Initiation of Addiction Treatment and Access to Services: Young Adults Accounts of Their Help-Seeking Experiences

International audienceSubstance addiction in young adults is particularly problematic. Yet, much remain at stake in understanding the specifics of this population’s access to services. The objective of this study is to explore young adults’ perspectives of their initiation of substance abuse treatment. Our study sample was composed of 35 individuals aged 18 to 30 with problematic psychoactive substance use who have been identified in criminal courts, hospital emergency departments and Health and Social Services Centers in Quebec (Canada). A thematic analysis was performed on the 62 semi-structured interviews conducted with participants. Three components emerged from the analysis. First, personal elements—expectations, individual motivations, perceptions of use and capacity to control it—influence initiation of substance abuse treatment. Second, family and peers have noticeable influences. Finally, system characteristics and prior care experiences also shape the process. Young substance users’ initiation of substance abuse treatment lies at the intersection of personal, social and institutional trajectories. Consideration should be given to tailor interventions that can reach young adults and encourage them to initiate appropriate care