53 9.3.9 Implementation of a National Documentation System for the Addiction Sector in Norway Erik Iversen, The Bergen Clinics Foundation, Bergen, Norway The Bergen Clinics Foundation

Addiction treatment sector 54 The Bergen Clinics Foundation About 190 institutions: Publicly and privately owned Scientific, idealistic, religious bases “Treatment” spanning from mere “bed and breakfast” to specialist work by psychologists/psychiatrists Capacity from 4 to almost 200 clients

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Strategy for implementation 56 The Bergen Clinics Foundation A national work and reference group A structure of contact individuals in all institutions and at all levels Small and simple registration form Comprehensive and thorough manual Crash courses in purpose of the system use of the registration form and manual administrative routines a data program for electronic registration

Structure for implementation and operation Bergen Clinics Foundation 57 Min. of Health and Social Affairs The Directorate Nat. Inst. for Alc. And Drug Research Bergen Clinics Foundation Bergen Clinics Foundation Resource group Competence center Competence center Competence center Competence center Competence center Competence center Competence center Addict. adm. Oslo city Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion Ins- titu- tion

Development of the Client Information System 58 Degree of goal achievement - Data collection for 1999 - Distribution of electr. tool - Development of electronic tool - Follow-up to all institutions - Collecting and treating data - Making report - Training/ follow-up of all institutions Development and testing of report routines - Designing report format - Training courses - Revision of manual - Develoment of Manual - checking list of institutions - Development of training courses - All known institutions involved - Co-op with Institution Data Base - Establishment of task group - Implementation plan April-97 May-97 Fall-97 97/98 Fall-98 Fall-99 00/01 Spring/summer-97 Spring-99 Time

What we get A common tool for registrations 59 The Bergen Clinics Foundation A common tool for registrations Simple and basic standards for registrations Common set of concepts and terms, with common understanding of their semantic meaning

What we get Reports showing: - number of applications for treatment 60 The Bergen Clinics Foundation Reports showing: - number of applications for treatment - number of applicants actually treated - all registration variables, distributed by sex

Client information 1998 110 institutions included 61 Client information 1998 The Bergen Clinics Foundation 110 institutions included 62 institutions not included Types of institutions In-patient and out-patient Collectives and Therapeutic communities Care institutions A total of 18115 applications for treatment 13541 cases of treatment started 10956 cases of treatment termination All 7 regions Stiftelsen Bergensklinikkene, EI, 2000

62 N=18115 Stiftelsen Bergensklinikkene, EI, 2000

63 Stiftelsen Bergensklinikkene, EI, 2000

64 Stiftelsen Bergensklinikkene, EI, 2000

65 Stiftelsen Bergensklinikkene, EI, 2000