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Mental health and substance use problems among patients in substance use disorder treatment as reported by patients versus treatment personnel
- Authors:
- BERGLY Tone H., HAGEN Roger, GRAWE Rolf W.
- Journal article citation:
- Journal of Substance Use, 20(4), 2015, pp.282-287.
- Publisher:
- Taylor and Francis
Objective: This study examines and compares mental health and substance use problems among patients in substance use disorder treatment as reported by both patients and treatment personnel, and explores the feasibility of the quadrant model in addressing severity of mental health and substance use based on reports by treatment personnel. Methods: Patients receiving inpatient substance use treatment at clinics in Norway were recruited for the study; 85 completed a cross-sectional survey. Treatment personnel completed a separate survey and gathered information from patient charts. Results: While there were minor differences in the patient and personnel reported prevalence of mental disorders in general (34 and 41%, respectively), there were significant differences in reported affective disorders and personality disorders. Based on the quadrant model, 70.2% of the patients had a high severity of substance use and low severity of mental health problems, while 21.4% had high severity of both. Conclusions: The differences in reports of mental disorders are important, and future research should aim to increase the validity and reliability of reported mental health problems among patients with substance use disorders. The quadrant model does seem to be a feasible model in addressing the severity of such co-occurring disorders. (Edited publisher abstract)
Thresholds of hope: stories of lacking generosity
- Authors:
- SAELOR Knut Tore, SKATVEDT Astrid
- Journal article citation:
- Social Work in Mental Health, 17(5), 2019, pp.533-550.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hope is a pivotal part of recovery in a broad range of health conditions, including those relating to the field of mental health and substance abuse. People who experience co-occurring mental health and substance-use problems are often bound to use services that are not suited to their needs. This study aims is to explore how service users experience barriers to help and assistance, and to determine the manner by which these barriers may influence their experiences of hope. Data were collected through in-depth interviews with nine participants, and these were analyzed using a thematic approach. This analysis produced the following three overarching themes: “battles with bureaucracy”; “distance, disempowerment, and de-individualization”; and “no clean slates.” (Edited publisher abstract)
Harm reduction in a Norwegian housing first project: a qualitative study of the treatment providers’ practice
- Authors:
- ANDVIG Ellen Sofie, SAELOR Knut Tore, OGUNDIPE Esther
- Journal article citation:
- Advances in Dual Diagnosis, 11(1), 2018, pp.4-15.
- Publisher:
- Emerald
Purpose: Little is known about how harm reduction is practiced in Norwegian housing first (HF) projects. The purpose of this paper is to explore, describe, and interpret how providers apply a harm reduction approach within a housing project focused on individuals who are homeless with co-morbid substance use and mental health problems. Design/methodology/approach: This qualitative study was part of a larger evaluation study of a three-year HF project in a Norwegian municipality. Data were collected using four multi-stage focus groups with five providers working in the HF project. Focus group interviews were transcribed verbatim and analysed using thematic analysis. Findings: Analysis resulted in three main themes: “Letting the service user sit in the driver’s seat,” “We don’t follow service provision contracts, we do everything,” and “Collaborating with the local community.” Research limitations/implications: There is a need to develop increased knowledge about service users’ experiences within the harm reduction approach. Practical implications: To practice effective harm reduction, treatment providers must have open authorisations and the opportunity to exercise professional judgement. Harm reduction practice must also focus on social, political, and economic factors influencing users’ everyday lives. Originality/value: The paper contributes to the knowledge base on harm reduction within HF practice that differs from a traditional model wherein clients are expected to abstain from substance use. It highlights important preconditions for challenges practitioners might encounter at both individual and service system levels. (Publisher abstract)
How meaningful activities influence the recovery process
- Authors:
- NORDAUNET Ole Martin, SAELOR Knut Tore
- Journal article citation:
- Advances in Dual Diagnosis, 11(3), 2018, pp.114-125.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore two research questions: how do people with concurrent substance abuse and mental health disorders (concurrent conditions) experience and describe meaningful activities? And how do meaningful activities influence the recovery process? Design/methodology/approach: This qualitative study uses an explorative and interpretive design in a phenomenological-hermeneutic approach. Transcribed interviews are analysed using a phenomenological-hermeneutic method for researching lived experience. The study was submitted to the Norwegian Center for Research Data where it was approved (Case No. 54661). Findings: Structural analysis resulted in three overarching themes: achieving a positive identity through actions and feeling worthwhile; physically outside but inside the norms of society, and idleness, isolation, and obstacles on the road to recovery. Meaningful activities, considered a cornerstone in the recovery process, vary widely and are primarily described in social contexts, thereby confirming the significance of social aspects of recovery in addition to recovery as an individual journey. The findings also show that experiencing meaningful activities contributes to recovery capital and the development of recovery-promotive identities. Research limitations/implications: The study consisted of a small sample size, recruited at one location which served as a primary research limitation. Practical implications: This paper provides insights for health care practitioners and health care decision makers regarding the importance of meaningful activities viewed through a recovery perspective. Originality/value: Few studies to date have used a comprehensive approach to describe the influence of experiencing meaningful activities on the recovery process. (Edited publisher abstract)