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Commitment to coercive care in relation to substance abuse reports to the social services. A 2-year follow-up.

  • Marianne Larsson Lindahl
  • Agneta Öjehagen
  • Mats Berglund
Publiceringsår: 2010
Språk: Engelska
Sidor: 372-376
Publikation/Tidskrift/Serie: Nordic Journal of Psychiatry
Volym: 64
Dokumenttyp: Artikel i tidskrift
Förlag: Informa Healthcare

Abstract english

Background: In Sweden, a person with substance abuse can be reported to the social services for an investigation about commitment to coercive care. After a change in legislation, municipalities varied greatly in the ratio of commitments/reports compared with the period before the legislation was amended. Aims: The primary aims of this study were first, to investigate whether subjects from municipalities with a high ratio of commitments/reports have a better outcome compared with subjects from municipalities with a low ratio and second, if a high ratio has an impact on mortality. Methods: The study involved two municipalities with high ratio of commitments/reports with 56 cases reported for substance abuse including 31 committed cases (55%). It also included two municipalities with a low ratio, 50 reported cases including six committed cases (12%). Two social service inspectors at the country administrative board assessed the cases in terms of severity of addiction according to legal criteria (kappa(s)=0.66), indicating good inter-rater agreement. A global index based on information about substance abuse, employment and housing was used as outcome measure at the 2-year follow-up. Results: Global outcome did not differ between cases from high- and low-ratio municipalities. Seven subjects had deceased because of causes related to substance abuse. None of the deceased had been committed to coercive care. Conclusions and clinical implications: In conclusion, the different ratios of commitments/reports did not influence global outcome. Commitment may reduce substance-related deaths.


  • Psychiatry


  • Clinical Health Promotion Centre
  • ISSN: 1502-4725
Marianne Larsson Lindahl. Foto: Patrik Hekkala
E-post: marianne [dot] larsson_lindahl [at] soch [dot] lu [dot] se



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