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The user in Swedish abstinence-oriented opioid substitution therapy: a closer look at how user involvement bears upon policy formation
Stockholm University, Faculty of Social Sciences, Department of Social Work.
Stockholm University, Faculty of Social Sciences, Department of Social Work.
2016 (English)In: Evidence in European social drug research and drug policy / [ed] Aileen O'Gorman, Gary R. Potter, Jane Fountain, Lengerich: Pabst Science Publishers, 2016, 51-67 p.Chapter in book (Refereed)
Abstract [en]

The idea of placing the views of service users at the centre of evidence-based practice has been praised in theory but rather neglected in empirical drug treatment research. Knowledge is scarce about how users’ perspectives are handled in policy and practice. In this chapter, we explore how Swedish opioid substitution treatment (OST) was perceived by users themselves and how their views were taken up by the Swedish National Board of Health and Welfare in developing new treatment regulations for OST. We argue that, despite the current valorisation of ‘the user’s voice’ across the health professions, the concept basically has no meaning in Swedish drug policy. The user preferences we identified (such as a desire for less suspicious staff, and acceptance of some drug use on top of their prescription) appeared to be more or less impossible to realise given the core prohibitionist values underpinning Swedish OST policy. While user involvement is commonly described as a keystone in the ‘evidence movement’, our analysis, of a contemporary policymaking process in the field of drug treatment, indicates that it served more as a rhetorical device than as a sine qua non of OST.

Place, publisher, year, edition, pages
Lengerich: Pabst Science Publishers, 2016. 51-67 p.
Keyword [en]
user involvement, evidence, opioid substitution treatment, drug policy, Sweden
National Category
Social Work
Research subject
Social Work
Identifiers
URN: urn:nbn:se:su:diva-139217ISBN: 978-3-95853-263-2 (print)OAI: oai:DiVA.org:su-139217DiVA: diva2:1071577
Available from: 2017-02-06 Created: 2017-02-06 Last updated: 2017-02-13Bibliographically approved

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  • apa
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