A two-way process: the client–keyworker relationship and its dynamics in coercive drug treatment

Skårner, Anette; Billquist, Leila

doi:10.1080/2156857x.2016.1156016

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…Most studies of helpful relationships in mental health settings are based on interviews either with service users [ 11 , 22 ] or professionals [ 23 , 24 ]. However, since relationships occur between two or more persons, we wanted to create a design in which we could ask both the service user and the professional, respectively, about their experiences of co-constructing a relationship which they both acknowledged as helpful.…”

Section: Methodsmentioning

confidence: 99%

Diversity, Complexity and Ordinality: Mental Health Services Outside the Institutions—Service Users’ and Professionals’ Experience-Based Practices and Knowledges, and New Public Management

Topor

Matscheck

2021

IJERPH

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In conjunction with the dismantling of psychiatric hospitals, social workers have been commissioned to help service users in their daily living in their homes and in the community. The consequences of these changes for experience-based knowledge and practices in their contexts remain relatively unknown. In this study, eighteen service users and the social workers they described as helpful for them were interviewed. The interviews were recorded, transcribed, and analyzed using Thematic Analysis. The following themes emerged: “Here, there and everywhere”, “Doing, being, becoming”, “Talking” and “Order, planning and improvisation” concerning the contradictions service users and professionals mentioned about their practices and the conditions imposed by managerial methods connected to New Public Management. Finally, “Spontaneous planned complexity” was chosen as our overarching theme to characterize the new knowledge and practices which have been developed. The displacement of the place for the encounter and the introduction of non-medicalized professions have allowed community-based practices and thus the co-creation and emergence of new knowledge about the service users as persons and the professionals as qualified professionals. The challenge remains for managers to have trust in their colleagues and not impose rigid rules, schematized methods, and repeated controls.

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Section: Methodsmentioning

confidence: 99%

Diversity, Complexity and Ordinality: Mental Health Services Outside the Institutions—Service Users’ and Professionals’ Experience-Based Practices and Knowledges, and New Public Management

Topor

Matscheck

2021

IJERPH

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“…(Ks. myös Skårner & Billquist 2016;Lavee 2017;Virokannas 2017b. ) Tässä luvussa esittämäni tulokset tukevat näkemystä siitä, että palvelujärjestelmän kehittämisessä tulisi kiinnittää huomiota sekä rakenteellisella että kasvokkaisen kohtaamisen tasolla tapahtuvaan päihdetaustaisten naisten ja heidän palvelutarpeidensa kategorisointiin.…”

Section: Moniulotteinen Marginalisoituminen Ja Palvelujärjestelmän Ha...unclassified

Sosiaalityö yhteiskunnan marginaaleissa – Konstruktionistisia jäsennyksiä

Raitakari¹,

Ranta²

2022

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Ihmisten elämäntilanteiden erilaisuus ja eriarvoisuus ovat aina läsnä yhteiskuntapoliittisissa keskusteluissa. Marginaalissa eläminen voi tarkoittaa asunnottomuutta, sairastumista, työttömyyttä ja oman paikkansa etsimistä, kun tuntuu, että muut elävät arjessaan normaalia elämää. Tavallisuutta, normaalia, hyväksyttyä tai valtavirtaa ei kuitenkaan ole olemassa ilman marginaalia. Marginaalisuus ja marginaaleihin liittyvät kysymykset ovat sosiaalityön ydintä ja aina ajankohtaisia tutkimusaiheita. Sosiaalityö yhteiskunnan marginaaleissa valottaa moniulotteisesti konstruktionistista tutkimusotetta soveltaen sosiaalityön ja marginalisaation välisiä kytkentöjä. Teoksessa tuotetaan eri näkökulmista uutta tietoa marginalisaatiosta painotuksen ollessa aikuisten parissa tehtävässä sosiaalityössä, sen käytännöissä ja kohderyhmissä. Lisäksi teoksessa tarkastellaan ajankohtaisia marginalisaatioon liittyviä yhteiskunnallisia ilmiöitä ja niiden seurauksia. Kirja kutsuu kriittiseen itsereflektioon erityisesti käytettyjen käsitteiden ja kategorioiden sekä niihin kytkeytyvän vallankäytön suhteen. Teos soveltuu erityisesti sosiaalityön ja muiden yhteiskuntatieteiden tutkijoiden ja opiskelijoiden sekä sosiaalialan ammattilaisten käyttöön.

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“…Swedish research shows that the negative effects of coercion are repeatedly highlighted when clients get their say (Ekendahl, 2009;Svensson, 2010), and that clients often regard the care they receive as meaningless (Billinger, 2000;Ekendahl, 2001;Svensson, 2001Svensson, , 2003Svensson, , 2010. Regarding relationships in compulsory treatment settings, previous research tends to focus on the professional relationship between client and staff, indicating that a respectful relationship is an important factor for a positive treatment outcome (Ljungberg et al, 2015a(Ljungberg et al, , 2015bSkårner & Billquist, 2016). There are many similarities between compulsory psychiatric treatment and compulsory drug treatment.…”

Section: Literature Reviewmentioning

confidence: 99%

Locked Up and Locked Out: Client Perspectives on Personal Relationships While in Compulsory Drug Treatment

Petersson

Berg

Skårner

2021

Contemporary Drug Problems

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This qualitative study explores clients’ perspectives on their personal relationships while in compulsory drug treatment. Interviews with 31 participants (14 female and 17 male) were conducted at four compulsory treatment institutions for adults who use drugs in Sweden. Taken together, our study reveals that clients in general had to struggle to maintain social relationships due to strict restrictions on their interpersonal contact and communication. Feelings of isolation and anxiety characterized much of their relationships during the treatment period, with emotional withdrawal commonly described as a way to cope. Moreover, some participants expressed shame and guilt over the pain and suffering they had subjected their family members to through their drug use, feelings that put additional strain on the contact. The emotionally and socially significant relationships described by our interviewees provide links to other personal roles and settings than those prescribed by the institution. At the studied institutions, however, little attention was given to this relational dimension of the clients’ situation. Based on the results of the present study, possibilities for improvement of compulsory drug treatment are discussed.

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A two-way process: the client–keyworker relationship and its dynamics in coercive drug treatment

Cited by 4 publications

References 22 publications

Diversity, Complexity and Ordinality: Mental Health Services Outside the Institutions—Service Users’ and Professionals’ Experience-Based Practices and Knowledges, and New Public Management

Diversity, Complexity and Ordinality: Mental Health Services Outside the Institutions—Service Users’ and Professionals’ Experience-Based Practices and Knowledges, and New Public Management

Sosiaalityö yhteiskunnan marginaaleissa – Konstruktionistisia jäsennyksiä

Locked Up and Locked Out: Client Perspectives on Personal Relationships While in Compulsory Drug Treatment

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