TOWARDS AN INTEGRATED APPROACH TO SUBSTANCE USE RECOVERY AND RELAPSE PREVENTION IN AFRICA: THE TRAUMA-INFORMED FAMILY AND SOCIETAL RECOVERY MODEL (TIFSRM)

Abstract

This review explores the Trauma-Informed Family and Societal Recovery Model (TIFSRM) as a model for addressing substance using recovery in the African context. Drawing from trauma, psychosocial stressors and specific modes of family contextualization, substance use is one of the most consequential public health concerns facing Africa. Rampant historical trauma, socioeconomic hardship, and cultural stigmas around substance use compound these problems for many Africans, creating barriers to recovery efforts.

In this context, TIFSRM offers a wide and holistic response building, on trauma-informed policies, practices and principles, as well as on strengthening family and community engagement and support. The model highlights the need to understand how trauma influences the way people behave towards each other, and thus to design intervention strategies that will be more effective. When it comes to family and community, culturally responsive methods are needed — necessary to help the people directly affected by substance use disorders and contribute to their recovery.

This paper summarizes the relevant literature on trauma-informed approaches, family support, and the importance of networks for recovery. Not only does the model support the personal return to health, but it also promotes the restoration of family and community, targeting the much larger societal challenges created by substance use. Such an integrative approach is promising for designing contextually sensitive interventions for the unique cultural and social realities concerning addiction within African communities towards building healthier and supportive environments for recovery.