The Swedish DOC System – An Attempt to Combine Documentation and Self-Evaluation

Jenner, Håkan; Segraeus, Vera

doi:10.1159/000086400

Cited by 12 publications

(8 citation statements)

References 13 publications

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“…This has become a popular idea in various parts of the Swedish addiction treatment sector: The National Board of Health and Welfare (NBHW) has translated the ASI into Swedish and worked for the dissemination and implementation of standardised instruments in general (Andréasson et al, 2003;Socialstyrelsen, 2004;Nyström, Sallmén, & Öberg, 2005;Nyström, Zingmark, & Jäderland, 2009); the National Board of Institutional Care (NBIC) has translated one standardised instrument and also developed a new instrument (Söderholm, Carpelan, & Hermodsson, 2004;Jenner & Segraeus, 2005); and a Swedish dissertation has examined how standardised instruments can be used to provide local follow-up statistics (Anderberg & Dahlberg, 2009).…”

Section: The Asi and The Different Uses Of Standardised Assessment Inmentioning

confidence: 99%

Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Björk

2013

Nordic Studies on Alcohol and Drugs

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AIM-This article explores the implementation and use of the Addiction Severity Index in addiction treatment practice, both as a clinical instrument and as a way of facilitating outcome measurement. This is regarded as incorporating "laboratory logic" into clinical practice characterised by "the logic of care". DATA-The data is based on ethnographic fieldwork in a Swedish metropolitan social service agency known for its systematic ASI work. RESULTS-The findings suggest that much effort must be dedicated to coordinate activities in the agency in line with the laboratory logic, making sure that the interviews are administered systematically. In use, the ASI and the variables in clinical practice are adjusted to each other, making it possible to follow both logics at the same time. In some cases, however, there is a conflict: the ASI becomes an extra task that does not further the clinical work. Once collected, the ASI data must be coordinated in line with other information. This has not yet been realised in the agency, which makes the value of the ASI data unknown. CONCLUSIONS-It requires hard work to handle the two logics simultaneously in addiction treatment practice: activities must be coordinated , and instruments and variables in clinical practice must be continuously "tinkered" with. Further, outcome measurement is not only about systematic use of standardised instruments, but much work must be done after the ASI data has been collected. KEY WORDS-Addiction severity index (ASI), standardised assessment instruments, outcome measurement, clinical practice, ethnography, Sweden

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Section: The Asi and The Different Uses Of Standardised Assessment Inmentioning

confidence: 99%

Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Björk

2013

Nordic Studies on Alcohol and Drugs

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“…All patients entering the study were assessed by the staff at the clinic (nurses, social workers) according to standard procedures at the clinic, including the interview instrument Ung-DOK [ 34 ], which is used in Sweden at juvenile detention institutions, residential treatment centers, and outpatient facilities for young patients with substance use. The assessment includes questions on sociodemographic factors, self-reported substance use patterns, and self-reported psychiatric symptoms.…”

Section: Methodsmentioning

confidence: 99%

High Rates of Tramadol Use among Treatment-Seeking Adolescents in Malmö, Sweden: A Study of Hair Analysis of Nonmedical Prescription Opioid Use

Olsson

Öjehagen

Brådvik

et al. 2017

Journal of Addiction

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Background Nonmedical prescription opioid use (NMPOU) is a growing problem and tramadol has been suggested as an emerging problem in young treatment-seeking individuals. The aim of the present study was to investigate, through hair analysis, NMPOU in this group and, specifically, tramadol use. Methods In a study including 73 treatment-seeking adolescents and young adults at an outpatient facility for young substance users, hair specimens could be obtained from 59 subjects. Data were extracted on sociodemographic background variables and psychiatric diagnoses through MINI interviews. Results In hair analysis, tramadol was by far the most prevalent opioid detected. Thirty-two percent screened positive for opioids, and of those, all but one were positive for tramadol. Ninety-eight percent reported problematic cannabis use. Significantly more opioid-positive patients also screened positive for other (noncannabis) drugs, compared to nonopioid users. Sixty-four percent fulfilled criteria of DSM-IV psychiatric disorders, other than substance use disorders according to MINI. Fifty-three percent met the symptom criteria count of ADHD above cut-off level. Conclusion In the present setting, tramadol, along with high rates of cannabis use, may represent a novel pattern of substance use among young treatment-seeking subjects with problematic substance use and high rates of concurrent psychiatric problems.

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“…The baseline assessment consisted of data derived from the standard baseline assessment used at the facility. This was a semi-structured Swedish questionnaire used in clinical assessment of adolescents and young adults with substance use problems, the adolescent version of the DOK documentation system [ 50 ]. Variables included socio-demographic data, substance use history and psychiatric problems.…”

Section: Methodsmentioning

confidence: 99%

Interactive Voice Response with Feedback Intervention in Outpatient Treatment of Substance Use Problems in Adolescents and Young Adults: A Randomized Controlled Trial

et al. 2016

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PurposeSubstance use disorders and problematic substance use are common problems in adolescence and young adulthood. Brief personalized feedback has been suggested for treatment of alcohol and drug problems and poor mental health. This repeated measurement randomized controlled trial examines the effect of an interactive voice response (IVR) system for assessing stress, depression, anxiety and substance use.MethodsThe IVR system was used twice weekly over 3 months after treatment initiation, with or without addition of a personalized feedback intervention on stress and mental health symptoms. Both IVR assessment only (control group) and IVR assessment including feedback (intervention group) were provided as an add-on to treatment-as-usual procedures (TAU) in outpatient treatment of substance use problems in adolescents and young adults (N = 73).ResultsBy using a mixed models approach, differences in change scores were analyzed over the three-month assessment period. Compared to the control group, the intervention group demonstrated significantly greater improvement in the Arnetz and Hasson stress score (AHSS, p = 0.019), the total Symptoms Checklist 8 score (SCL-8D, p = 0.037), the SCL-8D anxiety sub-score (p = 0.017), and on a summarized feedback score (p = 0.026), but not on the depression subscale. There were no differences in global substance use scores between the intervention group (feedback on mental health symptoms) and the control group.ConclusionIn conclusion, IVR may be useful for follow-up and repeated interventions as an add-on to regular treatment, and personalized feedback could potentially improve mental health in adolescents and young adults with problematic substance use.

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The Swedish DOC System – An Attempt to Combine Documentation and Self-Evaluation

Cited by 12 publications

References 13 publications

Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

Working with Different Logics: A Case Study on the use of the Addiction Severity Index in Addiction Treatment Practice

High Rates of Tramadol Use among Treatment-Seeking Adolescents in Malmö, Sweden: A Study of Hair Analysis of Nonmedical Prescription Opioid Use

Interactive Voice Response with Feedback Intervention in Outpatient Treatment of Substance Use Problems in Adolescents and Young Adults: A Randomized Controlled Trial

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