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The interplay between perceived self-choice and reported informal, formal and legal pressures in treatment entry
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).ORCID iD: 0000-0002-1757-9974
2006 (English)In: Contemporary Drug Problems, ISSN 0091-4509, E-ISSN 2163-1808, Vol. 33, no 4, 611-643 p.Article in journal (Refereed) Published
Abstract [en]

This article focuses on the interplay between reported informal, formal and legal pressure and self-choice in treatment entry. The representative sample of those entering treatment for alcohol or drugs problems in Stockholm County, Sweden includes 1865 clients (71% men). Most respondents reported that it was their own idea to come to treatment (81%). It was also common to report reasons for entering treatment indicating different forms of perceived pressures, especially informal pressures (75%), but also formal and legal pressures. Informal pressure from someone close was a particularly important reason for treatment entry. Informal pressure was found to be positively associated with the feeling of self-choice in treatment entry, whereas perceptions of formal pressure (and particularly legal pressure) mainly were negatively related to self-choice. Most of those reporting self-choice in treatment entry also reported informal, formal, or legal pressure as reasons for coming to treatment.

Place, publisher, year, edition, pages
2006. Vol. 33, no 4, 611-643 p.
Keyword [en]
alcohol; drugs; formal, informal, legal pressures; Paths to treatment; self-choice; Sweden
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:su:diva-22982OAI: oai:DiVA.org:su-22982DiVA: diva2:189854
Available from: 2006-10-26 Created: 2006-10-26 Last updated: 2017-12-13
In thesis
1. The social ecology of alcohol and drug treatment: Client experiences in context
Open this publication in new window or tab >>The social ecology of alcohol and drug treatment: Client experiences in context
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this thesis is to study how individuals with alcohol and drug problems come to treatment – who is in treatment and who is not? It further studies the goal and role of treatment according to different groups – clients, staff and politicians. How can we understand clients’ experiences in a context?

The main data is from the Women and men in Swedish alcohol and drug treatment-study, with a representative sample of clients as well as complementary data on the views of staff and the general population.

The thesis comprises four related papers: (1) explores who is in treatment and who is not by analysing the client and the general population samples; (2) studies reasons for coming to treatment among clients by focussing on self-choice in relation to informal, formal, and legal social pressures to seek treatment; (3) investigates alcohol and drug related events among misusers and the role of these events in treatment entry, and in relation to level of marginalization of the clients; (4) analyses motives for and conflicts surrounding changes in the treatment system on an organizational level.

The thesis reveals that clients in treatment are marginalized (regarding housing, work, family, etc.). At treatment entry, clients report self-choice as well as a range of pressures to seek treatment as reasons for coming. The events are influential in treatment seeking, especially events and pressures in relation to significant others. In addition, it is shown that changes in the treatment system are not only driven with the interests of the clients in mind. Professional struggles, economic cuts, and coincidences are of importance. It is shown that different actors have competing as well as compatible and matching views on the goals of treatment. Finally, some notable changes in the treatment system are discussed.

Place, publisher, year, edition, pages
Stockholm: Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD), 2006. 248 p.
Series
Centre for Social Research on Alcohol and Drugs, ISSN 1650-819X ; 6
Keyword
alcohol, drugs, treatment system, clients, marginalization, social ecology, context, Sweden
National Category
Sociology
Identifiers
urn:nbn:se:su:diva-1317 (URN)91-7155-310-X (ISBN)
Public defence
2006-11-17, Högbomsalen, Geovetenskapens hus, Svante Arrhenius väg 8 C, Stockholm, 10:00
Opponent
Supervisors
Available from: 2006-10-26 Created: 2006-10-26 Last updated: 2016-05-19Bibliographically approved

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