Faktorer som virker inn ved frafall i dögnbehandling for pasienter med ruslidelser. En case studie med vekt på både pasient- og behandlerperspektivet
Sammanfattning
Retention in substance abuse treatment is one of the most consistent predictors
of successful treatment. Despite drop-out rates from 17-57 % for inpatient
treatment, little is known of potential risk factors related to treatment programs
and processes. The aim of this study is to obtain knowledge of this phenomenon
by studying underlying processes and conditions associated with dropout. The
case study method is chosen because of the scant literature and the ability of this
method to gain in-depth information. The data material consists of qualitative
interviews of patients and clinical staff together with journal material. The
results indicate complex conditions associated with attrition and that the
patients left treatment despite positive experiences and perceived usefulness of
the program. It is suggested that there might be a process prior to the decision
of leaving and that special attention should be paid to patients at higher risk for
drop-out.