ORIGINAL RESEARCH article
Front. Public Health
Sec. Substance Use Disorders and Behavioral Addictions
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1612634
Experiences of reintegration, relapse, and readmission: A qualitative study among patients with alcohol use disorder in Uganda
Provisionally accepted
- 1Ohio University, Athens, United States
- 2Makerere University, Kampala, Central Region, Uganda
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Introduction: Alcohol Use Disorder (AUD) is a significant public health concern in Uganda, with many patients experiencing relapses. Despite the implementation of various interventions and support services aimed at managing AUD, a substantial number of patients continue to experience relapses, resulting in frequent readmissions. These relapses and readmissions add additional strain to the already burdened healthcare system. Gaining insight into patients' experiences of relapse can help enhance support services and decrease the likelihood of readmissions. Methods: A descriptive qualitative study examined the relapse experiences of 12 stable AUD patients at Uganda's National Mental Health Referral Hospital. In-depth interviews were conducted using a semi-structured guide, and the data were analyzed thematically through an inductive approach. Results: Three main themes emerged: causes of relapse, experiences of readmission, and challenges to reintegration. Triggers for relapse included frustration, loneliness, sleep disturbances, negative life events, and peer pressure. Key experiences related to readmission encompassed personal reflection, mastery of treatment, and involuntary admissions. Challenges to reintegration focused on stigma, social disconnection, and feelings of being an outsider. Discussion: The findings offer valuable insights for enhancing reintegration support services, which may help reduce relapse rates and improve outcomes for AUD patients in Uganda.
Keywords: alcohol use disorder, Readmission, Treatment, relapse, Community, reintegration
Received: 16 Apr 2025; Accepted: 04 Jul 2025.
Copyright: © 2025 Mukula, Musanje, Ouma, Opondo and Ndeezi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hilary Mugabo Mukula, Ohio University, Athens, United States
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