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Treatment Goals in Addiction Healthcare: the Perspectives of Patients and Clinicians

Author

Listed:
  • E.A.G. Joosten

    (Radboud University Nijmegen, Academic Centre for Social Sciences, Nijmegen Institute for Scientist-Practitioners in Addiction, Nijmegen, The Netherlands, evelienjoosten@gmail.com)

  • G.H. De Weert-Van Oene

    (Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, The Netherlands)

  • T. Sensky

    (Imperial College, Occupational Health Department, London; Mental Health NHS Trust, Southall, Middlesex, UK)

  • C.P.F. Van Der Staak

    (Radboud University Nijmegen, Academic Centre for Social Sciences, Nijmegen, The Netherlands)

  • C.A.J. De Jong

    (Radboud University Nijmegen, Academic Centre for Social Sciences, Nijmegen Institute for Scientist-Practitioners in Addiction, Nijmegen, The Netherlands, Novadic-Kentron, Network for Addiction Treatment Services, Vught, The Netherlands)

Abstract

Background: Little is known about the perspectives of either patients or clinicians regarding treatment goals in addiction healthcare. In general, treatment goals involve abstinence or at least reduction of substance use. Aim: To examine and compare the treatment goals indicated by both patients and clinicians at baseline, interim and exit measurement. Method: A descriptive study was performed with multiple measurements of treatment goals. Patients ( n = 111) and clinicians ( n = 20) were recruited from three addiction treatment centres in the Netherlands. A Shared Decision Making Intervention (SDMI) was undertaken to promote and evaluate treatment agreement. Results: Patients identified treatment goals of daytime activities and abstinence or reduced alcohol consumption as most important. Clinicians indicated psychological distress, daytime activities and substance use as most important. Differences between patients and clinicians were found for the treatment goals of physical health (patient > clinician) and psychological distress (clinician > patient). The results further showed that treatment goals of both patients and clinicians become more closely aligned during the course of treatment. Conclusion: SDMI provides a method to explore and discuss discrepancy between patients’ and clinicians’ goals of treatment which leads to convergence. Such convergence is likely to be a necessary prerequisite for positive treatment outcomes.

Suggested Citation

  • E.A.G. Joosten & G.H. De Weert-Van Oene & T. Sensky & C.P.F. Van Der Staak & C.A.J. De Jong, 2011. "Treatment Goals in Addiction Healthcare: the Perspectives of Patients and Clinicians," International Journal of Social Psychiatry, , vol. 57(3), pages 263-276, May.
    • Handle: RePEc:sae:socpsy:v:57:y:2011:i:3:p:263-276
    DOI: 10.1177/0020764009354835
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    References listed on IDEAS

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    1. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    2. Stevenson, Fiona A. & Barry, Christine A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2000. "Doctor-patient communication about drugs: the evidence for shared decision making," Social Science & Medicine, Elsevier, vol. 50(6), pages 829-840, March.
    3. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
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