On the significance of social control: Treatment-entry pressures, self-choice and alcohol and drug dependence criteria one year after treatment
2012 (English)In: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 21, no 2, 160-173 p.Article in journal (Refereed) Published
This article explores howself-choice and treatment-entry pressuresare associated with one-year treatment outcome (dependencesymptoms, 0–6, 12 months) among alcohol and drugmisusers, respectively. Informal pressures (from family andfriends), formal pressures (related to work, healthcare, socialservices, social allowances, child custody) and legal pressures(related to the police, criminal justice system, compulsorytreatment) were analysed.A sample (N = 1,210) representativeof the addiction treatment system of Stockholm County wasinterviewed when starting a new treatment episode and afterone year. Regression analyses indicated that self-choice andpressures are associated with outcome among alcohol misusersbut not among drug misusers when controlling for backgroundfactors and severity. Self-choice (without pressures) correlatedwith a good outcome (a lower number of dependence criteria).Pressures were generally associated with poorer outcome.Alcohol misusers who had experienced threats regarding childcustody did better in comparison with those not experiencingsuch pressure. The difference in results by drug type andimplications were discussed.
Place, publisher, year, edition, pages
2012. Vol. 21, no 2, 160-173 p.
social control, social pressures, coercion, pathways to treatment, non-specific factors, outcome, dependence, alcohol, drugs, Sweden
Research subject Sociology
IdentifiersURN: urn:nbn:se:su:diva-68045DOI: 10.1111/j.1468-2397.2011.00816.xISI: 000300981600006OAI: oai:DiVA.org:su-68045DiVA: diva2:471565
ProjectsKvinnor och män i svensk missbruksbehandling + A comparative study of treatment systems, treatment interventions and long-term outcome among alcohol and drug users in Stockholm County and northern California + SRA project
Funded by Alcohol Research Council of the Swedish Alcohol Retailing Monopoly (SRA).2012-01-022012-01-022016-09-28Bibliographically approved