Repeated addiction treatment use in Sweden: a national register database study
2014 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 49, no 13, 1764-1773 p.Article in journal (Refereed) Published
Sweden has a free, universal addiction treatment system yet few studies examining utilization of treatment in this country. This study identified predisposing, enabling and need factors associated with history of number of voluntary addiction treatment episodes for a national sample of 12,009 individuals assessed for an alcohol and/or drug use disorder in Sweden. On average, people reported 4.3 prior treatment episodes. Linear regression methods identified that of predisposing factors older age and being male were associated with more voluntary addiction treatment episodes compared to younger and female clients; a higher Addiction Severity Index (ASI) employment score (an enabling factor) was associated with more voluntary addiction treatment episodes; and need factors including a history of inpatient mental health treatment, a higher ASI psychiatric score, a higher ASI alcohol score, higher levels of illict drug use, more compulsory addiction treatment episodes, a lower ASI legal score and history of criminal justice involvement were all associated with more voluntary addiction treatment episodes compared to their counterparts. There were no differences in number of treatment episodes by education or immigrant status. Implications: (1) Need is a key factor associated with more treatment use. (2) Further studies are needed to identify gender differences in access/use of treatment. (3) Given multiple treatment histories Swedish addiction treatment policy should reflect a chronic care model rather than an acute care model.
Place, publisher, year, edition, pages
London: Informa Healthcare, 2014. Vol. 49, no 13, 1764-1773 p.
addiction treatment, treatment repeaters, substance use disorder, compulsory treatment, Sweden, chronic care model
Psychology Psychiatry Substance Abuse
IdentifiersURN: urn:nbn:se:umu:diva-93939DOI: 10.3109/10826084.2014.926932ISI: 000343678600003OAI: oai:DiVA.org:umu-93939DiVA: diva2:751736