This article explores, systematically and in depth, users’ perceptions of participating in a Norwegian non-profit establishment that provides a continuing care programme for substance use and dependence. Identified results are linked to a holistic system perspective, where human, technology, and organisation (HTO), as well as external environment, are viewed as intertwined. At the establishment level, i.e., where the continuing care programme is delivered, we find that a clear holistic and user-oriented profile – comprising combined interventions including physical and social activities – can create a safe and stable environment that exerts a positive mental and physical influence on the user and thereby promotes abstinence from substances. However, our results suggest that the internal environment needs to connect more strongly with the external environment, such as a substance-free network, close family, and working life. At the establishment level, we conclude that there is a need to develop an explicit strategy and practice for collaborating with the external environment, built on systemisation and application of individual users’ insights into the design of the current interventions. Further research should explore the presence and absence of interplays between elements of human, technology, and organisation and the external environment, and the associated consequences for intervention processes and users’ health outcomes. Our holistic system model, empirically informed by data from a Norwegian context, can represent a starting point for such endeavours. The holistic system model also constitutes an original and novel contribution to research on continuing care interventions.

本文系统而深入地探讨了用户对参与挪威非营利机构的看法，该机构为物质使用和依赖提供持续护理计划。确定的结果与整体系统视角相关联，其中人、技术和组织 (HTO) 以及外部环境被视为相互交织。在机构层面，即提供持续护理计划的地方，我们发现清晰的整体和以用户为导向的概况——包括包括身体和社会活动在内的综合干预措施——可以创造一个安全和稳定的环境，发挥积极的身心对用户的影响，从而促进对物质的禁欲。然而，我们的研究结果表明，内部环境需要与外部环境建立更紧密的联系，例如无物质网络、亲密的家庭和工作生活。在机构层面，我们得出结论，有必要制定一个明确的策略和实践来与外部环境合作，建立在系统化和应用个人用户对当前干预设计的洞察力的基础上。进一步的研究应探讨人、技术和组织要素与外部环境之间是否存在相互作用，以及干预过程和用户​​健康结果的相关后果。我们的整体系统模型，根据挪威背景的数据，可以代表这些努力的起点。