The Swedish National Board of Institutional Care ( sv, Statens institutionsstyrelse, abbreviated SiS) is a Swedish government agency organized under the Ministry of Health and Social Affairs. The agency arrange compulsory care for young people with

psychosocial The psychosocial approach looks at individuals in the context of the combined influence that psychological factors and the surrounding social environment have on their physical and mental wellness and their ability to function. This approach is ...

problems and for adults suffering from substance abuse problems. SiS offers a number of different treatment plans and mandatory care, when voluntary intervention have failed, and the right to forcibly detain and isolate individuals has become necessary. Decisions regarding compulsory care is made by the

administrative court An administrative court is a type of court specializing in administrative law, particularly disputes concerning the exercise of public power. Their role is to ascertain that official acts are consistent with the law. Such courts are considered s ...

, on the application of social services. SiS runs residential homes for young people with psychosocial problems, suffering from substance abuse problems, or having committed crimes, under the terms of the Care of Young Persons Special Provisions Act (abbreviated LVU) and the Secure Youth Care Act (LSU). SiS also operates homes for adults with alcohol abuse problems, substance abuse problems, or a combination of these under the Care of Substance Abusers Special Provisions Act (LVM).

Residential homes for young people

About 1,300 children and young people each year are placed at one of SiS's residential homes for young people, under the terms of LVU. The average time spent in these homes are around five months, and just over half are discharged within three months. Everyone is given a treatment plan based on their individual needs and circumstances, and treatment is planned together with the patient, family and social services. The most common therapeutic approach is cognitive behavioural therapy. Methods of treatment include:

Aggression Replacement Training Aggression replacement training (ART) is a cognitive behavioural intervention for reduction of aggressive and violent behaviour, originally focused on adolescents. It is a multimodal program that has three components: social skills, anger control ...

Relapse Prevention Relapse prevention (RP) is a cognitive-behavioral approach to relapse with the goal of identifying and preventing high-risk situations such as unhealthy substance use, obsessive-compulsive behavior, sexual offending, obesity, and depression.Witki ...

Motivational Interviewing Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick. It is a directive, client-centered counseling style for eliciting behavior change by helping clients to e ...

and individual psychotherapy.

Secure youth care

Young people between the ages of 15 and 17, who commit serious criminal offences such as robbery, aggravated assault, rape, manslaughter or murder can be sentenced to a high-security youth care unit, managed by the SiS. As treatment progresses the person is moved to more open units, and aftercare is the responsibility of social services.

Homes for adults with substance misuse

Approximately one thousand adults with serious substance abuse problems are taken into care each year, and admitted to one of SiS homes for people with substance misuse problems, under the terms of LVM. Compulsory care is limited to a maximum of six months. During that time, the client is detoxified, receives care and medical treatment. The methods of treatment vary from patient to patient.

, the

Community Reinforcement Approach Community reinforcement approach and family training (CRAFT) is a behavior therapy approach in psychotherapy for treating addiction developed by Robert J. Meyers in the late 1970s. Meyers worked with Nathan Azrin in the early 1970s whilst he was de ...

and 12-Step programmes are the most common methods.

Notes

SFS 1990:52
an
SFS 1998:641

1988:870

References

External links