6. Nav-ansattes grensearbeid: Å opprettholde og utfordre grenser i samarbeidets navn

Labour market integration of adults with alcohol and substance use problems in the Nordic countries

“…The Norwegian policy pertaining to substance use problems rests on two pillarshealth policy and crime policy -which often approach the issue from opposite directions (Skretting, 2014). Among the Nordic countries, Norway is seen as having one of the most restrictive control policies on substance use (Hakkarainen et al, 1996;Pedersen, 2022a). Accordingly, the primary aim of substance use treatment has historically been total abstinence.…”

“…Accordingly, the primary aim of substance use treatment has historically been total abstinence. However, there has recently been a slight shift towards a policy approach of harm reduction, at least in the health domain (Olsen, 2019;Pedersen, 2022a;Skretting, 2014).…”

“…The guideline stresses the importance of integration of employment and social services from NAV with mental health services in order to succeed with the task of integrating people with substance use problems into the labour market. However, research has demonstrated that collaboration between health and employment services is challenging due to professional contradictions: there are differential professional understandings and objectives (Fyhn et al, 2021) and lack of knowledge about each other's services, practices, and competencies (Håvold et al, 2018;Pedersen, 2022a).…”