Disentangling practitioners' perceptions of substance use severity : a factorial survey

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Disentangling practitioners' perceptions of substance use severity : a factorial survey

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dc.contributor.author Samuelsson, Eva
dc.contributor.author Wallander, Lisa
dc.date.accessioned 2014-01-02T09:01:27Z
dc.date.available 2014-01-02T09:01:27Z
dc.date.issued 2013 en_US
dc.identifier.issn 1606-6359 en_US
dc.identifier.uri http://hdl.handle.net/2043/16491
dc.description.abstract The aim of this study was to examine the influence of user, staff and work unit characteristics on addiction care practitioners’ assessments of the severity of alcohol and drug use. A factorial survey was conducted among 489 social workers, therapists, nurses, doctors and executives from 77 addiction care units in the three largest Swedish counties. Staff assessed the severity of 10 fictive scenarios, vignettes (n = 4724), describing persons with varying social characteristics who were users of alcohol, cannabis or cocaine. The effects of user, respondent and work-unit variables on the practitioners’ severity assessments were estimated using multilevel regression analysis. The results show that perceived severity was influenced not only by the substance, the frequency and character of the negative consequences of the use, but also by the age, socio-economic status and family situation of the user. Women, older respondents and respondents with a medical education rather than a social work education were on average more inclined to assess the vignettes as being more severe. Analyses of various interactions revealed that practitioners viewed the drinking of young men as being less severe than that of young women. Doctors saw women's use as more problematic than men's, irrespective of the context. To conclude, alcohol and drug consumption is judged by different norms, depending on various characteristics of the users, of the practitioners and also of their workplaces. To avoid potential negative consequences of the application of such varying standards in addiction care, more individual reflection and workgroup discussion are needed. en_US
dc.format.extent 13
dc.language.iso eng en_US
dc.publisher Informa Healthcare en_US
dc.subject Alcohol and drug consumption en_US
dc.subject Factorial survey en_US
dc.subject Multilevel analysis en_US
dc.subject Practitioners' perceptions en_US
dc.subject Severity en_US
dc.subject.classification Humanities/Social Sciences en_US
dc.title Disentangling practitioners' perceptions of substance use severity : a factorial survey en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Health and Society en_US
dc.contributor.department Malmö University. Social Work (SA) en_US
dc.identifier.doi 10.3109/16066359.2013.856887 en_US
dc.subject.srsc Research Subject Categories::SOCIAL SCIENCES en_US
dc.relation.ispartofpublication Addiction Research & Theory;4
dc.relation.ispartofpublicationvolume 22
dc.format.ePage 360
dc.format.sPage 348
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