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. 2020 Aug;37(4):384-399.
doi: 10.1177/1455072520922025. Epub 2020 Jun 5.

Changes in clients' well-being (ORS) and state hope (SHS) during inpatient substance abuse treatment

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Changes in clients' well-being (ORS) and state hope (SHS) during inpatient substance abuse treatment

Eeva Ekqvist et al. Nordisk Alkohol Nark. 2020 Aug.

Abstract

Aims: During inpatient substance abuse treatment, professionals seek to help clients to achieve improvement in various life domains affected by substance abuse. Progress monitoring during substance abuse treatment has been called for, and in this study we examine how clients' levels of well-being and hope change during inpatient substance abuse treatment.

Methods: Clients (N = 168) entered the treatment facility between January 1, 2017 and August 31, 2018. The prospective data were gathered from one treatment unit located in central Finland on entry into treatment, during and at the end of treatment. Using the Outcome Rating Scale (ORS) as a therapeutic tool was standard procedure in the treatment unit. Demographic information on participants, information on their previous substance use and scores on the State Hope Scale (SHS) were collected through structured questionnaires. Non-parametrical tests (Mann-Whitney U test; Kruskal-Wallis χ2; Spearman's rho) were used to study changes in indicators of well-being and hope.

Results: As hypothesised, inpatient treatment had a positive effect on both ORS and SHS and they were interrelated. Differences in gender, living situation and previous admissions were found when studying how the background information of the participants was related to the change achieved in ORS and SHS.

Conclusions: Inpatient substance abuse treatment seemed to enhance both well-being and hope of the clients of inpatient substance abuse treatment.

Keywords: ORS; SHS; change; hope; substance abuse treatment; well-being.

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Conflict of interest statement

Declaration of conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Participant flow and exclusion criteria. ORS = Outcome Rating Scale; SHS = State Hope Scale.
Figure 2.
Figure 2.
Items of the Outcome Rating Scale (ORS) within five assessments.
Figure 3.
Figure 3.
Change in total Outcome Rating Scale (ORS) scores within five assessments.

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