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- De Wilde, J., et al.
(författare)
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Is the Community as method approach gender sensitive? : Client and treatment characteristics in European Therapeutic Communities. Results of the BIOMED II (IPTRP) project.
- 2006
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 15:2, s. 150-161
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Tidskriftsartikel (refereegranskat)abstract
- The BIOMED II project, ‘Improving Psychiatric Treatment in Residential Programmes for Newly Dependent Groups through Relapse Prevention’, provided a large database of characteristics of men and women in European therapeutic communities (TCs). One of the aims of the project was to improve the treatment of ‘emerging dependency groups’ through better assessment. Although American TC research has shown that there are important differences between men and women that should be taken into account when organising treatment, the BIOMED project failed to report on gender differences. This article tries to fill this gap by presenting an overview of the gender differences in the TC clients and lists the characteristics of the participating European TCs. The two overviews are given for each country separately. Descriptive methods were used. The authors discuss whether the TC programme considers the differences between men and women and whether the ‘community as method’ approach is gender sensitive.
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- Engström, Christer, 1949-
(författare)
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Implementering och utvärdering av Addiction Severity Index (ASI) i socialtjänsten
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this dissertation is to examine the implementation of the Addiction Severity Index (ASI) in social services and how it affects the encounter between the clients and their social workers. As structured interviews are unusual in social service based addiction care there is concern that they will have negative consequences on the relation between the social workers and their clients. The first study therefore investigates the clients’ acceptance of the ASI. The results show that 95 % of the clients accepted the ASI and that 85% viewed it in positive terms. Approximately 8% reported feeling violated by one question without this having any negative effect on the relation to the social workers or confidence in the social services. The results did not give empirical support for negative effects of the ASI. In the second study a comparison was made between a group that had participated in an assessment session using the ASI and a group with which the ASI had not been used. The results show that there is no difference in perception of “the alliance” or “negative experiences” with or without the ASI, but that the clients’ feeling of “own competence” is lower when the ASI is employed. The question of whether the reduced feeling of own competence among the clients is an expression of greater realism and reduced denial or only the negative effect of increased helplessness on the clients’ self-esteem can not be resolved in this study. In the third study, based on the same groups participating in the second study, the social workers were also asked to judge how the clients experienced such assessment sessions. The results show that the social workers’ assessment of the clients’ experiences differed from the clients’ own experiences regarding the “alliance” and “clients’ own feelings of competence”. However, the social workers made a correct assessment of the clients’ “negative experiences” of the sessions. The two different forms of session, with or without the ASI, did not influence the social workers’ assessment of the clients’ perceptions. The fourth study presents the results of a national questionnaire completed by 555 members of staff in social services, the prison service, and addiction services. The results show that supervisors and bosses take an increasingly greater responsibility for ASI training and that opportunities for using the ASI varied according to the place of work. Differences can probably be explained by different services being in different phases of implementation at the time of the study. The ASI has primarily been used in direct client work and only to a minor extent for follow-ups and evaluation. The number of ASI interviews carried out is small especially for those trained prior to 1999.
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| 5. |
- Fridell, Mats, et al.
(författare)
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Personality Disorders in Substance Abusers
- 2005
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Ingår i: Evidence based practices? Challenges in Substance Abuse Treatment.. - : Evidence based practices? Challenges in Substance Abuse Treatment. NAD-publication, Helsingfors. - 0359-7024. - 9515326249 ; 47, s. 65-80
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Jenner, Håkan, et al.
(författare)
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The Swedish DOC System : An attempt to combine documentation and self-evaluation
- 2005
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Ingår i: European Addiction Research. - 1022-6877 .- 1421-9891. ; 11:4, s. 186-192
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Tidskriftsartikel (refereegranskat)abstract
- This article addresses the issue of how documentation can become a regular and competence-raising activity in treatment settings. A documentation system in Sweden (the DOC system) is used as an illustrative example. Two propositions are put forward and discussed: it is important that (i) the documentation be in accordance with the interests of the practitioners, and (ii) that the documentation be used for self-evaluation, in order to enhance practitioners’ competence. Based on experiences using the DOC system, some general observations about how to implement the forms and self-evaluation are presented. Finally, some research prospects are outlined.
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