This presentation was held on a conference of

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This presentation was held on a conference of the project „STEP“. The project „STEP“

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. HELSINKI YOUTH CLINIC STEP – Helsinki 20. 5. 2012 Katarina Fagerström

A-Clinicfoundation founded in 1956 � Brought the case work tradition in Social Work to

A-Clinicfoundation founded in 1956 � Brought the case work tradition in Social Work to Finland KEY Principles: � Openness � Voluntarily � Confidentiality � No Costs for the Clients

Youth clinics in the 1970 ies � � � Own treatment places for young

Youth clinics in the 1970 ies � � � Own treatment places for young people Systemic approaches, (Jay Haley – MRI, Milton Erickson) Family therapy Psychodynamic youth therapy Therapeutic communities Group work

1980 ties: � � � Brief therapy Solution focused therapy Family therapy Psychodynamic youth

1980 ties: � � � Brief therapy Solution focused therapy Family therapy Psychodynamic youth therapy Group work

1990 ies � � � � Solution focused therapy Narrative therapy (Michael White) Dialogical

1990 ies � � � � Solution focused therapy Narrative therapy (Michael White) Dialogical approaches Reflective team Reflective consultation Group work Acupuncture treatment Art therapy

From the 21 st century. . . � � � � Walk in clinic

From the 21 st century. . . � � � � Walk in clinic ”Single session experiments” Akupuncture clinic Individual therapy Family therapy Groups Weekend groups Group projects for families with substance misuse

The context and challages today • � � A move from the Nordic welfare

The context and challages today • � � A move from the Nordic welfare model to the Risk society Neo-liberal economical policy Medicalisation Evidencebased practice Legislation of processes

Neo-liberal economy • ü ü New public management: Sevices as product packages Assessment forms

Neo-liberal economy • ü ü 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

Spciality for the Helsinki Youth Clinic � � � New treatment models developed after

Spciality for the Helsinki Youth Clinic � � � New treatment models developed after the clients’ needs Flexible and innovative team The clients first Minimal bureaucracy Appreciating working atmosphere