2194.0 Sneakin' and geekin': Perceptions, beliefs, and experiences around marijuana among people in treatment for substance use

Session: Cannabis Poster Session 1: Risk Factors and Correlates of Cannabis Use

Program: Alcohol, Tobacco, and Other Drugs

Time: 5-6 PM

Presenters:

Trace Kershaw, PhD

Abstract

Over the past few decades, marijuana has increasingly been perceived as a harmless or inconsequential substance. Among people in treatment for substance use challenges, a large proportion use marijuana and this marijuana use is likely to persist during treatment. This qualitative study examined experiences and perceptions relating to marijuana: 1) prior to treatment, 2) during treatment, and 3) impact on treatment experience. Qualitative tele-interviews were conducted with people in treatment for substance use challenges in Georgia and Connecticut (N = 27). Three themes emerged related to using marijuana during treatment for substance use challenges: 1) Marijuana as a “gateway” to other substance use initiation and relapse, 2) Marijuana as a potential beneficial medicine to treat co-occurring mental health problems as well as alcohol and opioid use disorder, and 3) anxiety related to persistent marijuana use due to fears of treatment and legal consequences. Findings suggest that although marijuana use may be related to return to other substance use, many people in treatment for substance use challenges have a complex set of beliefs and experiences around marijuana as a potential beneficial medicine to address co-occurring mental health concerns and to relieve symptoms of opioid and alcohol use disorder. However, these beliefs and experiences are often coupled with stigma and shame due to persistent marijuana use while identifying as sober, in recovery, or in treatment.