Download PDF version - Social

Download PDF version - Social

Chapter 11 explains how a working

group under the Council will review the

area of socially marginalised people and

health. The background for this review

is that socially marginalised people’s

health is markedly poorer than the rest

of the population and their life expectancy

is significantly lower. Despite the

group’s obvious need for health services,

many aspects indicate that the actual

access to the services is poorer than for

the rest of the population. The review

will focus on reception at emergency

rooms, on how misusers are treated at

conventional somatic hospital wards and

on how people living in inferior conditions

are discharged.

Chapter 12 contains a short description

of the handy-card scheme (a card providing

an overview of existing offers,

their opening hours, etc.). Last year,

the Council introduced this scheme in

Copenhagen, and has now expanded it

to three other major urban areas in Denmark.

Chapter 13 on local and regional government

budgets also mentions the

Council’s annual budget review, published

in January. Local and regional

governments’ budgets are apparently

stagnating. This trend contrasts with the

development in the period 2003-2004,

where budgets increased significantly.

Considering the allegedly high political

priority of the area, the Council is surprised

by this trend and underlines that

it will monitor this area with increased


In chapter 14, member of the Council,

head of secretariat of National Association

of Activity Centers, Cliff Kaltoft

reviews 2 reports published in Danish

on substance misuse treatment “Enhanced

psycho-social efforts in methadone

treatment” and “Heroine addicts

in methadone treatment”.

In his review, Mr Kaltoft underlines that

the innovative aspect of the reports is

that the effect measurement of the

efforts has been enhanced from merely

including the scope of crime and substance

misuse to also including physical,

mental and social problems as well as

employment, financial conditions and

alcohol misuse. The key point is that the

two reports are well-documented and

very useful. The inclusion of all dimensions

improves the possibilities for designing

treatments. But the review states

that the proposal of including shelters in

the treatment plan may be problematic,

as one of the keys to the shelters’ success

is precisely their independence of authority

and control measures and that the

users see them as a refuge. A weak point

of the report is that they draw back

from concluding that user involvement

has been weak, preferring to redefine

the concept of user involvement to also

encompassing user orientation as a type

of user involvement. The review discusses

the use of the concept of treatment and

questions whether this concept can be

used meaningfully where the problem is

social marginalisation rather than misuse.


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