Commitment to coercive care in relation to substance abuse reports to the social services. A 2-year follow-up.
Larsson Lindahl, Marianne LU
; Öjehagen, Agneta
LU
and Berglund, Mats
LU
(2010)
In Nordic Journal of Psychiatry
64.
p.372-376
- Abstract
- Background: In Sweden, a person with substance abuse can be reported to the social services for an investigation about commitment to coercive care. After a change in legislation, municipalities varied greatly in the ratio of commitments/reports compared with the period before the legislation was amended. Aims: The primary aims of this study were first, to investigate whether subjects from municipalities with a high ratio of commitments/reports have a better outcome compared with subjects from municipalities with a low ratio and second, if a high ratio has an impact on mortality. Methods: The study involved two municipalities with high ratio of commitments/reports with 56 cases reported for substance abuse including 31 committed cases... (More)
- Background: In Sweden, a person with substance abuse can be reported to the social services for an investigation about commitment to coercive care. After a change in legislation, municipalities varied greatly in the ratio of commitments/reports compared with the period before the legislation was amended. Aims: The primary aims of this study were first, to investigate whether subjects from municipalities with a high ratio of commitments/reports have a better outcome compared with subjects from municipalities with a low ratio and second, if a high ratio has an impact on mortality. Methods: The study involved two municipalities with high ratio of commitments/reports with 56 cases reported for substance abuse including 31 committed cases (55%). It also included two municipalities with a low ratio, 50 reported cases including six committed cases (12%). Two social service inspectors at the country administrative board assessed the cases in terms of severity of addiction according to legal criteria (kappa(s)=0.66), indicating good inter-rater agreement. A global index based on information about substance abuse, employment and housing was used as outcome measure at the 2-year follow-up. Results: Global outcome did not differ between cases from high- and low-ratio municipalities. Seven subjects had deceased because of causes related to substance abuse. None of the deceased had been committed to coercive care. Conclusions and clinical implications: In conclusion, the different ratios of commitments/reports did not influence global outcome. Commitment may reduce substance-related deaths. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1581656
- author
- Larsson Lindahl, Marianne
LU
; Öjehagen, Agneta
LU
and Berglund, Mats
LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Nordic Journal of Psychiatry
- volume
- 64
- pages
- 372 - 376
- publisher
- Informa Healthcare
- external identifiers
-
- wos:000284165700003
- pmid:20337568
- scopus:78449242322
- pmid:20337568
- ISSN
- 1502-4725
- DOI
- 10.3109/08039481003710204
- language
- English
- LU publication?
- yes
- id
- 74208d69-6ebf-40d5-966c-e468377275e1 (old id 1581656)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20337568?dopt=Abstract
- date added to LUP
- 2016-04-04 08:41:35
- date last changed
- 2022-01-29 03:53:40
@article{74208d69-6ebf-40d5-966c-e468377275e1,
abstract = {{Background: In Sweden, a person with substance abuse can be reported to the social services for an investigation about commitment to coercive care. After a change in legislation, municipalities varied greatly in the ratio of commitments/reports compared with the period before the legislation was amended. Aims: The primary aims of this study were first, to investigate whether subjects from municipalities with a high ratio of commitments/reports have a better outcome compared with subjects from municipalities with a low ratio and second, if a high ratio has an impact on mortality. Methods: The study involved two municipalities with high ratio of commitments/reports with 56 cases reported for substance abuse including 31 committed cases (55%). It also included two municipalities with a low ratio, 50 reported cases including six committed cases (12%). Two social service inspectors at the country administrative board assessed the cases in terms of severity of addiction according to legal criteria (kappa(s)=0.66), indicating good inter-rater agreement. A global index based on information about substance abuse, employment and housing was used as outcome measure at the 2-year follow-up. Results: Global outcome did not differ between cases from high- and low-ratio municipalities. Seven subjects had deceased because of causes related to substance abuse. None of the deceased had been committed to coercive care. Conclusions and clinical implications: In conclusion, the different ratios of commitments/reports did not influence global outcome. Commitment may reduce substance-related deaths.}},
author = {{Larsson Lindahl, Marianne and Öjehagen, Agneta and Berglund, Mats}},
issn = {{1502-4725}},
language = {{eng}},
pages = {{372--376}},
publisher = {{Informa Healthcare}},
series = {{Nordic Journal of Psychiatry}},
title = {{Commitment to coercive care in relation to substance abuse reports to the social services. A 2-year follow-up.}},
url = {{http://dx.doi.org/10.3109/08039481003710204}},
doi = {{10.3109/08039481003710204}},
volume = {{64}},
year = {{2010}},
}