SBU:s upplysningstjänst
Publikation nr: ut202307
Publicerad: 22 mars 2023
Nedladdad: 27 april 2025
Acceptance and Commitment Therapy (ACT) vid tvångsvård av personer med skadligt substansbruk

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Acceptance and Commitment Therapy (ACT) vid tvångsvård av personer med skadligt substansbruk

Publicerad: 22 mars 2023

Fråga och sammanfattning

Acceptance and Commitment Therapy är en form av kognitiv beteendeterapi (KBT) som används bland annat för att utveckla individens förmåga att hantera stress och ångest, och kan ingå i behandling för vuxna som tvångsvårdas för skadligt bruk av alkohol eller droger.

Fråga

Vilken sammanställd forskning och vetenskapliga studier finns om Acceptance and Commitment Therapy (ACT) för personer som tvångsvårdas för skadligt substansbruk?

Frågeställare: Statens institutionsstyrelse (SiS)

Sammanfattning

SBU:s upplysningstjänst har efter litteratursökning varken identifierat någon relevant systematisk översikt eller primärstudie som svarar på frågan.

Att underlag saknas ska inte tolkas som att insatsen saknar effekt. Det betyder däremot att det behövs forskning för att förbättra kunskapsläget.

Bakgrund

Vuxna personer med allvarligt beroende av alkohol, narkotika eller läkemedel kan tvångsvårdas i enlighet med LVM (Lag (1988:870) om vård av missbrukare i vissa fall). År 2021 fanns 359 platser fördelade på 11 LVM-hem, och 836 individer togs in en eller flera perioder [1]. Tvångsvård beslutas om individen behöver vård för att komma ifrån sitt missbruk, vårdbehovet inte kan tillgodoses med frivilliga insatser och personen till följd av missbruket riskerar att utsätta sig själv eller närstående för fara, allvarlig skada eller löper uppenbar risk att förstöra sitt liv [2].

Acceptance and Commitment Therapy (ACT) räknas till tredje vågens kognitiv beteendeterapi (KBT), och skiljer sig från klassisk KBT i det att fokus förflyttats från förändring av oönskade tankar och känslor till acceptans och förändring av hur individen svarar på dessa tankar och känslor genom att öka psykologisk flexibilitet och medveten närvaro [3]. Inom svensk institutionsvård syftar behandling till att lära individen att hantera stress och ångest, och skapa förutsättningar för livsförändringar.

Frågeställning och avgränsningar

Upplysningstjänsten har tillsammans med frågeställaren formulerat frågan enligt följande PICO1:

Upplysningstjänsten har gjort sökningar (Bilaga 1) i databaserna MedLine, Scopus, PsycInfo, Criminal Justice Abstracts och SOCINDEX, samt i INAHTA2:s. databas för HTA3-rapporter. Vi har även handsökt publikationer på webbsidor för regionala HTA-organisationer och myndigheter.

Upplysningstjänsten inkluderar artiklar publicerade i vetenskapliga tidskrifter samt systematiska översikter och rapporter från myndigheter och HTA-organisationer, som är publicerade på engelska eller ett av de skandinaviska språken.

1. PICO är en förkortning för patient/population/problem, intervention (insats, behandling)/, comparison/control (jämförelseintervention (insats, behandling)) och outcome (utfallsmått).

2. International Network of Agencies for Health Technology Assessment (INAHTA)

3. Utvärdering av hälso- och sjukvårdens (och i SBU:s fall socialtjänstens) metoder (engelska: Health Technology Assessment)

Resultat från sökningen

Upplysningstjänstens litteratursökning genererade totalt 1 487 artiklar efter dubblettkontroll. Ett flödesschema för urvalsprocessen visas i Bilaga 2. Två utredare på SBU läste alla artikelsammanfattningar och bedömde att 55 översikter och 5 artiklar från primärstudier kunde vara relevanta för frågan. Dessa artiklar lästes i fulltext av en utredare och de artiklar som inte var relevanta för frågan exkluderades. Vid osäkerhet bedömdes relevans av ytterligare en utredare och beslut togs i samråd. Exkluderade artiklar finns listade i Bilaga 3.

Upplysningstjänsten fann ingen systematisk översikt eller primärstudie som var relevant för denna fråga och därför redovisas inga resultat eller slutsatser i detta svar. De vanligaste exklusionsorsakerna var antingen att fel intervention undersökts eller att populationen inte var tvångsvårdad på grund av skadligt bruk.

Att underlag saknas ska inte tolkas som att insatsen saknar effekt, utan att forskning om programmet saknas.

Vetenskapliga kunskapsluckor

Enligt SBU:s modell innebär en vetenskaplig kunskapslucka att det saknas evidens för vilken sammanvägd effekt en metod eller insats har, det vill säga kunskap från en systematisk översikt (Faktaruta 1).

SBU:s upplysningstjänst har efter litteratursökning varken identifierat någon systematisk översikt eller primärstudie som är relevant för frågan. För att besvara Upplysningstjänstens fråga behövs välgjorda primärstudier som sedan vägs samman i en systematisk översikt.

Projektgrupp

Detta svar är sammanställt av Emma Palmqvist Wojda (utredare), Idha Kurtsdotter (utredare), Sara Fundell (projektadministratör), Irene Edebert (produktsamordnare), Knut Sundell (intern sakkunnig) samt Pernilla Östlund (avdelningschef) vid SBU.

Referenser

  1. Statens institutionsstyrelse (SiS). SiS årliga statistik. Solna: Statens institutionsstyrelse (SiS); 2022. [accessed 17 Nov 2022. Available from: https://www.stat-inst.se/publikationer/sis-arliga-statistik/.
  2. SFS 1988:870. Lag om vård av missbrukare i vissa fall. Svensk författningssamling. Stockholm: Riksdagen. [accessed 17 Nov 2022]. Available from: https://rkrattsbaser.gov.se/sfst?bet=1988:870.
  3. Hayes SC, Pistorello J, Levin ME. Acceptance and commitment therapy as a unified model of behavior change. Couns Psychol. 2012;40(7):976-1002.

Bilaga 1 Dokumentation av sökstrategier

Sökning A

Medline via OvidSP 3 Feb 2023

Title: ACT in involuntary residential substance abuse care
/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords;.kw = Keywords, exact; .bt = Book title. NLM Bookshelf.; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Intervention:
1. "Acceptance and Commitment Therapy"/ or (acceptance adj3 commitment).ab,bt,kf,ti. 1 800
Setting:
2. Custodial Care/ 190
3. Involuntary Treatment/ 121
4. Residential Treatment/ 3 307
5. Involuntary Commitment/ 72
6. Coercion/ 5 021
7. exp Correctional Facilities/ 11 337
8. (involuntary or non voluntary or detention or detain* or correctional or forensic or prison* or incarce* or custod* or coerc* or restraint or institutionali*).ab,kf,ti,bt. 156 526
9. ((forced or forcibl* or compulsory or mandatory or mandated or institutional or residential or locked) adj4 (care or treat* or setting* or hospitali* or psychiatr* or unit* or ward* or admission or admit* or commit*)).ab,kf,ti,bt. 33 848
10. or/2-9 195 462
Study types: systematic reviews and meta-analysis
11. ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/))  
Combined sets:
12. 1 and 11 [Intervention (ACT) and Study type (Systematic review)] 182
13. 1 and 10 [Intervention (ACT) and Setting (Involuntary Residential Care)] 37
Final result
14. 12 OR 13 519

Scopus via scopus.com 7 Feb 2023

Title: ACT in involuntary residential substance abuse care
TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other.; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words.; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range.; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial;“ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms  
 1.  TITLE-ABS-KEY ( acceptance W/2 commitment) 3 849
Setting:
2. TITLE-ABS-KEY ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) W/3 ( care OR treat* OR setting* OR hospitali* OR psychiatry* OR unit* OR ward* OR admission OR admit* OR commit* ) ) 75 214
3. TITLE-ABS-KEY ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR prison* OR incarce* OR custod* OR coerc* OR institutionali* OR restraint) 544 189
4. 2 OR 3 612 313
Study types: systematic reviews and meta-analysis
5. TITLE-ABS-KEY ( ( systematic; W/2 review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”))  
Combined sets:
6. 1 AND 5 [Intervention(ACT) and Study type (Systematic review)] 437
7. 1 AND 4 [Intervention (ACT) and Setting (Involuntary Residential Care)] 99
Final result
8. 6 OR 7 536

PSYCINFO via EBSCO 7 Feb 2023

Title: ACT in involuntary residential substance abuse care
TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Intervention:
1. DE "Acceptance and Commitment Therapy" OR TI (acceptance N2 commitment) OR SU (acceptance N2 commitment) OR AB (acceptance N2 commitment) 3 431
Setting:
2. (DE "Involuntary Treatment") OR (DE "Residential Care Institutions") OR (DE "Correctional Institutions") 16  127
3. TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) 160 577
4. 2 OR 3 160 577
Study types: systematic reviews and meta-analysis / randomized controlled trials
5. TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis")  
Combined sets:
6. 1 AND 5 [Intervention(ACT) and Study type (Systematic review)] 205
7. 1 AND 4 [Intervention (ACT) and Setting (Involuntary Residential Care)] 79
Final result
8. 6 OR 7 284

SOCIndex via EBSCO 7 Feb 2023

Title: ACT in involuntary residential substance abuse care
TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Intervention:
1. TI (acceptance N2 commitment) OR SU (acceptance N2 commitment) OR AB (acceptance N2 commitment) 223
Setting:
2. TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) 130 434
Study types: systematic reviews and meta-analysis
3. TI ((systematic N3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic N3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic N3 review) OR "meta analys*" OR metaanalys*)  
Combined sets:
4. 1 AND 3 [Intervention(ACT) and Study type (Systematic review)] 12
5. 1 AND 2 [Intervention (ACT) and Setting (Involuntary Residential Care)] 8
Final result
6. 4 OR 5 20

Criminal Justice Abstracts via EBSCO 7 Feb 2023

Title: ACT in involuntary residential substance abuse care
TI = Title; AB = Abstract; SU = Subjects.; Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Intervention:
1. TI (acceptance N2 commitment) OR SU (acceptance N2 commitment) OR AB (acceptance N2 commitment) 96
Setting:
2. TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr*; ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) 98 574
Study types: systematic reviews and meta-analysis
3. TI((systematic N3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic N3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic N3 review) OR "meta analys*" OR metaanalys*)
Combined sets:
4. 1 AND 3 [Intervention(ACT) and Study type (Systematic review)] 7
5. 1 AND 2 [Intervention (ACT) and Setting (Involuntary Residential Care)] 7
Final
6. 4 OR 5 14

Sökning B

Medline via OvidSP 26 January 2023

Title: Involuntary substance abuse treatment
/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp= Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact; .bt = Book title. NLM Bookshelf.; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found  
Population: Substance abuse
1. exp Substance-Related Disorders/ 306 741
2. Alcoholics/ 871
3. Drug Users/ 3 935
4. exp Illicit Drugs/ 13 916
5. exp Synthetic Drugs/ 1 974
6. Hallucinogens/ 7 290
7. ((alcohol or amphetamin* or cannabis or cocaine or crack or hallucinogen* or heroin or inhalant* or marijuana or narcotic* or phencyclidine* or psychedelic* or substance* or illicit drug*) adj4 (abuse or addict* or dependen* or disorder* or misuse or “use”)).ab,bt,kf,ti. 200 647
8. ((drug or opiate* or opioid*) adj4 (abuse or addict* or dependen* or disorder* or misuse)).ab,bt,kf,ti. 76 911
9. or/1-8 Population Missbruk 443 766
Setting: Involuntary treatment
10. Custodial Care/
11. Involuntary Treatment/ 121
12. Residential Treatment/ 3 308
13. Involuntary Commitment/ 72
14. Coercion/ 5 020
15. exp Correctional Facilities/ 11 327
16. (involuntary or non voluntary or detention or detain* or correctional or forensic or prison* or incarce* or custod* or coerc* or restraint or institutionali*).ab,kf,ti,bt. 156 202
17. (((forced or forcibl* or compulsory or mandatory or mandated or institutional or residential or locked) adj4 (care or treat* or setting* or hospitali* or psychiatr* or unit* or ward* or admission or admit* or commit*)).ab,kf,ti,bt. 33 723
18. or/10-17 Setting 195 018
Study types: systematic reviews and meta-analysis
19. ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/))
Combined sets:
20. 9 and 18 and 19 354
Final result
21. 20 354

Scopus via scopus.com 26 January 2023

Title: Involuntary substance abuse treatment
Search terms Items found
TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other. PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words.; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range.; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Population: Substance abuse
1. TITLE-ABS-KEY ( alcoholi* OR ( ( alcohol OR amphetamin* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*”) W/3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) OR ( ( drug* OR opiate* OR opioid* ) W/3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) 594 026
Setting: Involuntary treatment
2. TITLE-ABS-KEY ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) W/3 ( care OR treat* OR setting* OR hospitali* OR psychiatry* OR unit* OR ward* OR admission OR admit* OR commit* ) ) 75 059
3. TITLE-ABS-KEY ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR prison* OR incarce* OR custod* OR coerc* OR institutionali* OR restraint) 543 161
4. 2 OR 3 611 142
Study types: systematic reviews and meta-analysis
5. TITLE-ABS-KEY ( ( systematic W/2 review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”))
Combined sets:
6. 1 AND 4 AND 5 [Population (Substance Abuse) and Setting (Involuntary Residential Care) and Study Type (Systematic Reviews)] 556
Final result
7. 6 556

PSYCINFO via EBSCO 26 January 2023

Title: Involuntary substance abuse treatment
Search terms Items found
TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; N= Near. Proximity operator retrieving terms within; nwords from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Population: Substance abuse
1. (DE "Substance Use Disorder" OR DE "Addiction" OR DE "Alcohol Use Disorder" OR DE "Cannabis Use Disorder" OR DE "Drug Abuse" OR DE "Drug Dependency" OR DE "Inhalant Abuse" OR DE "Opioid Use Disorder" OR DE "Addiction Treatment" OR DE "Alcohol Treatment" OR DE "Drug Addiction") 98 988
2. TI alcoholi* OR SU alcoholi* OR AB alcoholi* 63 905
3. TI ( ( ( alcohol OR amphetamin* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*”) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) ) OR SU ( ( ( alcohol OR amphetamine* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*” ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) ) OR AB ( ( ( alcohol OR amphetamine* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*” ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) ) 199 171
4. TI ( ( ( drug* OR opiate* OR opioid* ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) ) OR SU ( ( ( drug* OR opiate* OR opioid* ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) ) OR AB ( ( ( drug* OR opiate* OR opioid* ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) ) 100 251
5. 1 OR 2 OR 3 OR 4 258 825
Setting: Involuntary treatment
6. (DE "Involuntary Treatment") OR (DE "Residential Care Institutions") OR (DE "Correctional Institutions") 16 105
7. TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) 160 360
8. 6 OR 7 160 360
Study types: systematic reviews and meta-analysis
9. TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis"
Combined sets:
10. 5 AND 8 AND 9 [Population (LVM) and Setting (Involuntary Residential Care) and Study Type (Systematic Reviews)] 265
Final result
11. 10 265

Criminal Justice Abstracts via EBSCO 26 January 2023

Title: Involuntary substance abuse treatment
TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; N= Near. Proximity operator retrieving terms within; nwords from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms Items found
Population: Substance abuse
1. TI alcoholi* OR SU alcoholi* OR AB alcoholi* 12 523
2. TI ( ( ( alcohol OR amphetamin* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*”) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) ) OR SU ( ( ( alcohol OR amphetamin* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*” ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) ) OR AB ( ( ( alcohol OR amphetamin* OR cannabis OR cocaine OR crack OR hallucinogen* OR heroin OR inhalant* OR marijuana OR narcotic* OR phencyclidine* OR psychedelic* OR substance* OR “illicit drug*” ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse OR use ) ) ) 42 202
3. TI ( ( ( drug* OR opiate* OR opioid* ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) ) OR SU ( ( ( drug* OR opiate* OR opioid* ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) ) OR AB ( ( ( drug* OR opiate* OR opioid* ) N3 ( abuse OR addict* OR dependen* OR disorder* OR misuse ) ) ) ) 22 258
4. 1 OR 2 OR 3 56 645
Setting: Involuntary treatment
5. TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institutional OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) 98 462
Study types: systematic reviews and meta-analysis
6. TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis")  
Combined sets:
7. 4 AND 5 AND 6 [Population (LVM) and Setting (Involuntary Residential Care) and Study Type (Systematic Reviews)] 122
Final result
8. 7 122

Bilaga 2 Flödesschema över urval av artiklar

Av 1487 granskade abstrakt, exkluderades 60 efter gransknin i fulltext. Inga artiklar inkluderades

Bilaga 3 Exkluderade artiklar

Artiklar som exkluderats efter fulltextläsning på grund av bristande relevans

Sökning A / Search strategy A
Excluded articles Reason for exclusion
Systematic reviews  
A-Tjak JGL, Davis ML, Morina N, Powers MB, Smits JAJ, Emmelkamp PMG. A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychother Psychosom. 2015;84(1). Available from: https://doi.org/10.1159/000365764 . Relevant population not reported separately

Wrong setting
Byrne SP, Haber P, Baillie A, Costa DSJ, Fogliati V, Morley K. Systematic Reviews of Mindfulness and Acceptance and Commitment Therapy for Alcohol Use Disorder: Should we be using Third Wave Therapies? Alcohol Alcohol. 2019;54(2). Available from: https://dx.doi.org/10.1093/alcalc/agy089. Wrong setting
Chiesa A, Serretti A. Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Subst Use Misuse. 2014;49(5). Available from: https://dx.doi.org/10.3109/10826084.2013.770027 . Wrong setting
Díez-Bejarano L, Chaves C. Is Acceptance and Commitment Therapy Effective in Treating Addiction? A Systematic Review. Psychiatric Annals. 2022;52(6). Available from: https://doi.org/10.3928/00485713-20220504-01. Wrong setting
Dugosh K, Abraham A, Seymour B, McLoyd K, Chalk M, Festinger D. A Systematic Review on the Use of Psychosocial Interventions in Conjunction with Medications for the Treatment of Opioid Addiction. J Addict Med. 2016;10(2). Available from: https://doi.org/10.1097/ADM.0000000000000193. Wrong intervention

Wrong setting
Ii T, Sato H, Watanabe N, Kondo M, Masuda A, Hayes SC, et al. Psychological flexibility-based interventions versus first-line psychosocial interventions for substance use disorders: Systematic review and meta-analyses of randomized controlled trials. J Contextual Behav Sci. 2019;13. Available from: https://doi.org/10.1016/j.jcbs.2019.07.003. Wrong setting
Katz D, Toner B. A Systematic Review of Gender Differences in the Effectiveness of Mindfulness-Based Treatments for Substance Use Disorders. Mindfulness. 2013;4(4). Available from: https://doi.org/10.1007/s12671-012-0132-3. Wrong setting
Lee EB, An W, Levin ME, Twohig MP. An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders. Drug Alcohol Depend. 2015;155. Available from: https://dx.doi.org/10.1016/j.drugalcdep.2015.08.004. Wrong setting
Maia MFC, dos Santos BF, de Castro LC, Vieira NST, Da Silveira PS. Acceptance and commitment therapy and drug use: A systematic review. Paideia. 2021;31. Available from: https://doi.org/10.1590/1982-4327e3136. Wrong setting
Perry AE, Martyn-St James M, Burns L, Hewitt C, Glanville JM, Aboaja A, et al. Interventions for female drug-using offenders. Cochrane Database Syst Rev. 2019;2019(12). Available from: https://doi.org/10.1002/14651858.CD010910.pub3. ACT included, but not reported separately

Wrong setting Prison
Rice D, Corace K, Wolfe D, Esmaeilisaraji L, Michaud A, Grima A, et al. Evaluating comparative effectiveness of psychosocial interventions adjunctive to opioid agonist therapy for opioid use disorder: A systematic review with network meta-analyses. PLoS ONE. 2020;15(12). Available from: https://doi.org/10.1371/journal.pone.0244401 . Wrong setting
Stotts AL, Northrup TF. The Promise of Third-Wave Behavioral Therapies in the Treatment of Substance Use Disorders. Curr Opin Psychol. 2015;2. Wrong publication type

Wrong setting
Thekkumkara SN, Jagannathan A, Muliyala KP, Murthy P. Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review. Indian J Psychol Med. 2022;44(3). Available from: https://dx.doi.org/10.1177/02537176211061655. ACT included, but not reported separately

Wrong settingPrison
Primary studies  
González-Menéndez A, Fernández P, Rodríguez F, Villagrá P. Long-term outcomes of acceptance and commitment therapy in drug-dependent female inmates: A randomized controlled trial. Int J Clin Health Psychol. 2014;14(1). Available from: https://doi.org/10.1016/S1697-2600(14)70033-X. Wrong settingPrison
Lanza PV, Garcia PF, Lamelas FR, Gonzalez-Menendez A. Acceptance and commitment therapy versus cognitive behavioral therapy in the treatment of substance use disorder with incarcerated women. J Clin Psychol. 2014;70(7). Available from: https://dx.doi.org/10.1002/jclp.22060. Wrong settingPrison
Lanza PV, Menéndez AG. Acceptance and Commitment Therapy for drug abuse in incarcerated women. Psicothema. 2013;25(3). Wrong setting Prison
Shorey RC, Elmquist J, Gawrysiak MJ, Strauss C, Haynes E, Anderson S, et al. A Randomized Controlled Trial of a Mindfulness and Acceptance Group Therapy for Residential Substance Use Patients. Subst Use Misuse. 2017;52(11). Available from: https://dx.doi.org/10.1080/10826084.2017.1284232. Wrong intervention
Svanberg G, Munck I, Levander M. Acceptance and commitment therapy for clients institutionalized for severe substance-use disorder: a pilot study. Subst. 2017;8. Available from: https://dx.doi.org/10.2147/SAR.S132255. Wrong study design – no control group

 

Sökning B/Search strategy B
Excluded articles Reason for exclusion
Ameral V, Hocking E, Leviyah X, Newberger NG, Timko C, Livingston N. Innovating for real-world care: A systematic review of interventions to improve post-detoxification outcomes for opioid use disorder. Drug Alcohol Depend. 2022;233. Available from: https://doi.org/10.1016/j.drugalcdep.2022.109379 . Wrong intervention

Wrong setting
Barnett GD, Fitzalan Howard F. What doesn’t work to reduce reoffending? A review of reviews of ineffective interventions for adults convicted of crimes. Eur Psychol. 2018;23(2). Available from: https://doi.org/10.1027/1016-9040/a000323 (Supplemental). Wrong publication type
Mixed population, substance abuse not separately analyzed

Wrong intervention
Wrong setting Prison
Bartlett A, Jhanji E, White S, Anne Harty M, Scammell J, Allen S. Interventions with women offenders: a systematic review and meta-analysis of mental health gain. J Forensic Psychiatry Psychol. 2015;26(2):133-65. Available from: https://doi.org/10.1080/14789949.2014.981563. Wrong intervention

Wrong setting Prison
Batastini AB, King CM, Morgan RD, McDaniel B. Telepsychological services with criminal justice and substance abuse clients: A systematic review and meta-analysis. Psychol Serv. 2016;13(1). Available from: https://doi.org/10.1037/ser0000042. Wrong intervention

Wrong setting Prison
Ciketic S, Hayatbakhsh MR, Doran CM, Najman JM, McKetin R. A review of psychological and pharmacological treatment options for methamphetamine dependence. J Subst Use. 2012;17(4). Available from: https://doi.org/10.3109/14659891.2011.592900 . Wrong publication type, not systematic review

Wrong intervention

Wrong setting
Coleman M, Ridley K, Christmass M. Mandatory treatment for methamphetamine use in Australia. Subst Abuse Treat Prev Policy. 2021;16. Available from: https://doi.org/10.1186/s13011-021-00370-1 . Wrong publication type, not systematic review
de Andrade D, Elphinston RA, Quinn C, Allan J, Hides L. The effectiveness of residential treatment services for individuals with substance use disorders: A systematic review. Drug Alcohol Depend. 2019;201. Available from: https://dx.doi.org/10.1016/j.drugalcdep.2019.03.031 . Wrong intervention

Wrong setting
de Andrade D, Ritchie J, Rowlands M, Mann E, Hides L. Substance Use and Recidivism Outcomes for Prison-Based Drug and Alcohol Interventions. Epidemiol Rev. 2018;40(1). Available from: https://dx.doi.org/10.1093/epirev/mxy004. ACT included but not reported separately

Wrong setting Prison
Doyle MF, Shakeshaft A, Guthrie J, Snijder M, Butler T. A systematic review of evaluations of prison-based alcohol and other drug use behavioural treatment for men. Aust N Z J Public Health. 2019;43(2). Available from: https://dx.doi.org/10.1111/1753-6405.12884. Wrong intervention
Wrong setting Setting
Drake RE, O'Neal EL, Wallach MA. A systematic review of psychosocial research on psychosocial interventions for people with co-occurring severe mental and substance use disorders. J Subst Abuse Treat. 2008;34(1). Available from: https://doi.org/10.1016/j.jsat.2007.01.011. Wrong intervention

Wrong setting
Egg R, Pearson FS, Cleland CM, Lipton DS. Evaluations of correctional treatment programs in Germany: a review and meta-analysis. Subst Use Misuse. 2000;35(12). Wrong intervention

Wrong setting Prison
Erbe D, Eichert HC, Riper H, Ebert DD. Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review. J Med Internet Res. 2017;19(9). Available from: https://dx.doi.org/10.2196/jmir.6588. Wrong intervention

Wrong setting
Felix-Junior IJ, Donate APG, Noto AR, Galduroz JCF, Simionato NM, Opaleye ES. Mindfulness-based interventions in inpatient treatment for Substance Use Disorders: A systematic review. Addict Behav Rep. 2022;16. Available from: https://dx.doi.org/10.1016/j.abrep.2022.100467. Wrong intervention

Wrong setting
Finfgeld-Connett D, Johnson ED. Substance abuse treatment for women who are under correctional supervision in the community: A systematic review of qualitative findings. Issues Ment Health Nurs. 2011;32(10). Available from: https://doi.org/10.3109/01612840.2011.584363. Wrong intervention

Wrong setting Prison
Finfgeld-Connett D, Johnson ED. Therapeutic substance abuse treatment for incarcerated women. Clin Nurs Res. 2011;20(4). Available from: https://dx.doi.org/10.1177/1054773811415844. Wrong intervention

Wrong setting Prison
Hayhurst KP, Leitner M, Davies L, Flentje R, Millar T, Jones A, et al. The effectiveness and cost-effectiveness of diversion and aftercare programmes for offenders using class a drugs: A systematic review and economic evaluation. Health Technol Assess. 2015;19(6). Available from: https://doi.org/doi:10.3310/hta19060 . Wrong intervention

Wrong setting
Hides L, Quinn C, Stoyanov S, Kavanagh D, Baker A. Psychological interventions for co-occurring depression and substance use disorders. Cochrane Database Syst Rev. 2019;11(11). Available from: https://dx.doi.org/10.1002/14651858.CD009501.pub2. ACT included

Wrong setting
Hunt GE, Siegfried N, Morley K, Brooke-Sumner C, Cleary M. Psychosocial interventions for people with both severe mental illness and substance misuse. Cochrane Database Syst Rev. 2019;2019(12). Available from: https://doi.org/10.1002/14651858.CD001088.pub4. Wrong intervention

Wrong setting
Johnson WR. Beyond 'what works': A meta-analysis of substance abuse treatments for prison populations. ProQuest Information & Learning; 2008. Dissertation Abstracts International: Section B: The Sciences and Engineering. Wrong publication type, dissertation

Wrong intervention

Wrong setting Prison
Kelly JF, Humphreys K, Ferri M. Alcoholics Anonymous and other 12-step programs for alcohol use disorder. Cochrane Database Syst Rev. 2020;3. Available from: https://dx.doi.org/10.1002/14651858.CD012880.pub2. Wrong intervention

Wrong setting
Lunze K, Idrisov B, Golichenko M, Kamarulzaman A. Mandatory addiction treatment for people who use drugs: Global health and human rights analysis. BMJ (Online). 2016;353. Available from: https://doi.org/10.1136/bmj.i2943. Wrong publication type

Wrong intervention
MacLean S, Cameron J, Harney A, Lee NK. Psychosocial therapeutic interventions for volatile substance use: a systematic review. Addiction. 2012;107(2). Available from: https://doi.org/10.1111/j.1360-0443.2011.03650.x. Wrong intervention

Wrong setting
McMurran M. Motivational interviewing with offenders: A systematic review. Leg Criminol Psychol. 2009;14(1). Available from: https://doi.org/10.1348/135532508X278326. Wrong intervention

Wrong setting Prison
Mitchell O, Wilson DB, MacKenzie DL. Does incarceration-based drug treatment reduce recidivism? A meta-analytic synthesis of the research. J Exp Criminol. 2007;3(4). Available from: https://doi.org/10.1007/s11292-007-9040-2. Wrong intervention

Wrong setting Prison
Newbury-Birch D, Ferguson J, Connor N, Divers A, Waller G. A Rapid Systematic Review of Worldwide Alcohol Use Disorders and Brief Alcohol Interventions in the Criminal Justice System. Front Psychiatr. 2022;13. Available from: https://dx.doi.org/10.3389/fpsyt.2022.900186. Wrong intervention

Wrong setting Prison
Newbury-Birch D, Ferguson J, Landale S, Giles EL, McGeechan GJ, Gill C, et al. A Systematic Review of the Efficacy of Alcohol Interventions for Incarcerated People. Alcohol Alcohol. 2018;53(4). Available from: https://dx.doi.org/10.1093/alcalc/agy032. Wrong intervention

Wrong setting Prison
Newbury-Birch D, McGovern R, Birch J, O'Neill G, Kaner H, Sondhi A, et al. A rapid systematic review of what we know about alcohol use disorders and brief interventions in the criminal justice system. Int J Prison Health. 2016;12(1). Available from: https://dx.doi.org/10.1108/IJPH-08-2015-0024. Wrong intervention

Wrong setting Prison
Pearson FS, Lipton DS. A Meta-Analytic Review of the Effectiveness of Corrections-Based Treatments for Drug Abuse. Prison J. 1999;79(4). Available from: https://doi.org/10.1177/0032885599079004003. Wrong intervention

Wrong setting Prison
Pederson SD, Curley EJ, Collins CJ. A Systematic Review of Motivational Interviewing to Address Substance Use with Justice-Involved Adults. Subst Use Misuse. 2021;56(5). Available from: https://doi.org/10.1080/10826084.2021.1887247 . Wrong intervention

Wrong setting Prison
Pelissier B, Jones N, Cadigan T. Drug treatment aftercare in the criminal justice system: A systematic review. J Subst Abuse Treat. 2007;32(3). Available from: https://doi.org/10.1016/j.jsat.2006.09.007. Wrong intervention

Wrong setting Prison
Per M, Spinelli C, Sadowski I, Schmelefske E, Anand L, Khoury B. Evaluating the Effectiveness of Mindfulness-Based Interventions in Incarcerated Populations: A Meta-Analysis. Crim Justice Behav. 2020;47(3). Available from: https://doi.org/10.1177/0093854819891457 . Wrong intervention

Wrong setting Prison
Perry AE, Darwin Z, Godfrey C, McDougall C, Lunn J, Glanville J, et al. The Effectiveness of Interventions for Drug-Using Offenders in the Courts, Secure Establishments and the Community: A Systematic Review. Subst Use Misuse. 2009;44(3). Available from: https://doi.org/10.1080/10826080802347560. Wrong intervention
Perry AE, Martyn-St James M, Burns L, Hewitt C, Glanville JM, Aboaja A, et al. Interventions for female drug-using offenders. Cochrane Database Syst Rev. 2019;12. Available from: https://dx.doi.org/10.1002/14651858.CD010910.pub3. ACT included

Wrong setting Prison
Perry AE, Martyn-St James M, Burns L, Hewitt C, Glanville JM, Aboaja A, et al. Interventions for drug-using offenders with co-occurring mental health problems. Cochrane Database Syst Rev. 2019;10. Available from: https://dx.doi.org/10.1002/14651858.CD010901.pub3. Wrong intervention

Wrong setting
Shonin E, Van Gordon W, Slade K, Griffiths MD. Mindfulness and other Buddhist-derived interventions in correctional settings: A systematic review. Aggress Violent Behav. 2013;18(3). Available from: https://doi.org/10.1016/j.avb.2013.01.002. Wrong intervention

Wrong setting Prison
Stewart L, Gobeil R. Correctional interventions for women offenders: a rapid evidence assessment. J Criminol Res Policy Pract. 2015;1(3). Available from: https://doi.org/10.1108/JCRPP-04-2015-0007. Wrong publication type

Wrong intervention

Wrong setting Prison
Sugarman OK, Bachhuber MA, Wennerstrom A, Bruno T, Springgate BF. Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health. PLoS ONE. 2020;15(1). Available from: https://dx.doi.org/10.1371/journal.pone.0227968. Wrong intervention

Wrong setting Prison
Thekkumkara SN, Jagannathan A, Muliyala KP, Murthy P. Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review. Indian J Psychol Med. 2022;44(3). Available from: https://dx.doi.org/10.1177/02537176211061655. ACT included, but not reported separately

Wrong settingPrison
Tripodi SJ, Bledsoe SE, Kim JS, Bender K. Effects of correctional-based programs for female inmates: A systematic review. Res Soc Work Pract. 2011;21(1). Available from: https://doi.org/10.1177/1049731509352337 . Wrong intervention

Wrong settingPrison
Werb D, Kamarulzaman A, Meacham MC, Rafful C, Fischer B, Strathdee SA, et al. The effectiveness of compulsory drug treatment: A systematic review. Int J Drug Policy. 2016;28. Available from: https://doi.org/10.1016/j.drugpo.2015.12.005. Wrong intervention
Woodhouse R, Neilson M, Martyn-St James M, Glanville J, Hewitt C, Perry A. Interventions for drug-using offenders with co-occurring mental health problems: a systematic review and economic appraisal. Health justice. 2016;4(1). Available from: https://doi.org/10.1186/s40352-016-0041-y. Wrong intervention

Wrong setting Prison