Advanced

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:
author
organization
publishing date
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
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
2010-04-08 14:34:01
date last changed
2018-05-29 10:08:55
@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},
  volume       = {64},
  year         = {2010},
}