Capabilities for Handling Complex Substance abuse Problems and its Relationship to the Treatment System: Using the DDCAT Instrument to Explore Local Treatment Systems in Finland:

Nordic Studies on Alcohol and Drugs

TuukkaTammi¹ 

关键词: substance abuse treatment;    integrated treatment;    treatment systems;    dual diagnoses;    DDCAT;    medicalization;    Finl;   

DOI  :  10.2478/nsad-2014-0004

学科分类：生物化学/生物物理

来源: Sage Journals

【 摘 要 】

BackgroundMental health problems in Finland have been the responsibility of the health care, and substance abuse problems have been handled within social care. In 2009, a national reform aiming at integrating mental health and substance abuse treatment systems (SATS) was launched. The critics of integration were concerned that it implies a medicalization and a narrowing of the social care goals.AimThis article analyses to what extent integration of mental health and SATS affect the capability to treat co-occurring substance abuse and mental health problems. A secondary aim is to assess the utility of the DDCAT (Dual Diagnosis Capability in Addiction Treatment) instrument in a Finnish context.DataThe study is based on group interviews, using DDCAT, in six Finnish municipalities, three with integrated and three with separate mental health care and SATS. The assessment pertains to the main outpatient unit in the city.ResultsThe dual diagnosis treatment capability did not depend on the system-level integratio...

【 授权许可】

CC BY