Thesis advisor: Thanh V. Tran / ABSTRACT This dissertation has the following specific aim: to measure outcomes of social work emergency certificates produced by a Mobile Crisis Team to determine the effectiveness of these certificates at linking clients to services. Linkage to services is a programmatic goal and is achieved by ensuring clients receive adequate crisis and follow up services as a result of Emergency Certificates. In doing so, risks of homicide, suicide and grave disability are mitigated. Under its administrative umbrella, Mobile Crisis Team operates a police-social work collaboration known as Crisis Intervention Team, and both are administered by the State of Connecticut Department of Mental Health and Addiction Services in southeastern Connecticut. The data comes from 233 consecutive cases that involved Emergency Certificate's to transport clients to the local emergency department for psychiatric evaluation and treatment. Data was gathered post-hoc by reviewing copies of each specific certificate and cross-referencing those certificates with an agency risk management report and an electronic data base that stores demographic data on all clients. Descriptive, bivariate and multivariable analysis, such as cross tabulations and binary logistic regression, were used to analyze the data in this study. Additionally, the chi-square automatic interaction detector (CHAID) was used to construct outcome trees to describe subgroups of interest. This research is a continuation of previously published research on the various permutations and outcomes of mobile crisis programs, and contributes two unique programmatic features: the use by social workers of a legally proscribed coercive tool to send people to the emergency department for assessment, and the effectiveness of police-social work collaborations compared to social work only referrals. Overall, linkage occurs in over 80% of cases, with significant predictors of linkage identified as substance abuse, Hispanic ethnicity, criminal justice involvement, suicide, affective disorders, and insurance status. Implications for program evaluation, future research and limitations of the study are also discussed / Thesis (PhD) — Boston College, 2009. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

With this bachelor thesis we want to research the correlation between motivation and coerced addiction treatment among clients. We want to know more about what the clients think about coerced addiction treatment, what possibilities there are to create motivation to change and what the clients experiences of the motivational work is. Coerced addiction treatment has been a part of Swedish history for a long time. Even though it has changed over the years there is still the question regarding how ethical it is and also whether coerced treatment is the most effective way to help people with an addiction problem. When a person is taken against their will to enter addiction treatment it is most likely done as a last resort trying to save a life. There are no written guidelines on how each treatment-institution should work regarding treatment and motivation, it is up to every single institution itself to decide. To get a better understanding of this we have done a literature study of two doctoral dissertations that has focused on clients opinion regarding coerced treatment and motivational work. Our findings showed us that motivation during coerced treatment is very complex because there are a number of factors that play important roles. Even though the opinion from the clients regarding their own coerced treatment and the motivational work at LVM-institutions varied, it gave us the understanding that there needs to be change. There needs to be more research on how to best help and support people with addiction problems during coerced treatment.