Client perceptions of inpatient treatment: a qualitative account with implications for service delivery

Forty-two clients attending two specialist inpatient programmes for drug and alcohol dependence in South London participated in a semi-structured, researcher-administered interview about their treatment experiences. The quality of the therapeutic relationships with staff and other clients were amongst the most positive aspect of treatment described. Clients were generally enthusiastic about the content of the treatment programme and support services. Treatment dissatisfaction mostly centred on aspects of the programme regulations and physical environment. Concerns included: the physical comfort at the programme, shared personal space and a rule restricting visitors. Qualitative studies of this kind cart be a valuable adjunct to formal outcome evaluations, and can offer an illuminating account of clients' experiences in treatment. The results can guide continuous qualify improvement and programme development efforts.