F r ndringsprocesser i samband med missbruksbehandling - vilka faktorer beskriver klienter som viktiga f r att initiera och bibeh lla positiva f r ndringar?

AIMS - The aim is to describe and analyze how clients recovered from alcohol or drug abuse perceive change in connection with treatment interventions. The specific questions are: What factors are described as important to 1) initiate a process of change? 2) avoid returning to abuse? DESIGN - 40 clients were interviewed according to a brief interview guide. The analysis resulted in models with factors that the clients considered important for initiating and maintaining positive changes. RESULTS - The result suggests that a pattern is emerging in the process of change. Although the clients often describe common factors as important, the variation of timing and severity for different factors makes the individual story unique. CONCLUSIONS - The variation of timing and severity for different factors implies that it is very difficult to predict when a factor is important or not. This underlines the importance of treatment systems with a structure and a flexibility that enables supporting factors to be used when they are of importance for the individual client.