Describing and comparing treatment offerings between different countries and settings

1
Describing and comparing treatment offerings
between different countries and settings

• Öberg, D.1,2, Haack, M.J. 1,3, Hellstrand, E. 4,
  Litvinov, A. 5.
• 1 MAPS Foundation Maastricht, the Netherlands.
• 2 University of Stockholm, department of social
  work, Sweden.
• 3 PMS Vijverdal, Academic Anxiety Center,
  Maastricht, the Netherlands.
• 4 Beroendecentrum Stockholm, Sweden
• 5 Hässelbymottagningen, Hässelby-Vällingby.
  Stadsdelsförvaltning, Sweden.

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Monitoring Area and Phase System
3
Research Design
Unit Preconditions
Discharge Implementation
Quality assurance
After care outcome
Treatment outcome
Matching
Intake Treatment needs
Follow-up Maintenance
Post treatment outcome
4
Area and Phase
5
AREA

• Practical
• Social
• Physical
• Psychological
• Addiction
• Criminality

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Stage of Change (SoC)
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Phase
8
The Intervention Type Decision Tree
Direct therapeutic contact client-staff
No
Yes
Specialist
No
Concerns milieu/social network
Generalist
Yes
No
Yes
Yes
No
1 Therapy
2 Counseling
3 Assistance
4 Environment
5 Support
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Coverage Treatment Unit Form
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Coverage Addiction Treatment Inventory
Employment
Legal
Fam/Soc
Psy
Medical
Alc/Drug
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Coverage MAPS 2
Practical
Social
Physical
Psychological
Addiction
Criminality
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Example of tailor made discharge form
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Example of process form
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1
2
4
3
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Omvårdnad
Practical Social Physical Psycho Addiction Crime
After Care
Treatment
Motivation
Motivation
Basic Care
16
Hässelby addiction consultation bureau
Practical Social Physical Psycho
Addiction Crime
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Clients severity profile, mean, n 23
Practical Social Physical Psycho
Addiction Crime
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Clients SoC profile, mean, n 23
Intake
Action
Discharge
Preparation
Contemplation
Practical Social Physical Psycho
Addiction Crime
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Client example 1
Practical Social Phys. Psycho.
Addict. Crime
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Client example 2
Practical Social Phys. Psycho.
Addict. Crime
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Interventionsreceived
Client 1
Client 2
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Hässelby addiction consultation bureau
Practical Social Physical Psycho
Addiction Crime
23
Clients SoC profile, mean, n 23
Discharge
Intake
Practical Social Physical Psycho
Addiction Crime
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Pros and Cons

• Pros
• Seems to cover all different kinds of
  interventions
• Relates well to both theory and practice
• The profiles seems to make sense
• Useful for organizational development
• Can provide measurement of the Black Box
• Cons
• Time consuming
• Need high competence and training
• Validation problems

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Future directions

• Validation of the method
• Data base for client unit matching
• Development of methods to improve the use for
  organizational development
• Mathematical models has to be developed to use
  the model for treatment evaluation
• Investigate the possibilities in the use of
  qualitative methods like the MAPS as a base for
  construction of quantitative forms for different
  types of treatment settings

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Contact information

• Web site www.mapsfoundation.org
• e-mail david.oberg_at_mapsfoundation.org
• Tel [phone]