Counselling with Therapeutic Compliance for Socially Unstable Drug-users under Substitution Treatment
Context: The evaluation of an experimental counselling project carried out with socially unstable drug-addicts to monitor the compliance with their substitution treatment. Method: Statistical analysis of linguistics and comprehensive analysis of the practice of 13 professionals and the accounts of 10 subjects in a treatment centre. Discussion: It has become a goal in public health to tie together quality of life and improved health through counselling with therapeutic compliance. Compliance is no longer considered a priority in health education; however, it has not been completely discarded. Two models were described in the counselling practice: an action and learning guidance model, and a model which accompanies the subject in the compliance/non-compliance process by looking for the ties between health risks and quality of life. The professionals state that they develop strategies to support these individuals in finding a balanced health and quality of life. The multiplicity of obstacles to compliance and their multidirectional overlap suggest that health should be considered in a bio-psycho-social approach to a person and independent group, capable of making health decisions that allow them to exist in an evolving environment.