Återfallsprevention, tänker vi lika? : En jämförande studie avseende samsyn i återfallspreventiv behandling

Sammanfattning: Previous studies have shown that concordance between professionals and clients regarding treatment content, goals and practice in drug-related treatment results in reduced drug use. Concordance also contributes to reduced degree of criminal acts and an increased power of their own life’s. The purpose of the present study was to investigate whether there was a difference between course leaders and client perceptions about which relapse preventive skills who were of utility in client’s recovery from alcohol or drug addiction. An investigation of differences between course leaders and client perceptions made it possible to estimate concordance in relapse preventive treatment. The empirical study consisted of two questionnaires, one aimed for course leaders in relapse preventive treatment and one aimed for clients who had participated in a relapse preventive course. An independent t-test showed no significant difference between course leaders and clients regarding the total score of the scale. 12 independent t-tests showed significant differences between course leaders and clients regarding 2 of 13 skills, where the course leaders estimated greater utility of the skills to identify automatic thoughts and to decline offers of drugs or alcohol. Results in the present study indicated good concordance between course leaders and clients, as they estimated the utility equivalent in great extent. The conclusion of the present study was an indication of good concordance between course leaders and clients in relapse preventive treatment in Sweden today. Concordance can contribute to a reduction of regional and local differences regarding practise in psychosocial treatment, and encourage a lifestyle in balance for clients.