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‘Wet’ eldercare facilities: three strategies on the use of alcohol and illicit substances

Harnett, Tove LU and Jönson, Håkan LU (2022) In Nordic Social Work Research 12(1). p.1-14
Abstract
Wet eldercare facilities constitute a type of harm reduction arrangements where goals of abstinence are abandoned in favour of goals of increased wellbeing for older people with long-term substance use disorder. The fact that residents are acknowledged as being active in their substance use results in challenges; harmful activities are witnessed by the staff in a context that has actually been created by a social service agency. The aim of this article was to explore what professionals in wet eldercare facilities considered problematic in relation to residents’ consumption of alcohol and illicit substances and what strategies they used to address these ‘problems’. Particular attention was paid to approaches and strategies that addressed... (More)
Wet eldercare facilities constitute a type of harm reduction arrangements where goals of abstinence are abandoned in favour of goals of increased wellbeing for older people with long-term substance use disorder. The fact that residents are acknowledged as being active in their substance use results in challenges; harmful activities are witnessed by the staff in a context that has actually been created by a social service agency. The aim of this article was to explore what professionals in wet eldercare facilities considered problematic in relation to residents’ consumption of alcohol and illicit substances and what strategies they used to address these ‘problems’. Particular attention was paid to approaches and strategies that addressed the challenge of being present at a facility where destructive behaviour and consumption of alcohol and illicit substances were part of everyday life. Data for the study consists of 12 interviews with managers and staff at five eldercare facilities with different sizes, organizational styles, and approaches. Qualitative content analysis was used to identify strategies that were used to handle the presence of alcohol and drugs under a ‘cap of acceptance’ deemed to be necessary for a wet eldercare facility. Three main strategies were identified and referred to as a) looking away, b) intervention and prohibition and c) intervention and distribution. In the final analysis, findings were brought into a typology for strategies, based on the two variables of acceptance and control, and the use of different strategies was critically discussed. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nordic Social Work Research
volume
12
issue
1
pages
1 - 14
publisher
Taylor & Francis
external identifiers
  • scopus:85108606207
ISSN
2156-8588
DOI
10.1080/2156857X.2020.1742195
project
Specialist eldercare for people with substance abuse and complex needs: Promising practices or institutionalized ageism?
language
Swedish
LU publication?
yes
id
2a46a69e-17b8-4be6-a646-e3167bec783f
date added to LUP
2020-05-19 10:49:14
date last changed
2022-06-29 10:45:27
@article{2a46a69e-17b8-4be6-a646-e3167bec783f,
  abstract     = {{Wet eldercare facilities constitute a type of harm reduction arrangements where goals of abstinence are abandoned in favour of goals of increased wellbeing for older people with long-term substance use disorder. The fact that residents are acknowledged as being active in their substance use results in challenges; harmful activities are witnessed by the staff in a context that has actually been created by a social service agency. The aim of this article was to explore what professionals in wet eldercare facilities considered problematic in relation to residents’ consumption of alcohol and illicit substances and what strategies they used to address these ‘problems’. Particular attention was paid to approaches and strategies that addressed the challenge of being present at a facility where destructive behaviour and consumption of alcohol and illicit substances were part of everyday life. Data for the study consists of 12 interviews with managers and staff at five eldercare facilities with different sizes, organizational styles, and approaches. Qualitative content analysis was used to identify strategies that were used to handle the presence of alcohol and drugs under a ‘cap of acceptance’ deemed to be necessary for a wet eldercare facility. Three main strategies were identified and referred to as a) looking away, b) intervention and prohibition and c) intervention and distribution. In the final analysis, findings were brought into a typology for strategies, based on the two variables of acceptance and control, and the use of different strategies was critically discussed.}},
  author       = {{Harnett, Tove and Jönson, Håkan}},
  issn         = {{2156-8588}},
  language     = {{swe}},
  number       = {{1}},
  pages        = {{1--14}},
  publisher    = {{Taylor & Francis}},
  series       = {{Nordic Social Work Research}},
  title        = {{‘Wet’ eldercare facilities: three strategies on the use of alcohol and illicit substances}},
  url          = {{http://dx.doi.org/10.1080/2156857X.2020.1742195}},
  doi          = {{10.1080/2156857X.2020.1742195}},
  volume       = {{12}},
  year         = {{2022}},
}