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Implementering och utvärdering av Addiction Severity Index (ASI) i socialtjänsten
Umeå University, Faculty of Social Sciences, Department of Psychology.
2005 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this dissertation is to examine the implementation of the Addiction Severity Index (ASI) in social services and how it affects the encounter between the clients and their social workers. As structured interviews are unusual in social service based addiction care there is concern that they will have negative consequences on the relation between the social workers and their clients. The first study therefore investigates the clients’ acceptance of the ASI. The results show that 95 % of the clients accepted the ASI and that 85% viewed it in positive terms. Approximately 8% reported feeling violated by one question without this having any negative effect on the relation to the social workers or confidence in the social services. The results did not give empirical support for negative effects of the ASI. In the second study a comparison was made between a group that had participated in an assessment session using the ASI and a group with which the ASI had not been used. The results show that there is no difference in perception of “the alliance” or “negative experiences” with or without the ASI, but that the clients’ feeling of “own competence” is lower when the ASI is employed. The question of whether the reduced feeling of own competence among the clients is an expression of greater realism and reduced denial or only the negative effect of increased helplessness on the clients’ self-esteem can not be resolved in this study. In the third study, based on the same groups participating in the second study, the social workers were also asked to judge how the clients experienced such assessment sessions. The results show that the social workers’ assessment of the clients’ experiences differed from the clients’ own experiences regarding the “alliance” and “clients’ own feelings of competence”. However, the social workers made a correct assessment of the clients’ “negative experiences” of the sessions. The two different forms of session, with or without the ASI, did not influence the social workers’ assessment of the clients’ perceptions. The fourth study presents the results of a national questionnaire completed by 555 members of staff in social services, the prison service, and addiction services. The results show that supervisors and bosses take an increasingly greater responsibility for ASI training and that opportunities for using the ASI varied according to the place of work. Differences can probably be explained by different services being in different phases of implementation at the time of the study. The ASI has primarily been used in direct client work and only to a minor extent for follow-ups and evaluation. The number of ASI interviews carried out is small especially for those trained prior to 1999.

Place, publisher, year, edition, pages
Umeå: Umeå universitet , 2005. , 37 p.
Keyword [en]
Addiction Severity Index, implementation, clients’ acceptance, alliance, empathy, social workers
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-597ISBN: 91-7305-927-7 (print)OAI: oai:DiVA.org:umu-597DiVA: diva2:143914
Distributor:
Institutionen för psykologi, 90187, Umeå
Public defence
2005-09-23, bt 104, Beteendevetarhuset, Umeå universitet, Umeå, 10:15 (English)
Opponent
Supervisors
Available from: 2005-09-23 Created: 2005-09-23 Last updated: 2016-06-22Bibliographically approved
List of papers
1. Klienters acceptans av strukturerade intervjuer i socialtjänsten.
Open this publication in new window or tab >>Klienters acceptans av strukturerade intervjuer i socialtjänsten.
2002 (Swedish)In: Nordisk sosialt arbeid, ISSN 0333-1342, E-ISSN 1504-3037, Vol. 22, no 4, 210-216 p.Article in journal (Refereed) Published
Abstract [en]

Uppföljning och utvärdering är nu på agendan även för socialtjänstens vidkommande vilket ökar behovet av enkla användarvänliga och strukturerade dokumentationsmetoder. En viktig fråga i det sammanhanget är klientens acceptans för sådana inslag i det sociala arbetet. I följande studie har ASI-intervjun prövats med avseende på hur den påverkar relationen till socialarbetaren och klienternas förtroende för socialtjänsten.

Place, publisher, year, edition, pages
Köpenhamn: Nordisk Sosionomforbunds Samarbeidskomité, 2002
Identifiers
urn:nbn:se:umu:diva-4698 (URN)
Available from: 2005-09-23 Created: 2005-09-23 Last updated: 2017-12-14Bibliographically approved
2. Experience of the relationship between social workers and clients with and without a structured interview (ASI).
Open this publication in new window or tab >>Experience of the relationship between social workers and clients with and without a structured interview (ASI).
(English)Manuscript (preprint) (Other academic)
Identifiers
urn:nbn:se:umu:diva-4699 (URN)
Available from: 2005-09-23 Created: 2005-09-23 Last updated: 2011-06-07Bibliographically approved
3. Socialarbetarnas förmåga att bedöma hur klienterna upplever utredningssamtal - med och utan ASI.
Open this publication in new window or tab >>Socialarbetarnas förmåga att bedöma hur klienterna upplever utredningssamtal - med och utan ASI.
(English)Manuscript (preprint) (Other academic)
Identifiers
urn:nbn:se:umu:diva-4700 (URN)
Available from: 2005-09-23 Created: 2005-09-23 Last updated: 2011-06-07Bibliographically approved
4. Implementering av en strukturerad intervju (ASI) i missbrukarvård och kriminalvård.
Open this publication in new window or tab >>Implementering av en strukturerad intervju (ASI) i missbrukarvård och kriminalvård.
2005 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 12, no 1, 27-42 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Lund: Socialvetenskaplig tidskrift, 2005
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-4701 (URN)
Available from: 2005-09-23 Created: 2005-09-23 Last updated: 2011-06-07Bibliographically approved

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Citation style
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