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  • 1.
    Romelsjö, A
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Engdahl, B
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Evaluation of local alcohol and drug prevention in Sweden, and Stockholm – impact on use?2008In: Föredrag vid EU-konferensen “Building capacity for change” april, 2008., 2008Conference paper (Other academic)
  • 2.
    Romelsjö, Anders
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Engdahl, Barbro
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Stenbacka, Marlene
    Fugelstad, Anna
    Davstad, Ingrid
    Leifman, Anders
    Thiblin, Ingemar
    Were the changes to Sweden's maintenance treatment policy 2000-06 related to changes in opiate-related mortality and morbidity?2010In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 105, no 9, p. 1625-1632Article in journal (Refereed)
    Abstract [en]

    Aims To analyse whether changes in maintenance treatment of opiate-dependent subjects in Sweden were related to changes in opiate-related mortality and inpatient care from 1998 to 2006. Design We collected data from surveys of methadone maintenance treatment units, of buprenorphine and methadone sales, and of mortality and inpatient care in Sweden. Setting Sweden. Participants Patients in maintenance treatment. Measurements Survey data of treatment policy to all units in 2003 and 2005. Trend tests and correlation analyses of data on sales, mortality, inpatient care and forensic investigations. Findings The surveys showed a marked change to a less restrictive policy, with increased use of 'take-away doses' and a reduction of discharges due to side misuse. The one-year retention rate stayed high. Sales of buprenorphine and methadone and the number of patients in treatment increased more than threefold from 2000 to 2006, with the greatest increase for buprenoprphine, introduced in year 2000. There was a significant 20-30% reduction in opiate-related mortality and inpatient care between 2000-2002 and 2004-2006 but not of other drug-related mortality and inpatient care. This decline was larger in Stockholm County, which had a less restricted treatment policy. However, a significant increase in buprenorphine- and methadone-related mortality occurred. For the study period 1998-2006, statistically significant declines occurred only in Stockholm County. Conclusions The liberalization of Sweden's drug policy correlated with an increase in maintenance treatment, a decrease in opiate-related mortality and inpatient care and an increase in deaths with methadone and buprenorphine in the tissues.

  • 3.
    Stenius, Kerstin
    et al.
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Witbrodt, Jane
    Engdahl, Barbro
    Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
    Weisner, Constance
    For the marginalized or for the integrated?: A comparative study of addiction treatment systems in Sweden and the U.S.2010In: Contemporary Drug Problems, ISSN 0091-4509, E-ISSN 2163-1808, Vol. 37, no 3Article in journal (Refereed)
    Abstract [en]

    This article compares the roles of two different addiction treatmentsystems, one in Stockholm county, surrounding the Swedish capital,and the other in a county in Northern California, in relation tomarginalized and socially integrated misusers. It investigates: (a)whether the Swedish treatment system, as suspected, treats moremarginalized clients than the American system, (b) where in the twosystems those with stronger or weaker social ties show up, and (c)what kind of formal and informal pressures the sociallymarginalized and more integrated groups experience.

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