Recent Chinese drug policy has shifted toward a more therapeutic approach to the drug problem, particularly emphasizing the rehabilitation and treatment of people who use drugs (PWUD). Despite extensive studies addressing the effects of these programs on PWUD, little attention has been given to their experiences or sense-making activities related to their involvement in recovery services. Drawing from ethnographic data collected in a large Chinese city, this study focuses on the adaptive practices of PWUD as they are channeled to rehabilitation by the police. The analysis reveals three interrelated adaptive strategies that PWUD have developed to navigate the maze of compliance requirements and complete the program: conflict avoidance, doing vulnerability, and taking root in the mainstream. The research also discusses implications for enhancing the rehabilitative effectiveness of Chinese drug policing.
BiddulphS. (2013). Compulsory drug rehabilitation in China. Rowman & Littlefield.
2.
BiddulphS.XieC. (2011). Regulating drug dependency in China: The 2008 PRC drug prohibition law. British Journal of Criminology, 51(6), 978–996. https://doi.org/10.1093/bjc/azr050
3.
BraunV.ClarkeV. (2019). Reflecting on reflexive thematic analysis. Qualitative research in sport, exercise and health, 11(4), 589–597. https://doi.org/10.1080/2159676x.2019.1628806
4.
BuchananR.KhakooS. I.CoadJ.GrellierL.ParkesJ. (2017). Hepatitis C bio-behavioural surveys in people who inject Drugs—a systematic review of sensitivity to the theoretical assumptions of respondent driven sampling. Harm Reduction Journal, 14(1), 1–11. https://doi.org/10.1186/s12954-017-0172-z
5.
ButlerJ. (1997). The psychic life of power: Theories in subjection. Stanford University Press.
6.
CampbellN. D.ShawS. J. (2008). Incitements to discourse: Illicit drugs, harm reduction, and the production of ethnographic subjects. Cultural Anthropology, 23(4), 688–717. https://doi.org/10.1111/j.1548-1360.2008.00023.x
7.
CharonR. (2006). Narrative medicine: Honoring the stories of illness. Oxford University Press.
8.
ChenZ.HuangK. (2007). Drug problems in China: Recent trends, countermeasures, and challenges. International Journal of Offender Therapy and Comparative Criminology, 51(1), 98–109. https://doi.org/10.1177/0306624X06295717
9.
DwyerP. (2004). Creeping conditionality in the UK: From welfare rights to conditional entitlements?Canadian Journal of Sociology, 29(2), 265–287. https://doi.org/10.2307/3654696
10.
EekhoudtC. R.SandhuM.MniszakC.GoodyearT.TurubaR.MarchandFastK. D. (2024). Looking beyond drugs: A scoping review of recovery in the context of illicit substance use among adolescents and young adults. International Journal of Drug Policy, 133(1), Article 104598. https://doi.org/10.1016/j.drugpo.2024.104598
11.
FedinaL.WilliamsonC.PerdueT. (2019). Risk factors for domestic child sex trafficking in the United States. Journal of Interpersonal Violence, 34(13), 2653–2673. https://doi.org/10.1177/0886260516662306
12.
GoffmanE. (1956). Embarrassment and social organization. American Journal of Sociology, 62(3), 264–271. https://doi.org/10.1086/222003
13.
GranfieldR.CloudW. (2001). Social context and “natural recovery”: The role of social capital in the resolution of drug-associated problems. Substance Use & Misuse, 36(11), 1543–1570. https://doi.org/10.1081/ja-100106963
14.
HammettT. M.WuZ.DucT. T.StephensD.SullivanS.LiuW.NguD.Des JarlaisD. C. (2008). Social evils’ and harm reduction: The evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam. Addiction, 103(1), 137–145. https://doi.org/10.1111/j.1360-0443.2007.02053.x
HoC. J. (2022). Benevolent policies: Bureaucratic politics and the international dimensions of social policy expansion. American Political Science Review, 116(2), 615–630. https://doi.org/10.1017/s0003055421000927
JiangJ. (2025). Modernizing penal capacity and defusing political tensions: How social Workers’ Rehabilitation Shapes Offenders’ perceptions of justice within Chinese community corrections. Asian Journal of Criminology, 20(2), 169–189. https://doi.org/10.1007/s11417-025-09454-4
19.
JiangJ.SongA. (2024). Strong control and weak service: Enforcing drug treatment in China. Journal of Drug Issues, 55(3), 379–400. https://doi.org/10.1177/00220426241231710
20.
KayeK. (2019). Enforcing freedom: Drug courts, therapeutic communities, and the intimacies of the state. Columbia University Press.
21.
LiB.JiangJ. (2024). Borrowed legitimacy and beseeched resources: How competing professionals negotiate identities and forge symbiosis within Chinese community corrections. Punishment & Society, 27(2), 270–295. https://doi.org/10.1177/14624745241302281
22.
LiE. (2022). Rehabilitation in a risk society: The case of China. In The palgrave handbook of global rehabilitation in criminal justice (pp. 89–106). Springer.
23.
LiY. (2008). Improving people’s livelihood and the changing state of “people-oriented.”. Journal of Society, 28(3), 65–72. [Chinese].
24.
LiangB.LuH. (2013). Discourses of drug problems and drug control in China: Reports in the People’s Daily, 1946–2009. China Information, 27(3), 301–326. https://doi.org/10.1177/0920203x13491387
25.
LinM.SunN.AmonJ. J. (2022). No exit: China’s state surveillance over people who use drugs. Health and human rights, 24(1), 135–146.
26.
LinW.ZhouW. (2020). Factors associated with the physical and mental health of drug users participating in community‐based drug rehabilitation programmes in China. Health and Social Care in the Community, 28(2), 584–590. https://doi.org/10.1111/hsc.12891
27.
LiuL.ChuiW. H. (2018). Rehabilitation policy for drug addicted offenders in China: Current trends, patterns, and practice implications. Asia Pacific Journal of Social Work and Development, 28(3), 192–204. https://doi.org/10.1080/02185385.2018.1482779
28.
LiuL.HsiaoS. C. (2018). Chinese female drug users’ experiences and attitudes with institutional drug treatment. International Journal of Offender Therapy and Comparative Criminology, 62(13), 4221–4235. https://doi.org/10.1177/0306624X18758894
29.
LuH.MietheT. D.LiangB. (2016). China’s drug practices and policies: Regulating controlled substances in a global context. Routledge.
30.
MaY.LukB. H. K.ZhangW.ChamC. Y. C.MaH. (2025). Understanding the perspectives of police officers regarding men who use drugs and drug rehabilitation in China: A qualitative study. The American Journal of Drug and Alcohol Abuse, 51(2), 1–10. https://doi.org/10.1080/00952990.2024.2447294
31.
MahboubN.Honein-AbouHaidarG.RizkR.de VriesN. (2021). People who use drugs in rehabilitation, from chaos to discipline: Advantages and pitfalls: A qualitative study. PLoS One, 16(2), Article e0245346. https://doi.org/10.1371/journal.pone.0245346
32.
McLuhanA. (2020). Adopting a cloak of incompetence: Impression management techniques for feigning lesser selves. Sociological Theory, 38(2), 122–141. https://doi.org/10.1177/0735275120926222
33.
MengY.JiangJ. (2024). Visible body and invisible mind: Bureaucratic performance, self-rehabilitation, and the machinery of Chinese community corrections. Criminology and Criminal Justice, 17488958241270877. online first. https://doi.org/10.1177/17488958241270877
34.
NajavitsL. M. (2019). Finding your best self: Recovery from addiction, trauma, or both. Guilford Publications.
35.
NolanJr. J. (2009). Legal accents, legal borrowing: The international problem-solving court movement. Princeton University Press.
36.
Ramirez-VallesJ.HeckathornD. D.VázquezR.DiazR. M.CampbellR. T. (2005). From networks to populations: The development and application of respondent-driven sampling among IDUs and Latino gay men. AIDS and Behavior, 9(4), 387–402. https://doi.org/10.1007/s10461-005-9012-3
37.
ShiH. (2024). The impacts of Guanxi: Drug policing under police professionalisation in China. Sociological Research Online, 29(3), 579–595. https://doi.org/10.1177/13607804231177501
38.
SongA.HeJ.LiuZ. (2025). Systemic neglect hidden behind tolerance: The reproduction of vulnerability among aging heroin users within the community-based rehabilitation. Innovation in Aging, 9(8), igaf066. https://doi.org/10.1093/geroni/igaf066
39.
SongA.JiangJ. (2025). Coercive rehabilitation and therapeutic control: How the police navigate the penal-welfare nexus in Chinese drug governance. Policing & Society. online first: https://doi.org/10.1080/10439463.2025.2472642
40.
SongA.LiuZ. (2022). “Returning to ordinary citizenship”: A qualitative study of Chinese PWUD’s self-management strategies and disengagement model of identity. Behavioral Sciences, 12(8), 258. https://doi.org/10.3390/bs12080258
41.
SongA.ZhuC.LiuZ. (2024). ‘No ability to choose freedom’: a qualitative study on people who use drugs’ experiences of compulsory isolation treatment. Addiction Research and Theory, 33(4), 1–16. https://doi.org/10.1080/16066359.2024.2426467
42.
TibkeP. (2017) Drug dependence treatment in China: A policy analysis (2017, pp. 1–16). International Drug Policy Consortium Publication.
43.
TimmermansS.TavoryI. (2022). Data analysis in qualitative research: Theorizing with abductive analysis. University of Chicago Press.
44.
WangY.LiuJ. (2024). Reform and punishment: An overview of correctional rehabilitation in mainland China. In Approaches to offender rehabilitation in Asian jurisdictions (pp. 37–50). Taylor & Francis.
45.
WangY.LiuJ.ZhouH. (2025). Describing the evolution of three features of China’s drug policy: Regulation, crime and punishment, and rehabilitation. International Journal of Drug Policy, 140, Article 104827. https://doi.org/10.1016/j.drugpo.2025.104827
46.
YangJ.GiummarraM. J. (2021). Compulsory and voluntary drug treatment models in China: A need for improved evidence-based policy and practice to reduce the loaded burden of substance use disorders. International Journal of Drug Policy, 92, Article 103063. https://doi.org/10.1016/j.drugpo.2020.103063
47.
ZhaoX. (2023) Cultural Expression of Power and the Pursuit of a Better Society: A New Observation of Political Anthropology in a Changing World (3). Journal of Hubei University for Nationalities. [Chinese].
48.
ZhengY. (2011). The dilemma and breakthrough of social work involvement in community-based drug rehabilitation. Journal of Social Work, 2(4), 84–89. [Chinese].
