Publication year
2011Number of pages
14 p.
Source
International Journal of Social Psychiatry, 57, 3, (2011), pp. 263-276ISSN
Publication type
Article / Letter to editor

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Organization
FSW_Academisch centrum
SW OZ BSI KLP
Journal title
International Journal of Social Psychiatry
Volume
vol. 57
Issue
iss. 3
Page start
p. 263
Page end
p. 276
Subject
Experimental Psychopathology and TreatmentAbstract
Background: Little is known about the perspectives of either patients or clinicians regarding treatment goals in addiction healthcare. In general, treatment goals involve abstinence or at least reduction of substance use.
Aim: To examine and compare the treatment goals indicated by both patients and clinicians at baseline, interim and exit measurement.
Method: A descriptive study was performed with multiple measurements of treatment goals. Patients (n = 111) and clinicians (n = 20) were recruited from three addiction treatment centres in the Netherlands. A Shared Decision Making Intervention (SDMI) was undertaken to promote and evaluate treatment agreement.
Results: Patients identified treatment goals of daytime activities and abstinence or reduced alcohol consumption as most important. Clinicians indicated psychological distress, daytime activities and substance use as most important. Differences between patients and clinicians were found for the treatment goals of physical health (patient > clinician) and psychological distress (clinician > patient). The results further showed that treatment goals of both patients and clinicians become more closely aligned during the course of treatment.
Conclusion: SDMI provides a method to explore and discuss discrepancy between patients' and clinicians' goals of treatment which leads to convergence. Such convergence is likely to be a necessary prerequisite for positive treatment outcomes.
This item appears in the following Collection(s)
- Academic publications [204994]
- Faculty of Social Sciences [27347]
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