Change search
ReferencesLink to record
Permanent link

Direct link
Stakeholders’ arguments for and against moving Swedish substance abuse treatment to the health care system: How a fat reform proposal became a thin government bill
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).ORCID iD: 0000-0002-1757-9974
2014 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1458-6126, Vol. 31, no 1, 81-110 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND - Far-reaching changes in the Swedish substance abuse treatment system (SAT) were proposed by a state-commissioned inquiry in 2011. The proposal implied a break with the social tradition of SAT. It was suggested that the treatment responsibility should be transferred from the municipal social services to the regional-level health care system; and that compulsory treatment in its present form (assessed by/paid for by social services, run by the state) should be abolished and become incorporated into coercive psychiatric care provided by health care. A lively debate arose, and the vast majority of stakeholders sought to articulate their arguments. AIM - The study analysed the development of Swedish SAT by examining the policy process from reform proposal to government bill in 2013. METHOD - Content analysis was used to analyse written comments on the proposal submitted to the Ministry of Health and Social Affairs by close to 200 stakeholders. The goal was to empirically chart and examine the arguments for and against as well as advocates and opponents of the reform. With the government bill at hand, we retrospectively sorted out the winning arguments in the now highly contested SAT field and which actors were able to influence the process. CONCLUSIONS - The article discloses that the mixed response and rather critical voices in most groups, including social/medical professions and government bureaucracy, helped block the responsibility shifts, and that reformations of subsystems like SAT are difficult to carry out as freestanding projects within larger systems of social and health care.

Place, publisher, year, edition, pages
2014. Vol. 31, no 1, 81-110 p.
Keyword [en]
substance abuse treatment systems, policy, medicalisation, social perspective, formative moment, path dependency
National Category
Sociology Public Administration Studies
Research subject
URN: urn:nbn:se:su:diva-99626DOI: 10.2478/nsad-2013-0044ISI: 000332788800006OAI: diva2:687504
En reformerad missbruks- och beroendevård? Aktörer, argument och makt
Available from: 2014-01-14 Created: 2014-01-14 Last updated: 2016-08-29Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Storbjörk, Jessica
By organisation
Centre for Social Research on Alcohol and Drugs (SoRAD)
SociologyPublic Administration Studies

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 158 hits
ReferencesLink to record
Permanent link

Direct link