Coparticipative Adherence: The Reconstruction of Discharge Categories in the Treatment of Substance Use Disorders
| Autor: | David Mee-Lee, Izaak L. Williams |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry media_common.quotation_subject Addiction 030508 substance abuse Medicine (miscellaneous) Compliance (psychology) Terminology 03 medical and health sciences Psychiatry and Mental health Management information systems 0302 clinical medicine medicine Information system 030212 general & internal medicine Substance use 0305 other medical science Psychiatry business Empowerment Autonomy media_common |
| Zdroj: | Alcoholism Treatment Quarterly. 35:279-297 |
| ISSN: | 1544-4538 0734-7324 |
| DOI: | 10.1080/07347324.2017.1322432 |
| Popis: | Management information systems and regulatory oversight in addiction treatment require classification of client discharge status and reports of relative percentages for commonly agreed categories, such as successfully completed or discharged for noncompliance. This article examines underlying assumptions and values for current addiction treatment discharge categories. It suggests that a “moral-choice compliance” model of addiction underpins current discharge categories despite the prevailing view of addiction as a disease, and recovery-oriented systems of care that values client empowerment. To contrast a compliance, program-driven philosophy implied in current discharge classification terminology, a “coparticipative adherence” model is suggested to drive discharge terminology. Such a model values client autonomy in the administrative and clinical program systems to participate and collaborate on goals and treatment plans, and self-fueled adherence and committed effort in treatment, which shapes d... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|