Vårdkedjeprojektet : En utvärdering av hur Vårdkedjeprojektets mål har implementerats i verksamheten på Behandlingshemmet Rällsögården

Sammanfattning: An evaluation: how have the goals of “Vårdkedjeprojektet” been implemented at the treatment centre of Rällsögården This evaluation was commissioned on behalf of the treatment centre of Rällsögården. The aim of this study is to evaluate how the goals of “Vårdkedjeprojektet” (VKP) have been implemented in the institutional care at the treatment centre of Rällsögården. This study was focused on the following questions: a) how is the function ”internal coordinator” experienced by staff at Rällsögården, b) in the function of internal coordinator what aspects are thought of as effective/non-effective concerning the cooperation with ”external coordinators” and contact with clients and staff, c) how is Vårdkedjeprojektet and its treatment approach “Community Reinforcement Approach” (CRA) experienced by coordinators, clients and staff and d) how well is the aftercare functioning for clients who have finished their treatment at Rällsögården, and still participate in VKP? The choice of research method was triangulation; a combination of qualitative and quantitative methods. Data was collected through interviews with all the coordinators and clients and a questionnaire was distributed among the staff at Rällsögården. The result shows that the function internal coordinator is appreciated by the external coordinators as well as by staff at Rällsögården. The external coordinators and the internal coordinator find their cooperation as satisfying. However most of the clients experience the contact with the internal coordinator as not satisfying. The majority of the staff at Rällsögården would appreciate more participation from the internal coordinator in the daily treatment work at Rällsögården. A majority of the staff and none of the clients at the institution have knowledge of the significance of CRA. The clients in aftercare have knowledge of the method and they have had CRA-sessions. The two clients in aftercare have two different experiences of the aftercare and the contact with concerned authorities. One of the clients is satisfied with his aftercare and the contact with the internal coordinator and the other client is not satisfied. In conclusion a majority of the respondents think that the positive aspects of VKP are the “over-all thinking” and the increased cooperation between social services and institutions. Another important aspect is the guaranteed six months aftercare. Keywords: Aftercare, clients, coordinator, Community Reinforcement Approach, implementation, Vårdkedjeprojektet