Work

Flying the Nest: Qualitative Research on Growth in Long-Term Addiction Recovery

Year: 2026

Type: article

Abstract: Long-term recovery (LTR) from addiction is a gradual process involving transformative changes across personal, social, and spiritual domains. Positive criminology, which focuses on integration at these levels, provides a useful framework for understanding recovery growth. This study explored LTR by examining the perspectives of individuals in recovery, their family members, and addiction therapists. Participants included 30 individuals in LTR for over 5 years from drug, alcohol, or gambling addictions, nine family members, and eight therapists. Using semi-structured interviews, the study revealed that LTR involves growth in three key areas: the “Nest” (changes in the recovery environment), the “Bird” (personal growth and development), and the “Sky” (spiritual and moral changes). Social growth is linked to a recovery-focused environment, while personal and spiritual growth contribute to long-term stability and a transformed worldview. The findings suggest that integrating social, personal, and spiritual growth in treatment can better address the evolving needs of individuals in recovery.

Source: Journal of Drug Issues

DOI: 10.1177/00220426261488761

Authors: Ayala Elbaz, Natti Ronel, Keren Gueta

Institution: Bar-Ilan University

Language: English

Topic: Substance Abuse Treatment and Outcomes

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,650