Implementation of National Documentation System for Addiction Sector in Norway

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

2. The Bergen Clinics Foundation Addiction treatment sector 54 • 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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4. The Bergen Clinics Foundation Strategy for implementation 56 • 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

5. Structure for implementation and operation 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

6. 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 00/01 97/98 Fall-98 Fall-99 Fall-97 May-97 April-97 Time Spring/summer-97 Spring-99

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

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

9. The Bergen Clinics Foundation 61 Client information 1998 • 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

10. 62 N=18115 Stiftelsen Bergensklinikkene, EI, 2000

11. 63 Stiftelsen Bergensklinikkene, EI, 2000

12. 64 Stiftelsen Bergensklinikkene, EI, 2000

13. 65 Stiftelsen Bergensklinikkene, EI, 2000