A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service
BackgroundAlcohol and cannabis use constitutes the major public health problems in Greenland. Thus, it is important to assess if Allorfik, a new national outpatient addiction treatment service introduced in 2016, was implemented successfully and how it is perceived. Allorfik introduced local treatme...
Published in: | Frontiers in Health Services |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Frontiers Media S.A.
2024
|
Subjects: | |
Online Access: | https://doi.org/10.3389/frhs.2024.1219787 https://doaj.org/article/086efe325eb8460a999321e0164812de |
id |
ftdoajarticles:oai:doaj.org/article:086efe325eb8460a999321e0164812de |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:086efe325eb8460a999321e0164812de 2024-09-15T18:09:35+00:00 A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service Julie Flyger Christina Viskum Lytken Larsen Else Jensen Birgit Niclasen Anette Søgaard Nielsen 2024-03-01T00:00:00Z https://doi.org/10.3389/frhs.2024.1219787 https://doaj.org/article/086efe325eb8460a999321e0164812de EN eng Frontiers Media S.A. https://www.frontiersin.org/articles/10.3389/frhs.2024.1219787/full https://doaj.org/toc/2813-0146 2813-0146 doi:10.3389/frhs.2024.1219787 https://doaj.org/article/086efe325eb8460a999321e0164812de Frontiers in Health Services, Vol 4 (2024) implementation alcohol cannabis addiction treatment Medicine R article 2024 ftdoajarticles https://doi.org/10.3389/frhs.2024.1219787 2024-08-05T17:49:52Z BackgroundAlcohol and cannabis use constitutes the major public health problems in Greenland. Thus, it is important to assess if Allorfik, a new national outpatient addiction treatment service introduced in 2016, was implemented successfully and how it is perceived. Allorfik introduced local treatment centers offering a treatment methodology (motivational interviewing and cognitive therapy) new to addiction treatment in Greenland with limited evidence from Indigenous populations such as the Greenlandic. The present study investigates the implementation of Allorfik from the perspective of those engaged in the process and the field.MethodsData consisted of transcribed interviews with 23 individuals from both Allorfik and organizations collaborating with or supposed to collaborate with Allorfik. The theme of the interviews was their perspectives on the implementation process, enablers, and obstacles in the process and how Allorfik was performing at the time of the interview. The interview guide was informed by implementation theory. The transcribed material was analyzed using a general inductive approach.ResultsThe analysis resulted in three overall and interconnected themes, namely, implementation, collaborations, and challenges. The implementation was overall considered a success by the interviewees as all components were implemented as planned with a few adaptions, e.g., a treatment guideline update. The collaborations are considered challenging but important to all interviewees. Collaborations seem to rely on personal commitment as opposed to well-defined structures, making it unstable and vulnerable to changes in staff. One of the main challenges highlighted by the interviewees is the number of problems other than addiction among people in treatment, which makes addiction treatment and recovery difficult to achieve. Nevertheless, the high levels of other problems being treated in Allorfik highlights the need for easily accessible therapy as many find that Allorfik is the only place to turn to in times of ... Article in Journal/Newspaper Greenland greenlandic Directory of Open Access Journals: DOAJ Articles Frontiers in Health Services 4 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
implementation alcohol cannabis addiction treatment Medicine R |
spellingShingle |
implementation alcohol cannabis addiction treatment Medicine R Julie Flyger Christina Viskum Lytken Larsen Else Jensen Birgit Niclasen Anette Søgaard Nielsen A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
topic_facet |
implementation alcohol cannabis addiction treatment Medicine R |
description |
BackgroundAlcohol and cannabis use constitutes the major public health problems in Greenland. Thus, it is important to assess if Allorfik, a new national outpatient addiction treatment service introduced in 2016, was implemented successfully and how it is perceived. Allorfik introduced local treatment centers offering a treatment methodology (motivational interviewing and cognitive therapy) new to addiction treatment in Greenland with limited evidence from Indigenous populations such as the Greenlandic. The present study investigates the implementation of Allorfik from the perspective of those engaged in the process and the field.MethodsData consisted of transcribed interviews with 23 individuals from both Allorfik and organizations collaborating with or supposed to collaborate with Allorfik. The theme of the interviews was their perspectives on the implementation process, enablers, and obstacles in the process and how Allorfik was performing at the time of the interview. The interview guide was informed by implementation theory. The transcribed material was analyzed using a general inductive approach.ResultsThe analysis resulted in three overall and interconnected themes, namely, implementation, collaborations, and challenges. The implementation was overall considered a success by the interviewees as all components were implemented as planned with a few adaptions, e.g., a treatment guideline update. The collaborations are considered challenging but important to all interviewees. Collaborations seem to rely on personal commitment as opposed to well-defined structures, making it unstable and vulnerable to changes in staff. One of the main challenges highlighted by the interviewees is the number of problems other than addiction among people in treatment, which makes addiction treatment and recovery difficult to achieve. Nevertheless, the high levels of other problems being treated in Allorfik highlights the need for easily accessible therapy as many find that Allorfik is the only place to turn to in times of ... |
format |
Article in Journal/Newspaper |
author |
Julie Flyger Christina Viskum Lytken Larsen Else Jensen Birgit Niclasen Anette Søgaard Nielsen |
author_facet |
Julie Flyger Christina Viskum Lytken Larsen Else Jensen Birgit Niclasen Anette Søgaard Nielsen |
author_sort |
Julie Flyger |
title |
A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
title_short |
A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
title_full |
A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
title_fullStr |
A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
title_full_unstemmed |
A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
title_sort |
qualitative study of the implementation and organization of the national greenlandic addiction treatment service |
publisher |
Frontiers Media S.A. |
publishDate |
2024 |
url |
https://doi.org/10.3389/frhs.2024.1219787 https://doaj.org/article/086efe325eb8460a999321e0164812de |
genre |
Greenland greenlandic |
genre_facet |
Greenland greenlandic |
op_source |
Frontiers in Health Services, Vol 4 (2024) |
op_relation |
https://www.frontiersin.org/articles/10.3389/frhs.2024.1219787/full https://doaj.org/toc/2813-0146 2813-0146 doi:10.3389/frhs.2024.1219787 https://doaj.org/article/086efe325eb8460a999321e0164812de |
op_doi |
https://doi.org/10.3389/frhs.2024.1219787 |
container_title |
Frontiers in Health Services |
container_volume |
4 |
_version_ |
1810447164189442048 |