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The Treatment Response: Systemic Features, Paradigms and Socio-Cultural Frameworks
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).ORCID iD: 0000-0002-1757-9974
2016 (English)In: The SAGE Handbook of Drug & Alcohol Studies: Social Science Approaches / [ed] Torsten Kolind, Betsy Thom, Geoffrey Hunt, London: Sage Publications, 2016, 260-286 p.Chapter in book (Refereed)
Abstract [en]

Following some introductory notes on addiction treatment management as a specific case of societies’ response to deviant behaviours and social problems, an overview of the theoretical classifications and dimensions of addiction treatment systems is presented. The anti-thesis to these ideal-type system concepts is represented by the market New Public Management model oriented towards outcomes, regardless of the nature and organizational features of addiction interventions. As complementary to these general theoretical orientations, this serves as a review of specific issues concerning ‘a combined and integrated approach versus a specialized and segregated approach’, ‘the quest for the best treatment modalities’, ‘empirical and ethical aspects of coercion in treatment’ and ‘the relevance of user needs and orientation’. The empirical part begins by highlighting the ‘expert survey‘, ‘case study‘ and dynamic diffusion‘  approaches as treatment mapping strategies and informs on some key results, e.g. from the WHO Atlas –SU survey and the International Studies in the Development of Alcohol and Drug Treatment Systems. Results from an expert survey from fourteen countries conducted in 2014 illustrate the role of general political changes, efforts to control treatment systems, integration dynamics, the treatment gap and changing outcome criteria with concrete current examples. The conclusions point to the relative importance of professional addiction interventions drawing upon self-change research and the role of alternative lay help and outline factors in impeding system changes.

Place, publisher, year, edition, pages
London: Sage Publications, 2016. 260-286 p.
Keyword [en]
Addiction treatment system, responses to substance use problems, new public management, organizational change, marketization, social control, evidence-based practices, self-change
National Category
Sociology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-135315DOI: 10.4135/9781473921986.n15ISBN: 9781446298664 (print)ISBN: 9781473921986 (electronic)OAI: oai:DiVA.org:su-135315DiVA: diva2:1044425
Projects
Fördelar, spänningar och motsägelsefulla incitament i välfärdssystemet: New Public Management i svensk missbruks- och beroendevårdIndividens ställning i missbruks- och beroendevården - en studie av brukarinflytande i praktiken
Funder
Riksbankens Jubileumsfond, P14-0985Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-01006
Available from: 2016-11-03 Created: 2016-11-03 Last updated: 2017-04-24Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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More styles
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