in recovery from substance use disorders. This review of qualitative studies, which followed PRISMA guidelines, used a ‘Best Fit’ framework synthesis. To organise studies, the a-priori, transdiagnostic CHIME framework was employed. 2885 papers were initially identified, with 3 added in updated searches; 13 papers were included for analysis. Findings show that CHIME captures many elements related to recovery from substance use. However, the original framework does not consider challenges associated with trauma, loss, and stigmatisation. Including a ‘Difficulties’ domain supports the use of the CHIME-D framework. Personal recovery from substance use is a complex and individual process. The CHIME-D framework emphasises the importance of professionals adopting a balanced approach to recovery, recognising both benefits and challenges.