What drives treatment?


The general aims of the health and welfare services are the social wellbeing of the population as well as the maintenance and promotion of health and security. The realization of these goals is to a growing degree managed by society, along with families and other local communities (…) The central objective of the social services is the promotion of social justice and equality. Substance misuse is to be regarded as a pervasive societal question. In addition to treatment and maintenance, attention has to be paid to preventing and correcting the kinds of societal circumstances that increase social and health problems as well as related substance use. (HE 246, 1984)

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  • HE 246 (1984). Hallituksen esitys eduskunnalle päihdehuoltolaiksi (Government proposal to the Parliament for the substance streatment law).

  • Leppo, A. & Perälä, A. (2014). Remains of care in the context of pharmaceuticalisation: The opioid maintenance treatment in the post-welfare state. Paper presented in research conference of NNHSH in 2014.

  • Perälä, R., Hellmann, M., & Leppo, A. (2013). Behind the scenes: The justification for opioid maintenance treatment in Finland. Substance Use & Misuse, 48(11).

  • Saario, S. & Stepney, P. (2009). Managerial audit and community mental health: A study of rationalizing practices in Finnish psychiatric outpatient clinics. European Journal of Social Work, 12(1), 41-56.

  • Stenius, K. (2011). Market forces do not solve the problems. Addiction, 106: 2070-2071. doi: 10.1111/j.1360-0443.2011.03633.x


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