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标题：Who “needs” compulsory care?: A factorial survey of Swedish social workers' assessments of clients in relation to the Care of Abusers (Special Provisions) Act
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作者：Lisa Wallander ; Jan Blomqvist
期刊名称：Nordic Studies on Alcohol and Drugs
印刷版ISSN：1455-0725
电子版ISSN：1458-6126
出版年度：2005
卷号：22
期号：1_suppl
页码：63-85
DOI：10.1177/145507250502201S24
摘要：■ Background Due to its wide scope and the way in which it is applied, the Swedish compulsory care legislation for problem substance users is rather unique, both from an international and a Nordic perspective. Accordingly, from the time of its introduction about twenty-five years ago, the current legislation has repeatedly been criticised on ethical and scientific grounds. ■ Methods This study employs the factorial survey approach to disentangle predictors relating to assessments of eligibility for compulsory care among a sample of 205 social workers from 36 social services units. The data, which comprise social workers' ideal assessments of randomly constructed hypothetical clients, have been analysed using multilevel logistic regression. ■ Results The results show that overall, the social workers' assessments of client eligibility for compulsory care correspond well with the legislation. However, the results also reveal that several factors not specified in the legislation have an effect on these assessments. These include elements from the popular discourse on drugs in Sweden, the social workers' ideological convictions and the organisational structure of, and experiences of handling compulsory care applications at, the respondents' workplaces.
关键词：Substance misuse ; compulsory care ; assessments ; Sweden ; factorial survey approach ; multilevel analysis