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A qualitative study of a recovery capital assessment tool in alcohol and drug treatment facilities: Perspectives from social work professionals
Stockholm University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-4984-9879
Number of Authors: 12024 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 41, no 1, p. 7-23Article in journal (Refereed) Published
Abstract [en]

The ambition to translate the concept of recovery capital (RC) from research to practice has entailed operationalisations of RC to measure progress and outcomes of alcohol and other drug (AOD) treatments.At the same time, the role played by standardisation in social work organisations is known to be a complex matter, and research suggests that the implementation of standardisation should be carried out with caution. By examining the need for a RC assessment tool in a Swedish AOD treatment context, this paper contributes to the discussion on the use of assessment tools for measuring treatment progress and outcome in AOD treatments, as well as interrelations between standardisation aims and social work professionals. Four group interviews with employees at AOD treatment facilities were conducted in Stockholm, Sweden. The interviewees were presented with an example of an RC-based assessment tool and asked to review the applicability of the tool in their daily work. The findings provide insights on the applicability of specific assessment list items, as well as general observations on the complex relationship between standardisation and discretion in social work. The findings suggest that professionals will ultimately rely on their knowledge and experience, and act accordingly to support the service user, regardless of any manual or standardisation that regulates their work. 

Place, publisher, year, edition, pages
2024. Vol. 41, no 1, p. 7-23
Keywords [en]
alcohol- and drug-related treatment, assessment tool, social work professionals, standardisation in social work
National Category
Social Work
Identifiers
URN: urn:nbn:se:su:diva-220976DOI: 10.1177/14550725231175354ISI: 001044119100001Scopus ID: 2-s2.0-85167344062OAI: oai:DiVA.org:su-220976DiVA, id: diva2:1796865
Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2024-02-21Bibliographically approved
In thesis
1. Knowledge in practice: The feasibility of recovery capital in Swedish alcohol and other drug treatment
Open this publication in new window or tab >>Knowledge in practice: The feasibility of recovery capital in Swedish alcohol and other drug treatment
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The recovery model, endorsed by various governmental bodies, emphasises the integration of a recovery perspective into alcohol and drug policy, with a focus on post-treatment interventions such as housing, employment and education needs. In an effort to enhance the utility of the recovery perspective in treatment, the concept of recovery capital (RC) has been used as a foundation for operationalisations used to measure treatment needs and progress. While other countries have embraced the recovery model and RC in alcohol and other drug (AOD)-related policy and treatment, the treatment setting in Sweden has not undergone a comparable transformation. This dissertation aims to explore the feasibility of implementing RC in Swedish AOD treatment. It examines the transferability and applicability of assessment tools and considers the challenges of translating research into practice. This involves delving into the complexities of knowledge transfers, production and use in order to bridge the gap between research findings and practical implementation. 

The feasibility study involved qualitative interviews with AOD treatment professionals to gather their perspectives on the applicability of an RC-based assessment tool (Papers II and III). Insights into feasibility were also obtained from a quantitative study assessing treatment progress in individuals residing in a recovery residence in Florida, USA, using an established RC-based assessment tool (Paper I). To further evaluate the target setting for the feasibility study, the use of a locally developed assessment tool was explored through a deviant case analysis (Paper IV). The dissertation’s theoretical framework is built upon conceptualisations of standardisations and professions that emphasise their interconnected nature and thereby underscore the significance of their relationship in the analysis of knowledge production and use, thus situating the study within a broader theoretical discourse on the interplay between standardisation and professionalism.

The findings confirm the applicability of the RC concept in Swedish AOD treatment by highlighting its unique benefits in exploring diverse recovery pathways to address individual challenges and strengths. However, it is evident that certain elements of its conceptual framework are already implemented in the treatment facilities visited in the study. Furthermore, whether or not to use standardised assessment tools to implement RC in Swedish AOD treatment remains unclear. The dissertation also emphasises the importance of collaborating with professionals during the development of assessment tools as a way of ensuring that these tools align with the cultures and structures of the social work profession, presenting this collaboration as an approach to bridging the gap between research and practice. It also identifies a significant knowledge gap in locally produced knowledge, urging further research to map its extent and evaluate its impact on current and future knowledge production and use in social work. Lastly, the absence of client participation is acknowledged. The need for future research to explore the client perspective is emphasised, given the potential adverse effects of recovery-oriented interventions on clients.

Place, publisher, year, edition, pages
Stockholm: Department of Social Work, Stockholm university, 2024. p. 77
Series
Stockholm studies in social work, ISSN 0281-2851 ; 45
Keywords
the recovery model, recovery capital, alcohol and other drug treatment, assessment tools, feasibility study, transferability, applicability, jurisdiction, social work practice
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-224565 (URN)978-91-8014-631-9 (ISBN)978-91-8014-632-6 (ISBN)
Public defence
2024-02-16, Hörsal 5, Hus 2, Campus Albano, Albanovägen 18, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2024-01-24 Created: 2023-12-18 Last updated: 2024-01-16Bibliographically approved

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