Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles

This study explores patients’ opportunities for collective participation in an institution for people with substance use disorder. Patients and staff from the treatment institution cooperated with researchers to make changes in the treatment practice, using a research circle as a model for the proje...

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Autores principales:	Brit-Marie Follevåg, Sissel Seim
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	collective participation empowerment recognition and communication substance use research circle milieu therapy Medicine R
Acceso en línea:	https://doaj.org/article/b30c24ebd795479d9e0b08b9a5d06e4f
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spelling	oai:doaj.org-article:b30c24ebd795479d9e0b08b9a5d06e4f2021-11-11T16:12:36ZBridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles10.3390/ijerph1821110601660-46011661-7827https://doaj.org/article/b30c24ebd795479d9e0b08b9a5d06e4f2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11060https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This study explores patients’ opportunities for collective participation in an institution for people with substance use disorder. Patients and staff from the treatment institution cooperated with researchers to make changes in the treatment practice, using a research circle as a model for the project. In the article, we discuss the following research questions: How and in what areas did patients have the opportunity to participate collectively in the treatment institution? How did the patients experience participation in the research circle? Data consist of minutes from meetings, seminars, and focus-group interviews. The participants analysed the material together, and the authors carried out a thematic analysis after the project. The participants chose to explore how milieu therapy could build a bridge from treatment in the institution to life after treatment, a “Bridge over troubled waters”, to quote Simon and Garfunkel. Findings show that activities in the research circle led to changes at the institution, e.g., regular Sunday afternoon meetings, a weekly quiz, and less controlling procedures of substance use, and that the institutional culture in general became based more on participation and equality. Patients, staff, and researchers participated in a partnership; mutual recognition promoted cooperation and fellowship in the research circle. We conclude that the project provided the participants with opportunities for collective participation in the institution. In addition, the patients experienced partnership and empowerment in the research circle. Our attempts to change institutional practices yielded some improvements but also met with structural and cultural barriers. Thus, the project experienced challenges and obstacles mostly related to limitations in the institutional system and culture.Brit-Marie FollevågSissel SeimMDPI AGarticlecollective participationempowermentrecognition and communicationsubstance useresearch circlemilieu therapyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11060, p 11060 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	collective participation empowerment recognition and communication substance use research circle milieu therapy Medicine R
spellingShingle	collective participation empowerment recognition and communication substance use research circle milieu therapy Medicine R Brit-Marie Follevåg Sissel Seim Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles
description	This study explores patients’ opportunities for collective participation in an institution for people with substance use disorder. Patients and staff from the treatment institution cooperated with researchers to make changes in the treatment practice, using a research circle as a model for the project. In the article, we discuss the following research questions: How and in what areas did patients have the opportunity to participate collectively in the treatment institution? How did the patients experience participation in the research circle? Data consist of minutes from meetings, seminars, and focus-group interviews. The participants analysed the material together, and the authors carried out a thematic analysis after the project. The participants chose to explore how milieu therapy could build a bridge from treatment in the institution to life after treatment, a “Bridge over troubled waters”, to quote Simon and Garfunkel. Findings show that activities in the research circle led to changes at the institution, e.g., regular Sunday afternoon meetings, a weekly quiz, and less controlling procedures of substance use, and that the institutional culture in general became based more on participation and equality. Patients, staff, and researchers participated in a partnership; mutual recognition promoted cooperation and fellowship in the research circle. We conclude that the project provided the participants with opportunities for collective participation in the institution. In addition, the patients experienced partnership and empowerment in the research circle. Our attempts to change institutional practices yielded some improvements but also met with structural and cultural barriers. Thus, the project experienced challenges and obstacles mostly related to limitations in the institutional system and culture.
format	article
author	Brit-Marie Follevåg Sissel Seim
author_facet	Brit-Marie Follevåg Sissel Seim
author_sort	Brit-Marie Follevåg
title	Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles
title_short	Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles
title_full	Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles
title_fullStr	Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles
title_full_unstemmed	Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles
title_sort	bridge over troubled water: patients’ opportunities for collective participation in substance use institutions through research circles
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b30c24ebd795479d9e0b08b9a5d06e4f
work_keys_str_mv	AT britmariefollevag bridgeovertroubledwaterpatientsopportunitiesforcollectiveparticipationinsubstanceuseinstitutionsthroughresearchcircles AT sisselseim bridgeovertroubledwaterpatientsopportunitiesforcollectiveparticipationinsubstanceuseinstitutionsthroughresearchcircles
_version_	1718432377609388032

Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles

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