Vietnamese-Australian heroin users’ perspectives on the role of the family in treatment

Abstract

Ethnic Vietnamese heroin users in Australia typically experience high rates of blood-borne virus infection, opioid overdose, criminal justice system involvement and poor retention in substance use treatment, particularly methadone maintenance treatment. This paper explores the experiences of twenty ethnic Vietnamese heroin users and examines the specific role of families in treatment from the perspective of the person going through treatment. What emerged from this study was a picture of a young, ethnically distinct subgroup of opiate-dependent people struggling to engage in treatment in an environment where heroin was easily accessible. The relational dynamics between participants and their family appears as a key mediator of the experience of treatment: it can be a source of motivation, grounding and connectedness; or it can be alienating and fragmenting. The extended nature of Vietnamese family systems meant that these relationships had implications for family members geographically and relationally close and distant.

I think it is just like the worst thing when your parents find out because it feels like they have to suffer for like no reason, you know. It is too hard for them, they know but they never want to admit it. I would say the family stuff is the hardest. (Lien My [], female 19 years)

Notes

Notes

1. The stigma of illicit drug use requires that all names used through this paper are pseudonyms.