Exploring service user and family members’ perspective and experiences of alcohol dependence treatment in tertiary care hospital: A qualitative study

Background: Substance use disorders (SUDs), particularly alcohol dependence, represent the significant global public health challenge. Understanding the perspectives of service users and family members regarding addiction treatment is critical for improving care. Despite growing emphasis on patient-centered approaches, their insights remain underrepresented in shaping treatment programs. Aim: To explore the treatment goals, expectations, and experiences of service users with alcohol dependence and their family members in a tertiary care hospital’s substance use treatment ward. Methods: This qualitative study was conducted in the substance use treatment ward of a tertiary care hospital. Using purposive sampling, 54 service users diagnosed with alcohol dependence and 53 family members participated in semi-structured, in-depth interviews. Participants shared their treatment goals, expectations, and recommendations for care improvement. Data were analyzed inductively using thematic analysis, with themes iteratively refined until saturation. Results: Participants emphasized the need for comprehensive, stigma-free care. Service users sought sustained abstinence, physical health restoration, and societal reintegration post-discharge. Positive aspects included supportive staff, psychotherapy sessions, and effective relapse prevention strategies. A majority expressed high satisfaction (e.g., 70% endorsed “satisfied” or “very satisfied”), reflecting overall positive experiences. However, stigmatization and fragmented service delivery emerged as barriers. Family members echoed these views and stressed the role of family engagement in recovery. Conclusion: This study reveals that personal, family, and systemic factors shape treatment experiences in alcohol dependence, with stigma, fragmented services, and limited family involvement as key barriers. Targeted strategies—integrated care, stigma reduction, and stronger family engagement—can enhance treatment quality and sustain recovery.