Date of Award

Fall 2025

Language

English

Embargo Period

11-10-2025

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College/School/Department

School of Social Welfare

Program

Social Welfare

First Advisor

Eric Hardiman

Committee Members

Jildyz Urbaeva, Glenn Deane

Keywords

Drug and Substance Abuse, Young Adults, Treatment Completion, Stigma, Culture, Family Dynamic, Peers, Shame, Motivation, Anderson's Behavioral Model, Health Services Utilization, Rehabilitation Center, Qualitative Study, Phenomenology, Indonesia.

Subject Categories

Asian Studies | Counseling | Criminology | Global Studies | Health Services Research | Public Health | Social and Behavioral Sciences | Social Justice | Social Work

Abstract

In Indonesia which has the highest rate of drug addiction in Southeast Asia, there is currently little knowledge about how young adults perceive the barriers faced when completing treatment or how treatment providers' perspectives influence their treatment completion. Understanding and identifying barriers to treatment completion is essential to making drug treatment more effective. The purpose of this study is to explore the perspectives and live experiences of young adults with DUD and their addiction counselors to develop a deeper understanding of treatment needs. This study interviewed 33 clients and 15 counselors from the rehabilitation center of the Badan Nasional Narkotika (BNN) in Indonesia. Semi-structured interviews were recorded and transcribed verbatim, imported into N-VIVO software for coding, and then grouped and organized into relevant categories. Clients emphasized categories of family, social stigma, spiritual needs, personal values and attitudes, treatment access and drug policies as the most significant factors helping or hindering treatment success. Counselors emphasized the importance of staff attitudes, access to treatment, staffing and staff training, government policies and professional development. The findings suggest ways that changes to current policies and the addition of innovative and creative outreach may be implemented to help youth in Indonesia post-rehabilitation as well as those who have never attempted to enroll in treatment services or were unsuccessful in enrolling in treatment services. Proposals include culturally sensitive practices, accessible outreach materials, revisions to Indonesia’s drug rehabilitation quota program and preventative educational initiatives to address young adults’ lack of knowledge and attitudes that encourage experimenting with drugs.

License

This work is licensed under the University at Albany Standard Author Agreement.

Download

Share

COinS