Recovery Capital and Family Support Among Incarcerated Men with a History of Psychoactive Substance Use in a Single Romanian Penitentiary: A Qualitative Study.

Background/Objectives: Substance use disorders are common in the prison population and are associated with relapse and criminal recidivism, yet qualitative evidence on recovery capital and family support within Eastern European penitentiary systems remains limited. This study explored how incarcerated men with a history of substance use perceive initiation, withdrawal, recovery, and the role of family support as a recovery capital resource. Methods: A qualitative descriptive study was conducted in a Romanian penitentiary with 50 definitively sentenced men with self-reported substance use history, selected through purposive sampling. Data were collected through semi-structured interviews, without audio recording due to institutional security regulations, and reconstructed in detailed written notes validated through member checking, then analyzed using inductive thematic analysis via consensus-based double coding (initially coded by the first researcher and reviewed by a second researcher, with discrepancies resolved through discussion), until thematic saturation was reached. Results: Six themes were identified: initiation of use influenced by peer groups, socioeconomic vulnerability, and criminogenic environments; effects initially perceived as beneficial, followed by progressive deterioration; severe withdrawal and denial of dependence; cognitive mechanisms sustaining use, including externalization of responsibility; the dual role of the family as both a risk and a protective factor; and a recovery process marked by ambivalence toward abstinence, in which family support, employment, and prosocial relationships were central. Abstinence during incarceration was frequently perceived as maintained under institutional constraint rather than as internally motivated recovery. Conclusions: In this single-prison sample, recovery extended beyond abstinence, suggesting the need to strengthen personal, social, and family recovery capital. The findings, which require confirmation in larger samples, support exploring integrated prison-community continuum-of-care interventions centered on addiction treatment, family involvement, and post-release support.