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This presentation discusses the historical development of youth clinics in Finland, focusing on key principles, approaches adopted in different decades, challenges faced in the current context, and the innovative treatment models implemented at the Helsinki Youth Clinic.
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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 YouthClinic STEP – Helsinki 20.5.2012 Katarina Fagerström
A-Clinicfoundationfounded 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 1970ies • Own treatment places for young people • Systemic approaches, (Jay Haley – MRI, Milton Erickson) • Family therapy • Psychodynamic youth therapy • Therapeutic communities • Group work
1980ties: • Brief therapy • Solution focused therapy • Family therapy • Psychodynamic youth therapy • Group work
1990ies • Solution focused therapy • Narrative therapy (Michael White) • Dialogical approaches • Reflective team • Reflective consultation • Group work • Acupuncture treatment • Art therapy
From the 21st 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 model to the Risk society • Neo-liberal economical policy • Medicalisation • Evidencebased practice • Legislation of processes
Neo-liberal economy • New public management: • Sevices as productpackages • Assessment forms for druguse • 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 HelsinkiYouthClinic • New treatment models developed after the clients’ needs • Flexible and innovative team • The clients first • Minimal bureaucracy • Appreciatingworkingatmosphere