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The mechanisms of treatment – client and treatment staff perspectives on change during treatment for alcohol problems
Stockholm University, Faculty of Social Sciences, Department of Social Work. (ARG)
Stockholm University, Faculty of Social Sciences, Department of Social Work.
2013 (English)In: Nordic Social Work Research, ISSN 2156-857XArticle in journal (Refereed) Published
Abstract [en]

The overall aim of this study is to increase the understanding of operative factors in the treatment process by studying how clients and treatment unit staff perceive the relevance and value of the alcohol treatment intervention for a positive process of change. The specific research questions are: (1) How do clients describe the relevance and importance of treatment interventions in their own process of change? (2) How do treatment staffs describe experience and perceptions of how their work can contribute to a successful change process among treated clients? (3) How do client and the treatment staff descriptions relate to each other? Interviewees (40 clients and eight professionals) were recruited from four treatment units in the Stockholm area. In the results, the three treatment components most emphasised by clients are structure and regularity, friendship and support of the group and the personal conduct and professionalism of the staff. Both of the components referring to the client group and to the staff were also brought forward by the professionals interviewed. In treatment, the client group is used as an important tool for creating a sense of trust, confidence, acceptance and collaboration – all central components of the treatment alliance concept. With reference to the notion of rebuilding/extending recovery capital, it is suggested that in addition to the addiction problem intervention, a more extended system of support is vital for more marginalised clients.

Place, publisher, year, edition, pages
Taylor & Francis, 2013.
Keyword [en]
mechanisms of treatment, alcohol problems, process of change, client perspective
National Category
Other Social Sciences not elsewhere specified
Research subject
Social Work
URN: urn:nbn:se:su:diva-93668DOI: 10.1080/2156857X.2013.834840OAI: diva2:647682
behandlingens mekanismer
FAS, Swedish Council for Working Life and Social Research
Available from: 2013-09-12 Created: 2013-09-12 Last updated: 2013-09-17Bibliographically approved

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von Greiff, NiniveSkogens, Lisa
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