STEP – Helsinki Katarina Fagerström 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.

Brought the case work tradition in Social Work to Finland KEY Principles: Openness Voluntarily Confidentiality No Costs for the Clients

Own treatment places for young people Systemic approaches, (Jay Haley – MRI, Milton Erickson) Family therapy Psychodynamic youth therapy Therapeutic communities Group work

Brief therapy Solution focused therapy Family therapy Psychodynamic youth therapy Group work

Solution focused therapy Narrative therapy (Michael White) Dialogical approaches Reflective team Reflective consultation Group work Acupuncture treatment Art therapy

Walk in clinic Single session experiments Akupuncture clinic Individual therapy Family therapy Groups Weekend groups Group projects for families with substance misuse

A move from the Nordic welfare model to the Risk society Neo-liberal economical policy Medicalisation Evidencebased practice Legislation of processes

New public management : Sevices as product packages Assessment forms for drug use 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

New treatment models developed after the clients needs Flexible and innovative team The clients first Minimal bureaucracy Appreciating working atmosphere