Abstract Faith-based rehabilitation programs play a crucial role in supporting individuals’ recovery from substance use disorders, where spiritual turning points often serve as catalysts for lasting transformation and renewed meaning. However, little is known about how such experiences unfold and which elements are most significant in the recovery process. This study explores how former substance users construct meaning in their existential journey from addiction to sustained recovery within faith-based contexts in Norway. Data from in-depth qualitative interviews with 24 individuals who had completed Christian rehabilitation programs were analyzed using a thematic narrative approach. The findings revealed that the participants experienced a profound existential and emotional crisis marked by identity loss and hopelessness prior to rehabilitation. Within faith-based communities, they encountered forgiveness, belonging, and unconditional love, which initiated deep spiritual turning points. These experiences were understood as transformative encounters that restored meaning, dignity, and moral direction, and reoriented participants’ sense of self. The findings further indicate that spiritual care may function as a foundational and integrative dimension of recovery, shaping not only existential meaning, but also psychological, relational, and behavioral processes. Faith-based institutions exemplify how such spiritual care can be cultivated through holistic and community-based practices. This study highlights the need for greater recognition of spiritual and existential dimensions in recovery processes, as well as for more systematic evaluation and inclusion of faith-based approaches within a pluralistic healthcare landscape.
Yri et al. (Mon,) studied this question.