Bahl Nina Kavita Heggen, Landheim Anne Signe, Nafstad Hilde Eileen, Blakar Rolv Mikkel, Brodahl Morten A
St. Olav's University Hospital, Trondheim, Norway.
Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway.
Nordisk Alkohol Nark. 2021 Oct;38(5):480-497. doi: 10.1177/1455072520985976. Epub 2021 Mar 17.
The recent nationally implemented clinical pathways for the treatment of substance use problems in Norway require mapping and assessing of patients' needs, challenges, and resources. However, there is a lack of tools for systematically mapping and assessing patients' social situations and social networks as part of the national guidelines. The aim of this article is to present a tool developed to map and assess the patient's social situation, and to propose approaches for promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems.
The proposed tool and approaches are developed based on findings in a previous in-depth collaborative study of MPSOC and recovery among people with substance use problems who received help and services from Norwegian municipalities.
The findings suggest that multiple communities (geographical, relational and ideal) and senses of communities (within and outside treatment) simultaneously can influence individual recovery processes from problematic substance use in both positive as well as negative ways. As such, these community dimensions are of central importance to include in mapping and assessing of patients' social situations, as well as in the promotion of MPSOC through clinical pathways.
The suggested tool and approaches can increase the likelihood of achieving key aims of the national clinical pathways. Most important, mapping, assessing and promoting MPSOC through clinical pathways may promote long-term recovery processes and positive recovery capital for persons with substance use problems.
挪威近期全国推行的物质使用问题治疗临床路径要求对患者的需求、挑战及资源进行梳理和评估。然而，作为国家指南的一部分，缺乏用于系统梳理和评估患者社会状况及社会网络的工具。本文旨在介绍一种用于梳理和评估患者社会状况的工具，并提出通过物质使用问题治疗临床路径促进多重社区心理感受（MPSOC）的方法。
所提议的工具和方法是基于此前一项深入合作研究的结果而开发的，该研究针对的是从挪威各市镇获得帮助和服务的物质使用问题患者的MPSOC及康复情况。
研究结果表明，多个社区（地理、关系和理想社区）及社区感受（治疗期间及之外）能同时以积极和消极方式影响个体从物质使用问题中康复的过程。因此，这些社区维度对于梳理和评估患者社会状况以及通过临床路径促进MPSOC至关重要。
所建议的工具和方法可增加实现国家临床路径关键目标的可能性。最重要的是，通过临床路径梳理、评估和促进MPSOC可能会促进物质使用问题患者的长期康复过程及积极的康复资本。
