School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Department of Social Work, Stockholm University, Stockholm, Sweden.
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1901468. doi: 10.1080/17482631.2021.1901468.
: This study aims to construct a theoretical framework that explains how users with comorbidity of substance use and mental illness/neuropsychiatric disorders portray user participation in social work encounters.: To construct this framework a constructivist grounded theory approach was used with semi-structured qualitative interviews with 12 users.: The main concern of the participants was the low trust in the social services and perceiving that this lack of trust is mutual. Establishing mutual trust is a social process that cuts through the whole framework. In the framework, prerequisites for participation are explained. The prerequisites are users being motivated and having the willingness to stop using drugs and receiving support, making use of user and staff knowledge and decision-making abilities and accessing help and support.: Unlike previous frameworks, the model describes participation as a social process and does not explain participation at different levels of power. The results suggest that staff need to be aware of low trust perceptions and work on establishing mutual trust. In addition, the staff need to see each user as an individual and consider how the user would prefer to be involved in decision-making.
本研究旨在构建一个理论框架，解释物质使用和精神疾病/神经精神障碍共病患者如何描述他们在社会工作接触中的参与情况。为了构建这个框架，我们采用了建构主义扎根理论方法，对 12 名患者进行了半结构化的定性访谈。参与者主要关注的是对社会服务的低信任度，并认为这种缺乏信任是相互的。建立相互信任是贯穿整个框架的一个社会过程。在这个框架中，解释了参与的前提条件。这些前提条件包括患者有动机和意愿停止使用毒品并获得支持，利用患者和工作人员的知识和决策能力，并获得帮助和支持。与之前的框架不同，该模型将参与描述为一个社会过程，而没有解释在不同权力层次上的参与。研究结果表明，工作人员需要意识到低信任度的认知，并努力建立相互信任。此外，工作人员需要将每个患者视为个体，并考虑患者希望如何参与决策。
