Cargando…
Conflict and user involvement in drug misuse treatment decision-making: a qualitative study
BACKGROUND: This paper examines client/staff conflict and user involvement in drug misuse treatment decision-making. METHODS: Seventy-nine in-depth interviews were conducted with new treatment clients in two residential and two community drug treatment agencies. Fifty-nine of these clients were inte...
Autores principales: | , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2008
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569024/ https://www.ncbi.nlm.nih.gov/pubmed/18837989 http://dx.doi.org/10.1186/1747-597X-3-21 |
_version_ | 1782160054777020416 |
---|---|
author | Fischer, Jan Neale, Joanne Bloor, Michael Jenkins, Nicholas |
author_facet | Fischer, Jan Neale, Joanne Bloor, Michael Jenkins, Nicholas |
author_sort | Fischer, Jan |
collection | PubMed |
description | BACKGROUND: This paper examines client/staff conflict and user involvement in drug misuse treatment decision-making. METHODS: Seventy-nine in-depth interviews were conducted with new treatment clients in two residential and two community drug treatment agencies. Fifty-nine of these clients were interviewed again after twelve weeks. Twenty-seven interviews were also conducted with staff, who were the keyworkers for the interviewed clients. RESULTS: Drug users did not expect, desire or prepare for conflict at treatment entry. They reported few actual conflicts within the treatment setting, but routinely discussed latent conflicts – that is, negative experiences and problematic aspects of current or previous treatment that could potentially escalate into overt disputes. Conflict resulted in a number of possible outcomes, including the premature termination of treatment; staff deciding on the appropriate outcome; the client appealing to the governance structure of the agency; brokered compromise; and staff skilfully eliciting client consent for staff decisions. CONCLUSION: Although the implementation of user involvement in drug treatment decision-making has the potential to trigger high levels of staff-client conflict, latent conflict is more common than overt conflict and not all conflict is negative. Drug users generally want to be co-operative at treatment entry and often adopt non-confrontational forms of covert resistance to decisions about which they disagree. Staff sometimes deploy user involvement as a strategy for managing conflict and soliciting client compliance to treatment protocols. Suggestions for minimising and avoiding harmful conflict in treatment settings are given. |
format | Text |
id | pubmed-2569024 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-25690242008-10-17 Conflict and user involvement in drug misuse treatment decision-making: a qualitative study Fischer, Jan Neale, Joanne Bloor, Michael Jenkins, Nicholas Subst Abuse Treat Prev Policy Research BACKGROUND: This paper examines client/staff conflict and user involvement in drug misuse treatment decision-making. METHODS: Seventy-nine in-depth interviews were conducted with new treatment clients in two residential and two community drug treatment agencies. Fifty-nine of these clients were interviewed again after twelve weeks. Twenty-seven interviews were also conducted with staff, who were the keyworkers for the interviewed clients. RESULTS: Drug users did not expect, desire or prepare for conflict at treatment entry. They reported few actual conflicts within the treatment setting, but routinely discussed latent conflicts – that is, negative experiences and problematic aspects of current or previous treatment that could potentially escalate into overt disputes. Conflict resulted in a number of possible outcomes, including the premature termination of treatment; staff deciding on the appropriate outcome; the client appealing to the governance structure of the agency; brokered compromise; and staff skilfully eliciting client consent for staff decisions. CONCLUSION: Although the implementation of user involvement in drug treatment decision-making has the potential to trigger high levels of staff-client conflict, latent conflict is more common than overt conflict and not all conflict is negative. Drug users generally want to be co-operative at treatment entry and often adopt non-confrontational forms of covert resistance to decisions about which they disagree. Staff sometimes deploy user involvement as a strategy for managing conflict and soliciting client compliance to treatment protocols. Suggestions for minimising and avoiding harmful conflict in treatment settings are given. BioMed Central 2008-10-06 /pmc/articles/PMC2569024/ /pubmed/18837989 http://dx.doi.org/10.1186/1747-597X-3-21 Text en Copyright © 2008 Fischer et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Fischer, Jan Neale, Joanne Bloor, Michael Jenkins, Nicholas Conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
title | Conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
title_full | Conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
title_fullStr | Conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
title_full_unstemmed | Conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
title_short | Conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
title_sort | conflict and user involvement in drug misuse treatment decision-making: a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569024/ https://www.ncbi.nlm.nih.gov/pubmed/18837989 http://dx.doi.org/10.1186/1747-597X-3-21 |
work_keys_str_mv | AT fischerjan conflictanduserinvolvementindrugmisusetreatmentdecisionmakingaqualitativestudy AT nealejoanne conflictanduserinvolvementindrugmisusetreatmentdecisionmakingaqualitativestudy AT bloormichael conflictanduserinvolvementindrugmisusetreatmentdecisionmakingaqualitativestudy AT jenkinsnicholas conflictanduserinvolvementindrugmisusetreatmentdecisionmakingaqualitativestudy |