Methamphetamine users' experiences with initial substance use: A qualitative exploration

Methamphetamine, an addictive stimulant, presents a number of public health and social consequences to the communities in which it is used, as well as severe consequences to the individual. A qualitative study was conducted in order to better understand the development of addiction for those who abuse methamphetamine. Recruitment for this study took place in a treatment center in Western Montana with individuals beginning intensive outpatient treatment. Qualitative interviews (n = 28) were used to gather information about a variety of topics related to individuals' initial experiences with methamphetamine, as well as other substances they reported using. Specific areas that were explored included: who the person was with and how old they were during the first time they used specific substances, how the individual perceived the initial drug experience, motivations for using and quitting, as well as reasons for the escalation of substance use to a problematic level. Results indicated that almost 30% of methamphetamine users were introduced to this substance by a family member, and more than two thirds reported having an initial positive experience with the drug. The qualitative responses were coded into response categories by the principal investigator and sorted by three research assistants. Results from these analyses revealed that the drug properties specific to methamphetamine (e.g., the quick development of tolerance) are key in the escalation of use and difficulty quitting. These findings implicate the need for prevention strategies emphasizing the addictive potential of methamphetamine, and targeting families and children of methamphetamine users.