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Socialstyrelsen, i sin roll av tillsynsmyndighet för den läkemedelsassisterade opiatvården, utfärdar riktlinjer för detta arbete. Av dessa framkommer vissa skyddsfaktorer av särskild vikt, vilka har operationaliserats i en factorial survey med en randomiserad och en standardiserad vinjettkomponent. Dessa bedömdes av yrkesverksamma inom underhållsbehandling, totalt 38 personer. Materialet bearbetades genom multipel regressionsanalys. Resultatet visade att tre av variablerna - psykosocial intervention, boendesituationen samt familjen/nätverkets stöd, har ungefär lika stor påverkan på bedömningar. Variabeln för sysselsättning hade ytterst marginell påverkan. Vidare visade materialet att den arbetsplats som respondenten var yrkesverksam på var viktigare för att förstå påverkan av bedömningar än någon av ovan nämnda variabler. Detta diskuteras med hjälp av de teoretiska modellerna för återhämtningskapital, handlingsutrymme och judgement theory. / The swedish national board of health and welfare is the regulatory body for the medically assisted opiate care. As such, the board issues guidelines for this field. Theese guidelines contain several recommendations concerning salutogen factors, namely housing, the role of the family and network, work and psychosocial care. These are incorporated in vignettes using the factorial survey approach, and distributed to 38 swedish opiate care professionals. The results show that while the variables family/network, housing and psychosocial care have a relatively coherent influence on professional judement, work does not. However, the single most relevant factor is the clinicians workplace to understand influence om professional judgement. The results are discussed using a framework of recovery capital and judgement theory.

The focus of this thesis is the factorial survey approach as a method for studying professional judgements in social work. The factorial survey approach, which was first introduced in the social sciences around the beginning of the 1980s, constitutes an advanced method for measuring human judgements of social objects. At the general level, this quasi-experimental approach involves presenting respondents with fictive descriptions of social objects (vignettes), in which selected characteristics describing the objects to be judged are simultaneously manipulated. This thesis consists of four studies: In Study I, I explore the general use of the factorial survey approach in sociology between 1982 and 2006. Study II and Study III consist of factorial survey applications in the field of professional judgement in Swedish substance misuse treatment, as organized by the social services. To be more specific, the aims of these papers are to disentangle predictors of social work practitioners’ choices of inpatient or outpatient substance misuse treatment (Study II), and of social work practitioners’ judgements about eligibility for compulsory care (Study III). Finally, in Study IV, I present a conceptual and an analytical framework for the application of the factorial survey approach to the study of professional judgements in social work.