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This presentation was held on a conference of the project „STEP“. The project „STEP“ has been funded with support from the European Commission.
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This presentation was held on a conference of the project „STEP“. The project „STEP“ has been funded with support from the European Commission. This publication [communication] reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein. Helsinki YouthClinic STEP – Helsinki 20.5.2012 Katarina Fagerström
A-Clinicfoundationfounded in 1956 • Brought the case work tradition in Social Work to Finland KEY Principles: • Openness • Voluntarily • Confidentiality • No Costs for the Clients
Youth clinics in the 1970ies • Own treatment places for young people • Systemic approaches, (Jay Haley – MRI, Milton Erickson) • Family therapy • Psychodynamic youth therapy • Therapeutic communities • Group work
1980ties: • Brief therapy • Solution focused therapy • Family therapy • Psychodynamic youth therapy • Group work
1990ies • Solution focused therapy • Narrative therapy (Michael White) • Dialogical approaches • Reflective team • Reflective consultation • Group work • Acupuncture treatment • Art therapy
From the 21st century... • Walk in clinic ”Single session experiments” • Akupuncture clinic • Individual therapy • Family therapy • Groups • Weekend groups • Group projects for families with substance misuse
The context and challages today • A move from the Nordic welfare model to the Risk society • Neo-liberal economical policy • Medicalisation • Evidencebased practice • Legislation of processes
Neo-liberal economy • New public management: • Sevices as productpackages • Assessment forms for druguse • Medikalisation: • EBM / EBP • Opioid substitution treatment • Drug tests • The combination of care and control: • Penalty for drinking and driving • Other combinations of treatment as penalty
Spciality for the HelsinkiYouthClinic • New treatment models developed after the clients’ needs • Flexible and innovative team • The clients first • Minimal bureaucracy • Appreciatingworkingatmosphere