Experiences of coercion during investigation and treatment
Abstract
According to Swedish legislation (LVM) compulsory treatment shall be decided on if someone, due to ongoing abuse of alcohol, drugs or volatile solvents, is in need of care to overcome abuse and if a voluntary intervention is not possible. Very little research has been conducted in Sweden on this particular legislation with regard to the clients' experiences of entire process from assessment to aftercare. We interviewed 74 subjects who were being assessed prior to the court's decision on involuntary care (n=39), or with previous experience of assessment and involuntary care (n=35). The assessment group more often reported having the opportunity to express their opinions to the social worker during the assessment period (55% vs. 21%, p<.05) and they were more positive towards the final decision (60% vs. 24%, p<.05). In spite of the law, 18% were not contacted by the social services while in coercive treatment. The clients who did meet with a social worker, often described the conferences as more of a perfunctory nature with a lack of focus on the actual situation and aftercare planning. This study points at a need of studying the subjects' experiences of the whole continuum of the coercive process: from the investigation, to treatment and to aftercare. It also points at the need for new instruments to be developed covering all aspects of the coercive process and in particular the period of investigation prior to the decision on involuntary care.
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Lindahl, M. L. (2011) · Lund University Publications (Lund University)
- Authors
- Larsson-Kronberg, M., Öjehagen, A., & Berglund, M.
- Affiliations
- Skåne University Hospital (SE)
- Lund University (SE)
- Venue
- International Journal of Law and Psychiatry
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 28
- Issue
- 6
- Pages
- 613-621
- ISSN
- 0160-2527 (ISSN-L)
- OpenAlex
- W2044163744
- Cited by
- 7
- References
- 14
- Citations by year
- 2025: 1 · 2023: 1 · 2016: 1 · 2012: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Law and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Criminal Law and Policy
- Keywords
- coercion, involuntary treatment, alcohol abuse, drug abuse, volatile solvents, customer experience, aftercare planning, involuntary care, addiction treatment, client participation
- MeSH terms
- Adult, Coercion, Commitment of Persons with Psychiatric Disorders, Commitment of Mentally Ill, Female, Humans, Interviews as Topic, Male, Middle Aged, Patients, Social Work, Sweden, Substance-Related Disorders
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