| 51. |
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| 52. |
- Gerdner, Arne, et al.
(författare)
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Effects of psychologists assessments of patients within compulsory care : A matched-control trial
- 2007
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Ingår i: Proccedings. 50th International ICAA Conference on Dependencies, Stockholm, June 2007.
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Konferensbidrag (refereegranskat)abstract
- Introduction. Psychological assessment is usually not provided as routine within care for substance use disorders (SUD) in Sweden. A number of studies has shown that about 70-80 percent of compulsory care patients for substance use disorders suffer from additional axis-1 disorder and about 50-75 percent meet the criteria of a personality disorder (axis-2). A synthesized review with meta-regression on 32 outcome studies of compulsory care of SUD patients showed that structured psychiatric or psychological assessment was related to higher rate of total abstainers as well as the rate of improved, when patient profile and study methology was controlled for. This study explores the effect of a psychologist�s assessment in compulsory care of SUD patients for planning and implementation of after-care as well as for outcome. Methods. The study was conducted at three compulsory care institutions. The intervention group of 115 patients who were assessed by a licensed psychologist were matched with 115 who were not assessed in that way (control group). Matching criteria were age, gender, psychiatric status at intake, type of drug use, institution. Patients were interviewed 1-2 years post discharge and social workers replied to a questionnaire, using the same items. Interviews and questionnaires explored the content of after-care planning, the actual aftercare, and the outcome on substance misuse, health and social conditions. Results: Data collection was completed in the beginning of April, 2007, with at least one reply on more than 90 percent in the intervention group as well as in the control group. At the time of call for abstracts, these data were not yet analysed. At the conference, comparisons will be provided. Discussion: The findings may help us to understand the usage of psychologists´ assessment for care and after-care planning as well as for the outcomes in terms of misuse, health and social integration
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| 53. |
- Gerdner, Arne
(författare)
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Eftervården eftersatt! : En genomgång av studier om fortsatt vård efter LVM
- 2004
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Ingår i: Alkohol & Narkotika. - 0345-0732. ; 98:4, s. 17-20
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Hur fungerar eftervården efter LVM? I vilken omfattning finns den och vad har den för innehåll? Behövs den? Det är några frågor som berörs i denna artikel av Arne Gerdner, lektor i socialt arbete, Mitthögskolan, Östersund, som tidigare har presenterat många studier om LVM-vården och dess utfall. Ibland diskuteras under begreppet "eftervård" även andra viktiga stödåtgärder som handlar om boende, sysselsättning och försörjning etc. Andra har påvisat stora brister i dessa avseenden (se t.ex. Yohannes m.fl. 2002). Denna artikel koncentreras dock på frågan om eftervård i en snävare mening, dvs insatser som handlar om stöd, vård och behandling med fokus på att hantera missbruket.
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| 54. |
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| 55. |
- Gerdner, Arne, 1950-
(författare)
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Ethnic categorisation, identity and perceptions of life among Swedish Samis
- 2021
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Ingår i: Ethnicities. - : Sage Publications. - 1468-7968 .- 1741-2706. ; 21:6, s. 1113-1139
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Tidskriftsartikel (refereegranskat)abstract
- To what extent do Swedish Samis identify their ethnicity as Sami, Swedish, or both? How do they meet various criteria for being allowed to register as voters to the Sami Parliament? What factors predict ethnicities? These questions are studied in randomised samples from the electoral roll for the Sami Parliament. Applying Berry’s model of acculturation, four types are constructed—separated, assimilated, integrated, and marginalised. The findings show that the integrated represent the great majority of Samis. The two groups who tend to choose one of the identities—Sami or Swedish—represent less than one third when combined and are about equal in size. Those marginalised with weak ethnic identities represent 2%. Although all meet the self-identification criterion of being Sami, few meet each of some ‘objective’ criteria, e.g. being involved in reindeer herding, having Sami as the home language or having parents or grandparents with Sami as the home language. The main predictors of a stronger Sami identity are cultural symbolic behaviours and heredity. The main negative predictor of a stronger Swedish identity among Samis is the use of cultural symbolic behaviours, and the main positive predictor is a positive estimate on the Swedish public opinion’s interest in Samis. The findings are discussed in relation to Sami debates on indigeneity.
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| 56. |
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| 57. |
- Gerdner, Arne, et al.
(författare)
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Explaining inconsistancy between patient and collateral : Validity in outcome studies of coercive alcoholism treatment
- 1996
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Ingår i: Scandinavian Journal of Social Welfare. - : Wiley. - 0907-2055. ; 5:1, s. 12-18
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to assess the consistency of replies to questionnaires mailed to patients and two kinds of collaterals, i.e., social workers and significant others, at a public treatment center with socially unstable and compulsory committed patients. It compares the quantity and kind of discrepancies between replies by patients and collaterals on outcome data concerning social situation and drinking habits. It aims to measure the amount of systematic bias among factors that may explain inconsistencies between reports, especially the factors compulsory commitment, worse outcome, frequency of contact and type of collateral. The responders generally agreed. Variables in which there was less agreement were explored in logistic regressions using ten explanatory variables. Significant relations did not exceed those expected by chance. Discrepancies were not systematic in size and kind. On a six-rank ordinal scale of alcohol use or abuse, however, patients tended to underestimate the extent of their abuse. Inconsistencies here concerned the degree but not the presence of abuse. No difference in consistency due to type of collateral was found. In conclusion, the consistency of the questionnaires was high and independent of the social situation of the patient, of compulsory commitment and of other background or treatment factors, as well as of treatment outcome and type of collateral.
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| 58. |
- Gerdner, Arne, et al.
(författare)
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Factors affecting motivation to treatment among severely dependent alcoholics. : 43rd International Institute on the Prevention and Treatment of Dependencies, Social Work Section, ICAA, Bahrain, September 3-7
- 2001
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Environmental, developmental and personality factors are explored as predictors of motivation to treatment for alcoholism, using concepts such as social situation on admission, treatment career, age education and adventurous patterns of behaviour. The original population consists of 603 severely dependent alcoholics (mean age 40 years, 24% women, 42% compulsorily committed). In structural equation model estimation, 85% of the original cases were used, and included compulsorily as well as voluntarily admitted patients. A reduced model was tried on voluntary patients alone. In the main model, patterns of behaviour and age were not related to the motivation to treatment, while treatment career had some negative impact. Social problems were related to less motivation to treatment. In turn, a worse social situation was related to more treatment experience. The reduced model on voluntary patients alone confirmed the main findings, although more previous treatment tended to be related to more motivation. In conclusion, motivation was mostly related to a better social situation, having �more to lose�. A collapse in the social situation was more an obstacle than a promoter of motivation. There was no support for the statements that �maturing out� would result in more motivation and inconclusive findings concerning the impact on motivation from having many previous treatment experiences. The pattern of behaviour was not directly related to the level of motivation. Based on these findings, the relevance of social work for motivation to treatment is discussed.
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| 59. |
- Gerdner, Arne, et al.
(författare)
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Factors affecting motivation to treatment in severely dependent alcoholics
- 2000
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Ingår i: Journal of Studies on Alcohol. - 0096-882X .- 1934-2683. ; 61:4, s. 548-560
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The paper explores environmental, developmental and personality related factors as predictors of motivation to treatment for alcoholism using concepts such as social situation on admission, treatment career, age, education and adventurous patterns of behavior. Method: The original population consists of 603 severely dependent alcoholic patients (mean age 40 years, 24% women, 42% compulsorily committed). In a structural equation model estimation, 85% of the original cases were used, compulsorily as well as voluntarily admitted patients. A reduced model was tried on voluntary patients alone. Results: In the main model, pattern of behavior and age were not related to the motivation to treatment, while treatment career had some negative impact. Social problems were related to less motivation to treatment. In turn, a worse social situation was related to more treatment experience. The reduced model on voluntary patients alone confirmed the main findings, although more previous treatment tended to be related to more motivation. Conclusion: Motivation was mostly related to a better social situation, having �more to lose�. A collapse in the social situation was more an obstacle than a promoter of motivation. There was no support for statements that �maturing out� would result in more motivation and inconclusive findings concerning the impact on motivation from having many previous treatment experiences. The pattern of behavior was not directly related to the level of motivation. Based on these findings, the relevance of social work for motivation to treatment is discussed.
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| 60. |
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