Health education of people addicted to psychoactive substances on substitution treatment. Contextualized research in a reception and care center for drug addicts

Context : As part an experimental counselling project carried out with socially unstable drugaddicts to monitor the compliance with their substitution treatment. (Eymard, 2007), we could be analyse the practices of education in health. Method : Statistical analysis of linguistics and comprehensive analysis of the practice of professionals and the accounts of 29 subjects in a treatment centre. Results : The multiplicity of obstacles to compliance and their multidirectional complicates the counselling medico-psychosocial. Two models were described in the counselling practice: an action and learning guidance model, and a model which accompanies the subject in the compliance/non-compliance process by looking for the ties between health risks and quality of life. Sometimes are combined to fit to the process of change of the person in care. Some professionals may use alternately models, or denominate different models depending on the situation to adapt to the change process of the person in care.