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Socialtjänst och missbrukarvård: bot eller lindring?
Stockholm University, Faculty of Social Sciences, Department of Social Work.
2011 (Swedish)In: Nordisk Alkohol- og narkotikatidsskrift (NAT), ISSN 1455-0725, Nordic studies on alcohol and drugs, Vol. 28, no 4, 297-319 p.Article in journal (Refereed) Published
Abstract [en]

Social service and addiction treatment: rehabilitation or harm reduction?

AIM –This paper aims to depict and analyze how professionals in Swedish social services legitimize two ideologically controversial help interventions, methadone maintenance and coercive treatment. Should addiction treatment primarily rehabilitate clients, or should it be a short-term measure for harm reduction? This question has been less and less discussed inSwedenduring the past few years, as it has been accepted that all help should be based on science, not ideology – irrespective of it being aimed at harm reduction or rehabilitation. However, there is a lack of research regarding how crucial players in addiction treatment relate to this development, especially when applied on socially vulnerable clients. MATERIAL & METHOD – The empirical material consists of 33 qualitative interviews with social workers from Stockholm and its surrounding area. The interviews are analyzed through discourse analysis. RESULT – When describing their work, the respondents' discourse assumed and advocated progress in client case management. CONCLUSION – By emphasizing concepts such as lifestyle change, client motivation, psychosocial support and aftercare the social workers could construct the two forms of treatment as less ideologically extreme, but also as undoubtedly aligned with the political goal of rehabilitation. 

Place, publisher, year, edition, pages
Helsingfors: Nordic Centre for Welfare and Social Issues , 2011. Vol. 28, no 4, 297-319 p.
Keyword [en]
Addiction, social services, coercive treatment, methadone treatment, discourse, qualitative
National Category
Social Work
Research subject
Social Work
URN: urn:nbn:se:su:diva-64915DOI: 10.2478/v10199-011-0027-yOAI: diva2:459792
Vetenskapsrådet (2005:1644), SiS (2005:09)
Available from: 2011-11-28 Created: 2011-11-28 Last updated: 2012-01-19Bibliographically approved

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Ekendahl, Mats
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