| 1. |
|
|
| 2. |
-
BiB 2010 - bedömningsinstrument inom behandling och forskning för missbruks- och beroendevården
- 2010
-
Editorial collection (other academic/artistic)abstract
- BiB 2010 är en sammanställning av information om bedömningsinstrument med relevans för behandling och forskning inom missbruks- och beroendevården. Gemensamt för alla instrument i boken är att de är översata till eller utvecklade på svenska. Redan 1998 publicerades en första sammanställning, BIB 1998, som svar på ett uttryckt behov av en översikt över användbara mätmetoder och bedömningsinstrument inom fältet. Behovet har inte minskat med åren, tvärt om. Att antalet instrument som inkluderats i denna utgåva är betydligt större jämfört med BIB 1998 vittnar om både ett större utbud och en minst lika stor efterfrågan efter strukturerade mätmetoder och skattningsverktyg. Samtidigt har också bredden i de instrument som anses relevanta för missbruks- och beroendevården ökat. Därför innehåller BiB 2010 både instrument som tydligt inriktar sig på missbruk eller beroende och instrument som fokuserar på exempelvis personlighet, kognitiva funktioner eller sociala relationer. BiB 2010 innehåller information om knappt 90 instrument för bedömning av individer, beskrivningar av insatser och organisatoriska förhållanden, skattning av utfall samt uppföljning av vård och behandling. Vår förhoppning är att boken ska bidra till ytterligare använding och utveckling av befintliga instrument samt att fler instrument översätts och anpassas för svenska förhållanden.
|
|
| 3. |
- Billsten, Johan, 1971-, et al.
(author)
-
Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study
- 2018
-
In: Journal of Substance Abuse Treatment. - Amsterdam : Elsevier. - 0740-5472 .- 1873-6483. ; 84, s. 9-16
-
Journal article (peer-reviewed)abstract
- Organizational climate and related factors are associated with outcome and are as such of vital interest for healthcare organizations. Organizational Readiness for Change (ORC) is the questionnaire used in the present study to assess the influence of organizational factors on implementation success. The respondents were employed in one of 203 Swedish municipalities within social work and psychiatric substance/abuse treatment services. They took part in a nationwide implementation project organized by the Swedish Association of Local Authorities and Regions (SALAR), commissioned by the Swedish National Board of Health and Welfare. Aim The aims were: (a) to identify classes (clusters) of employees with different ORC profiles on the basis of data collected in 2011 and (b) to investigate ORC profiles which predicted the use of assessment instruments, therapy methods and collaborative activities in 2011 and 2013. Design and recruitment The evaluation study applied a naturalistic design with registration of outcome at consecutive assessments. The participants were contacted via official e-mail addresses in their respective healthcare units and were encouraged by their officials to participate on a voluntary basis. Statistics Descriptive statistics were obtained using SPSS version 23. A latent profile analysis (LPA) using Mplus 7.3 was performed with a robust maximum likelihood estimator (MLR) to identify subgroups (clusters) based on the 18 ORC indexes. Results A total of 2402 employees responded to the survey, of whom 1794 (74.7%) completed the ORC scores. Descriptive analysis indicated that the respondents were a homogenous group of employees, where women (72.0%) formed the majority. Cronbach's alpha for the 18 ORC indexes ranged from α = 0.67 to α = 0.78. A principal component analysis yielded a four-factor solution explaining 62% of the variance in total ORC scores. The factors were: motivational readiness (α = 0.64), institutional resources (α = 0.52), staff attributes (α = 0.76), and organizational climate (α = 0.74). An LPA analysis of the four factors with their three distinct profiles provided the best data fit: Profile 3 (n = 614), Profile 2 (n = 934), and Profile 1 (n = 246). Respondents with the most favorable ORC scores (Profile 3) used significantly more instruments and more treatment methods and had a better collaborating network in 2011 as well as in 2013 compared to members in Profile 1, the least successful profile. Conclusion In a large sample of social work and healthcare professionals, ORC scores reflecting higher institutional resources, staff attributes and organizational climate and lower motivational readiness for change were associated with a successful implementation of good practice guidelines for the care and treatment of substance users in Sweden. Low motivational readiness as a construct may indicate satisfaction with the present situation. As ORC proved to be an indicator of successful dissemination of evidence-based guidelines into routine and specialist healthcare, it can be used to tailor interventions to individual employees or services and to improve the dissemination of and compliance with guidelines for the treatment of substance users. © 2017
|
|
| 4. |
- Björklund, Fredrik, et al.
(author)
-
Emotion and social motivation in university students´ real life moral dilemmas
- 2002
-
Reports (other academic/artistic)abstract
- Studied the relationship between motivation and approaches to moral decision-making, and the emotions experienced in moral dilemmas. 44 students were interviewed about a dilemma they had faced. Intimacy was related to a preference for making decisions after having consulted others and to being open to their values and norms, whereas achievement was related to consequence-oriented reasoning and concrete construal of moral problems. When asked to relive their moral dilemma, participants scored lower than their baseline level on a mood questionnaire, females scoring lower than the males. Possible implications of emotion on cognitive processes involved in solving moral dilemmas are discussed.
|
|
| 5. |
- Fridell, Mats, et al.
(author)
-
15-årsuppföljning av drogberoende personer.
- 2006
-
In: Vad vet vi om narkotikaanvändarna i Sverige? Mobilisering mot narkotika: rapport. - : Vad vet vi om narkotikaanvändarna i Sverige? Mobilisering mot narkotika: rapport Mobilisering mot narkotika. ; 14, s. 14-21
-
Book chapter (other academic/artistic)abstract
- En representativ sample drogberoende patienter på sjukhus 1988 - 89 (n=125) följdes upp vid 5 år och vid 15 år. Kliniska ata och utfallsdata registrerades vid indevårdtillfället och vid uppföljningarna med en semistrukturerad intervju omfattande demografiska karakteristika, kliniska diagnoser kompletterade med kliniska test och skattningsskalor. Registerdata används för validering och jämförelse. Säkre utfallsdata vid 5 år finns registrerade för 112 personer av hela samplet (90 %) och för 110 (88 %) vid 15 år.
|
|
| 6. |
- Fridell, Mats, et al.
(author)
-
Antisocial personality disorder as a predictor of criminal behaviour in a longitudinal study of a cohort of abusers of several classes of drugs: Relation to type of substance and type of crime.
- 2008
-
In: Addictive Behaviors. - : Elsevier BV. - 0306-4603. ; 33, s. 799-811
-
Journal article (peer-reviewed)abstract
- Mixed findings have been made with regard to the long-term predictive validity of antisocial personality disorder (ASPD) on criminal behaviour in samples of substance abusers. A longitudinal record-linkage study of a cohort of 1052 drug abusers admitted 1977-1995 was undertaken. Subjects were recruited from a detoxification and short-term rehabilitation unit in Lund, Sweden, and followed through criminal justice registers from their first treatment episode to death or to the year 2004. In a ML multinomial random effects regression, subjects diagnosed with antisocial personality disorders were 2.16 times more likely to be charged with theft only (p<0.001), and 2.44 times more likely to be charged committing multiple types of crime during an observation year (p<0.001). The findings of the current study support the predictive validity of the DSM-III-R diagnosis of ASPD. ASPD should be taken seriously in drug abusers, and be targeted in treatment to prevent crime in society.
|
|
| 7. |
|
|
| 8. |
|
|
| 9. |
|
|
| 10. |
- Fridell, Mats, et al.
(author)
-
Clinical diagnosis and SCID-II assessment of DSM-III-R personality disorders
- 2006
-
In: European Journal of Psychological Assessment. - : Hogrefe Publishing Group. - 2151-2426 .- 1015-5759. ; 22:2, s. 104-108
-
Journal article (peer-reviewed)abstract
- Aim: To assess the diagnostic concordance of SCID-II and clinicians' estimation of DSM-III-R personality disorders of substance abusers. Method: Clinical diagnoses of substance abusers in inpatient treatment were compared with SCID-II diagnoses (N = 138). Findings: The overall prevalence of personality disorder was 79% for clinical diagnosis and 80% for SCID-H diagnosis. Substantial agreement was found for borderline personality disorder, and moderate agreement was found for presence of any personality disorder, and antisocial personality disorder. All other disorders had slight to fair agreement. Antisocial personality disorder was overdiagnosed by clinical diagnosis but schizotypal, obsessive-compulsive, passive-aggressive, and masochistic personality disorders were reported more often by SCID-II. Selecting only the primary clinical diagnosis and omitting additional clinical diagnoses, reduced agreement with SCID-II diagnoses. Implications: Clinical diagnosis and structured interviews are not interchangeable, and produce somewhat different profiles of diagnoses for a group of substance abusers, but the two methods for diagnosing personality disorders converge for the two most common personality disorders in substance abusers. Rare and less-known diagnoses tend to be underreported whereas common and well-known disorders tend to be slightly overdiagnosed by clinical diagnosis as compared with a semistructured interview, especially if only one clinical diagnosis is noted.
|
|
