A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service
Background: Alcohol 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 treat...
Published in: | Frontiers in Health Services |
---|---|
Main Authors: | , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
2024
|
Subjects: | |
Online Access: | https://portal.findresearcher.sdu.dk/da/publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 https://doi.org/10.3389/frhs.2024.1219787 https://findresearcher.sdu.dk/ws/files/258114551/frhs-04-1219787.pdf |
id |
ftsydanskunivpub:oai:sdu.dk:publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 |
---|---|
record_format |
openpolar |
spelling |
ftsydanskunivpub:oai:sdu.dk:publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 2024-05-19T07:41:18+00:00 A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service Flyger, Julie Larsen, Christina Viskum Lytken Jensen, Else Niclasen, Birgit Nielsen, Anette Søgaard 2024 application/pdf https://portal.findresearcher.sdu.dk/da/publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 https://doi.org/10.3389/frhs.2024.1219787 https://findresearcher.sdu.dk/ws/files/258114551/frhs-04-1219787.pdf eng eng https://portal.findresearcher.sdu.dk/da/publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 info:eu-repo/semantics/openAccess Flyger , J , Larsen , C V L , Jensen , E , Niclasen , B & Nielsen , A S 2024 , ' A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service ' , Frontiers in Health Services , vol. 4 , 1219787 . https://doi.org/10.3389/frhs.2024.1219787 addiction alcohol cannabis implementation treatment article 2024 ftsydanskunivpub https://doi.org/10.3389/frhs.2024.1219787 2024-05-01T00:41:33Z Background: Alcohol 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. Methods: Data 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. Results: The 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 ... Article in Journal/Newspaper Greenland greenlandic University of Southern Denmark Research Portal Frontiers in Health Services 4 |
institution |
Open Polar |
collection |
University of Southern Denmark Research Portal |
op_collection_id |
ftsydanskunivpub |
language |
English |
topic |
addiction alcohol cannabis implementation treatment |
spellingShingle |
addiction alcohol cannabis implementation treatment Flyger, Julie Larsen, Christina Viskum Lytken Jensen, Else Niclasen, Birgit Nielsen, Anette Søgaard A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service |
topic_facet |
addiction alcohol cannabis implementation treatment |
description |
Background: Alcohol 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. Methods: Data 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. Results: The 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 ... |
format |
Article in Journal/Newspaper |
author |
Flyger, Julie Larsen, Christina Viskum Lytken Jensen, Else Niclasen, Birgit Nielsen, Anette Søgaard |
author_facet |
Flyger, Julie Larsen, Christina Viskum Lytken Jensen, Else Niclasen, Birgit Nielsen, Anette Søgaard |
author_sort |
Flyger, Julie |
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 |
publishDate |
2024 |
url |
https://portal.findresearcher.sdu.dk/da/publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 https://doi.org/10.3389/frhs.2024.1219787 https://findresearcher.sdu.dk/ws/files/258114551/frhs-04-1219787.pdf |
genre |
Greenland greenlandic |
genre_facet |
Greenland greenlandic |
op_source |
Flyger , J , Larsen , C V L , Jensen , E , Niclasen , B & Nielsen , A S 2024 , ' A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service ' , Frontiers in Health Services , vol. 4 , 1219787 . https://doi.org/10.3389/frhs.2024.1219787 |
op_relation |
https://portal.findresearcher.sdu.dk/da/publications/37261538-3045-4cbc-87cc-4e5e60bb5c41 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3389/frhs.2024.1219787 |
container_title |
Frontiers in Health Services |
container_volume |
4 |
_version_ |
1799480905278947328 |