| 1. |
- Billinger, Kajsa, 1949-
(författare)
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60 till 70-åringars tal om den egna alkoholkonsumtionen
- 2012
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Ingår i: Socialvetenskaplig tidskrift. - Lund : Förbundet för forskning i socialt arbete (FORSA). - 1104-1420 .- 2003-5624. ; 19:3-4, s. 170-185
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Tidskriftsartikel (refereegranskat)
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| 2. |
- Billinger, Kajsa, 1949-
(författare)
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A focus group investigation of care-provider perspectives in Swedish institutions for the coersive care of substance abusers
- 2005
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Ingår i: International Journal of Social Welfare. - Oxford : Blackwell Publishing. - 1369-6866 .- 1468-2397. ; 14:1, s. 55-64
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Tidskriftsartikel (refereegranskat)abstract
- Treatent processes, what is being done and why it is being done in treatment arrangements, is a field of substane abuse study in wich relatively little research has been done. There are several methodological problems. The method used in this study of care providers´perspectives in Swedish LVM-institutions (institutions för the coercive care of substance abusers) i the focus group. In order to get a comprehensive approach, a strategic selection of four institutions was made, based on the institutions´therapeutic or pedagogical viewpoint. The analyses reveal that it is impossible to discern an explicit description of what constitutesmotivational work at any of the LVM institutions, that the proveders at the four LVM institutions, that the providers at the four LVM institutions gave completely different pictures of coersive care and that they used different tools to accomplish ther central task - to motivate the clients. At three of the institutions the clients´abuse problems were only mentioned in passing in their treatment, and the staff spoke of the clients´resistance and negative attitudes against the coercion as obstacles the had to negotiate in order to continue the motivation work. The most radical strategy was to work as though the coercion did not exist.
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| 3. |
- Billinger, Kajsa, 1949-
(författare)
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Få dem att vilja : motivationsarbete inom tvångsvården av vuxna missbrukare
- 2000
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The coercive care of adult substance abusers is aimed at motivating them to seek voluntary treatment. The purpose of the present study is to throw light on how motivational work is perceived and articulated by care providers working in coercive care.To select the LVM institutions for the study, an initial survey was made of the motivational work being carried out in the entire area of substance abuser care, both coercive and voluntary care. From this survey four institutions were strategically selected on the basis of their therapeutic points of departure. The focus group method was used for the data collection.The care providers at the four LVM institutions gave different pictures of coercive care, although they worked under the same paragraph of the law. The differences could be attributed to their different therapeutic points of departure. It was impossible to discern an explicit description of motivational work at any of the LVM institutions. The care providers did not present any methods or techniques that clearly differed from what we call diagnosis, education or upbringing. In their view, everything they did aimed at increasing their clients’ motivation. There were three main tools the care providers used to accomplish their central task of transforming unmotivated clients into persons who choose not to be substance abusers: assessment, treatment and the establishing of a relationship with the client and working within its framework. The clients’ needs were described in a corresponding way. They were to be led, taught or compensated. Only one of the four LVM institutions specifically treated the clients’ substance abuse problems. At the other three institutions, substance abuse was considered either secondary to the clients’ other problems, a symptom of underlying problems, or a topic to be avoided in order to focus on future solutions. The clients’ resistance and negative attitudes to coercive care were obstacles that care providers tried to overcome by various means. They encouraged clients to regard coercion as a privilege or tried to make them feel at home, or else the care providers worked as if the coercion did not exist. All in all, the picture that emerges is that because of the coercive element the care provided was without contours, the clients did not have a range of options from which to choose. The only thing the care providers could do was to get the clients to stay at the institution, or bring them back if they ran away. The goal of getting clients to take the next step into voluntary treatment had to give way to the less tangible goal of exerting a positive influence on them - of “sowing the seeds of change”.
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| 4. |
- Billinger, Kajsa, 1949-
(författare)
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Kollegiala samtal mellan socialsekreterare inom socialtjänstens missbrukarvård
- 2010
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Ingår i: Socionomens forskningssupplement. - Borås. - 0283-1929. ; :6, s. 28-35
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Tidskriftsartikel (refereegranskat)abstract
- En effekt av rörelsen för evidensbaserad praktik, EBP-rörelsen, är att intresset för det praktiska arbetet som pågår varit svalt, istället har förhoppningarna ställts mot en framtid där klienterna ska erbjudas utvärderingsinstrument och metoder som har vetenskapligt baserad effekt. Kritiska röster menar dock att EBP-rörelsen kan vara en återvändsgränd om den inte tar hänsyn till fler faktorer än bästa evidens. Syftet med denna artikel är att ta det arbete som pågår i praktiken som utgångspunkt. Resultatet visar att socialsekreterarnas erfarenheter av klientarbetet är att deras arbete är komplext och att de inte i förväg kan veta hur det kommer att gå för respektive klient, vilka interventioner som kan vara framgångsrika och vilka olika faktorer som kan komma att ha betydelse för att just denna klient skall påbörja ett förändringsarbete. En implementering av evidensbaserad praktik i denna jordmån bör ta hänsyn till dessa erfarenheter, kunskapsutvecklingen av det sociala arbetet inom socialtjänsten måste också innebära en uppbyggnad av dokunenterad beprövad erfarenhet.
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| 5. |
- Billinger, Kajsa, 1949-
(författare)
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Motivationsarbete i missbrukarvården
- 2009
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Ingår i: Alkohol och droger. - Malmö : Gleerups Utbildning AB. - 9789140665942 ; , s. 259-
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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