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  • 1.
    Bergmark, Åke
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Studie av brukarmedverkan: Förutsättningar för brukarmedverkan i arbetet med ekonomiskt bistånd2019Report (Other academic)
    Abstract [sv]

    Sedan 2018 driver SKR och 27 kommuner samt forskare, ett treårigt nationellt strukturerat utvecklingsprojekt i syfte att bryta långvarigt biståndsmottagande och utveckla verksamhetsområdet ekonomiskt bistånd. Att ge socialtjänsten stöd i att utveckla nya arbetsmetoder och verktyg för att skapa en effektivare verksamhet som bättre möter biståndsmottagarnas behov och samtidigt underlättar rekrytering och förmåga att behålla befintlig personal är centralt.

    I denna rapport belyses förutsättningar för brukarmedverkan i arbetet med ekonomiskt bistånd. Studien är genomförd inom ramen för det nationella utvecklingsprojektet.

  • 2.
    Bergmark, Åke
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Stranz, Hugo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Studie av Instrument X: Om användningen av ett standardiserat instrument i arbetet med ekonomiskt bistånd2019Report (Other academic)
    Abstract [sv]

    I denna rapport behandlas Instrument X, ett instrument för initial bedömning, insatsval och uppföljning i arbetet med ekonomiskt bistånd. Syftet med studien är att undersöka hur instrumentet används i praktiken och dess betydelse för individer som uppbär ekonomiskt bistånd.

    Studien är genomförd inom ramen för ett nationellt tre-årigt utvecklingsprojekt som SKR driver tillsammans med 27 kommuner och forskare, i syfte att bryta långvarigt biståndsmottagande och utveckla verksamhetsområdet.

  • 3. Bergström, Martin
    et al.
    Cederblad, Marianne
    Hakansson, Kickan
    Jonsson, Ann Kristine
    Munthe, Christian
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work. Karolinska Institutet, Sweden.
    Wirtberg, Ingegerd
    Ostlund, Pernilla
    Sundell, Knut
    Interventions in Foster Family Care: A Systematic Review2020In: Research on social work practice, ISSN 1049-7315, E-ISSN 1552-7581, Vol. 30, no 1, p. 3-18Article, review/survey (Refereed)
    Abstract [en]

    Objective: Foster family care is associated with adverse short- and long-term consequences for the child. A systematic review was conducted on interventions for foster children and foster careers. Method: A comprehensive search process was used to find eligible interventions evaluated in randomized controlled trials or quasi-experimental studies. The quality of studies was assessed with GRADE, and effects were synthesized using meta-analytic methods. Results: In all, 28 publications of 18 interventions, including 5,357 children, were identified. Only three specific interventions had sufficient confidence of evidence. No study had examined tools for foster parent selection nor had evaluated preservice programs related to outcomes. Discussion: These analyses provide new insights and hope into the field of systematic interventions in foster care. The overall results indicate that it is possible to improve eight outcomes but cannot point out which programs are superior. Ethically, social care organizations should systematically collect knowledge about effects and side effects.

  • 4.
    Berlin, Marie
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Sociology. The Swedish National Board of Health and Welfare, Sweden.
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Hjern, Anders
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Karolinska Institutet, Sweden.
    Brännström, Lars
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Educational outcomes of children from long-term foster care: Does foster parents’ educational attainment matter?2019In: Developmental Child Welfare, ISSN 2516-1032, Vol. 1, no 4, p. 344-359Article in journal (Refereed)
    Abstract [en]

    Parental education is a robust predictor of children’s educational outcomes in general population studies, yet little is known about the intergenerational transmission of educational outcomes in alternative family settings such as children growing up in foster care. Using Swedish longitudinal register data on 2,167 children with experience of long-term foster care, this study explores the hypothesized mediating role of foster parents’ educational attainment on foster children’s educational outcomes, here conceptualized as having poor school performance at age 15 and only primary education at age 26. Results from gender-stratified regression analyses suggest that there was an association between foster parental educational attainment and foster children’s educational outcomes but that the educational transmission was weak and inconsistent and differed somewhat between males and females. For males, lower educational attainment in foster parents was associated with poor school performance but was not associated with educational attainment at age 26. The reverse pattern was found among females: the educational gradient was inconsistent for poor school performance but appeared in educational attainment. The results indicate that supported interventions for improving foster children’s educational achievements are needed, even when placements are relatively stable and foster parents have a long formal education.

  • 5.
    Brodin, Helene
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Peterson, Elin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Equal Opportunities? Gendering and Racialising the Politics of Entrepreneurship in Swedish Eldercare2019In: NORA: Nordic Journal of Feminist and Gender Research, ISSN 0803-8740, E-ISSN 1502-394XArticle in journal (Refereed)
    Abstract [en]

    This paper contributes a Swedish perspective on how selected feminist movement ideas, such as women's right to economic independence, are being appropriated by neoliberal policies. Swedish governments have argued that opening up the publicly funded eldercare sector to private providers would advance entrepreneurship undertaken by women and immigrants. In this article, we critically explore the ambiguity of the gender equality and ethnic diversity arguments used to justify private sector involvement in publicly funded eldercare in Sweden. We draw upon Carol Bacchi's theory of policies as gendering practices to argue that the discourses of equal opportunity underpinning the politics of entrepreneurship in the home care sector obscure and recreate inequalities. Our analysis, based on interviews with politicians, public officials and interest organizations involved in the market for Swedish eldercare, shows that the politics of entrepreneurship in the home care sector privilege entrepreneurs who reflect the white masculine gendering of entrepreneurship and disadvantage those with subject positions deviating from the normative entrepreneur. Our findings suggest that policy-engineered entrepreneurship is a poor tool in the struggle for gender equality, as this kind of policymaking is likely to operate in tandem with gendering and racializing practices that impede socioeconomic progress.

  • 6.
    Brännström, Lars
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Hjern, Anders
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.
    Outcomes in Adulthood After Long-Term Foster Care: A Sibling Approach2020In: Child Maltreatment, ISSN 1077-5595, E-ISSN 1552-6119Article in journal (Refereed)
    Abstract [en]

    When a child is removed from their home and placed in foster care, society takes over the responsibility for that child’s well-being and development. Failure to provide a child with a nurturing upbringing may have negative consequences for the child as well as for society. Using Swedish longitudinal registry data for a national cohort sample of siblings, in which some were placed in foster care and others remained in their birth parents’ care, this study asks whether long-term foster care ensures improved life chances. Results from multilevel regression analyses of a wide range of educational, social, and health-related outcomes in mature adult age (16 outcome constructs) support a row of previous studies indicating that traditional long-term foster care does not seem to improve maltreated children’s life chances.

  • 7. Bøe, Tore Dag
    et al.
    Larsen, Inger Beate
    Topor, Alain
    Stockholm University, Faculty of Social Sciences, Department of Social Work. University of Agder, Norway.
    Nothing matters: the significance of the unidentifiable, the superficial and nonsense2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1684780Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of this study is to explore the ways in which “small things” may be of importance for people with mental health difficulties.

    Method: Empirical material from three different studies was reanalysed through a phenomenological, dialogical, approach.

    Results: We discovered some paradoxical aspects of small things: i.e., they could be about “something” that was difficult or even impossible to identify. The unidentifiable could be about bodily, sensual experiences that are superficial (i.e., belonging to the surface). The interaction with others highlighted as significant could be about doing something fun, talking nonsense or kidding around, and hence not at all about making sense of something—a kind of important nonsense. We summarize these aspects in three themes: the importance of the unidentifiable, the superficial and nonsense. These aspects can be regarded as small things—even “nothings”—that make it possible “to stay in the world”.

    Conclusion: We elaborate on the findings in relation to the following: Gumbrecht’s critique of the prevailing hermeneutic world-view with its idea that “interpretation is humankind’s exclusive way of relating to the world”, Ingold’s idea that social life is lived in relations of “interfacility” and hence a turn to surfaces is needed for a “restoration of social life”, and Biesta’s idea of existence as “coming into the world in the presence of others”.

  • 8.
    Collin, Emma
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Rosenberg, Linnea
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    "Att göra det som är rätt även om ingen ser på": En kvalitativ intervjustudie om socialarbetares etiska resonemang kring sin yrkesroll2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study aims to examine how social workers in Swedish Child Protective services regard ethical values and what strategies they practice to manage ethical dilemmas occurring in their daily work. Furthermore, we aim to examine if there are differences or similarities in how ethical issues are handled among social workers based on their length of experience in the profession. Qualitative interviews were performed with nine social workers employed in front-line social services, all specialized in child and youth care. The interviewed social workers were chosen from three different municipalities in the county of Stockholm. The theoretical framework used in the analysis was professional ethics with concepts such as virtue ethics and duty ethics, and concepts from the psychological coping strategy model.

     

    Results indicate that social work in Child Protective services is a value-based profession and as such bound to the professionals own individual morality and virtue ethics. There are only minor differences in ethical values and strategies between those with long versus those with short experience and that the influence of virtue ethics in social workers practice is largely confined by the duty ethics governing their profession.

    Key words: Child Protective services, social workers, ethical values, virtue ethics, duty ethics, coping strategies.

     

    Nyckelord: Socialt arbete med social barnavård, socialarbetare, dygdetik, pliktetik, copingstrategier.

  • 9.
    Ekendahl, Mats
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Månsson, Josefin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Karlsson, Patrik
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Cannabis i Sverige - en komplex substans, en enkelspårig drogpolitik?2020In: Socionomens forskningssupplement, no 47, p. 16-25Article in journal (Refereed)
    Abstract [sv]

    I Sverige är cannabis, särskilt ungdomars bruk av substansen, kontroversiella ämnen som uppmärksammas såväl i media och politik som bland myndigheter och allmänhet. I denna artikel presenterar vi ett forskningsprojekt som belyser det svenska cannabisbruket, med fokus på vilka som gör det, deras åsikter och motiv, samt hur det kan gå till när de möter preventionsinsatser. Våra resultat pekar mot att cannabisbruk kan ha många olika betydelser och funktioner i människors liv, samt att den svenska förbudspolitiken sätter ramarna för hur användare förstår sina handlingar och hur de bemöts av omgivningen. Yttre inflytande från en drogliberal omvärld har dock inneburit att det knappast längre går att identifiera en allenarådande ”berättelse” om vad cannabis är, vilka effekter substansen har och vad som kännetecknar användarna. Vårt projekt understryker vikten av en mer nyanserad politik och praktik i förhållande till cannabisbruk i Sverige.

  • 10.
    Ekendahl, Mats
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Månsson, Josefin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Karlsson, Patrik
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Cannabis use under prohibitionism – the interplay between motives, contexts and subjects2019In: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370Article in journal (Refereed)
    Abstract [en]

    A key question in drugs research is why people use psychoactive substances. Diverse motives such as boredom, habit, and pain relief have served as explanations, but little is known about how adult cannabis users motivate their use in prohibitionist policy contexts, like Sweden. The aim is to explore what motives a sample of adult Swedish cannabis users refer to when they give meaning to their use. We ask: what aspects of cannabis use (e.g. drug effects, individual characteristics and social contexts) are emphasized in their accounts, and how are such aspects combined to describe motives and justify use? In this study, motives are perceived as culturally situated action, and our analysis is based on online text messages (n = 238) and interviews (n = 12). Participants emphasized either the characteristics of the use situation (motives such as party, relaxation and social function) or of him-/herself as an individual (motives such as mindfulness, identity marker and somatic function). They often mentioned medical and recreational motives in the same account, and carefully presented themselves as rational individuals. The motives reflect that the drugs discourse is increasingly medicalized, that responsibility is highly esteemed in contemporary societies, and that cannabis use is still stigmatized in Sweden.

  • 11.
    Jackisch, Josephine
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).
    Brännström, Lars
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Almquist, Ylva B.
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).
    Troubled childhoods cast long shadows: Childhood adversity and premature all-cause mortality in a Swedish cohort2019In: SSM - Population Health, ISSN 2352-8273, Vol. 9, article id 100506Article in journal (Refereed)
    Abstract [en]

    Experiences of childhood adversity are common and have profound health impacts over the life course. Yet, studying health outcomes associated with childhood adversity is challenging due to a lack of conceptual clarity of childhood adversity, scarce prospective data, and selection bias. Using a 65-year follow-up of a Swedish cohort born in 1953 (n = 14,004), this study examined the relationship between childhood adversity (ages 0-18) and premature all-cause mortality (ages 19-65). Childhood adversity was operationalized as involvement with child welfare services, household dysfunction, and disadvantageous family socioeconomic conditions. Survival models were used to estimate how much of the association between child welfare service involvement and mortality could be explained by household dysfunction and socioeconomic conditions. Results show that individuals who were involved with child welfare services had higher hazards of dying prematurely than their majority population peers. These risks followed a gradient, ranging from a hazard ratio of 3.08 (95% CI: 2.68-3.53) among those placed in out-of-home care, followed by individuals subjected to in-home services who demonstrated a hazard ratio of 2.53 (95% CI: 1.93-3.32), to a hazard ratio of 1.81 among those investigated and not substantiated (95% CI: 1.55-2.12). Associations between involvement with child welfare services and premature all-cause mortality were robust to adjustment for household dysfunction and disadvantageous family socioeconomic conditions. Neither household dysfunction nor socioeconomic conditions were related with mortality independent of child welfare services involvement. This study suggests that involvement with child welfare services is a viable proxy for exposure to childhood adversity and avoids pitfalls of self-reported or retrospective measures.

  • 12. Karlsson, Henrik
    et al.
    Avby, Gunilla
    Svendsen, Tore
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    QUAT-a Tool for Evaluating the Quality of Core Assessments in Child-Protection Investigations2019In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 49, no 7, p. 1875-1892Article in journal (Refereed)
    Abstract [en]

    This article presents a quantitative tool for evaluating the documentation quality of core assessments in child-protection investigations called the Quality Assessment of the Triangle (QUAT). QUAT measures compliance with a set of quality standards for working with the Swedish adaptation of the British Integrated Children's System (ICS), and should be viewed as an attempt to further the UK-led efforts to improve child-protection investigations by promoting research-based documentation systems. This article describes how QUAT was developed and later applied to a random sample of case files provided by the social services in Stockholm City, Sweden, to demonstrate its usability in practice. The contribution of QUAT is two-fold: first, it offers a way for managers to stimulate workplace learning by providing continuous feedback on the documentation and, second, it may help researchers to evaluate the effectiveness of interventions aiming to improve professional performance in terms of documenting child-protection investigations.

  • 13.
    Lindegren, Sanna
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Kårlycke, Mia
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Den bästa socionomen är den som orkar arbeta: En kvalitativ studie om emotioner i det sociala arbetet2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to examine how emotions appear in the social work practice and what social workers described as important when coping with emotional labour. This study is based on seven qualitative interviews with social workers in Stockholm, Sweden who comes in contact with people who have a substance abuse. The data is analyzed with an instrument that is called professional quality of life which measures the positive aspects of working as a helper, compassion satisfaction, and also the negative aspects, compassion fatigue.

    The result shows that emotions is a central part of the social work. How the social workers talked about emotions differentiated but we noticed that the social workers more often talked about their negative emotions than their positive emotions which we found very interesting.

    The result also shows that the social workers experienced emotions very different but we found that all of the social workers pointed out that being able to feel good in their work environment was crucial to be able to perform at work. We found two things that were needed to feel good: resources to help the client and opportunity for an outlet and processing of emotions.

  • 14. Lindvig, Gunnhild Ruud
    et al.
    Larsen, Inger Beate
    Topor, Alain
    Stockholm University, Faculty of Social Sciences, Department of Social Work. University of Agder, Norway.
    Bøe, Tore Dag
    'It's not just a lot of words'. A qualitative exploration of residents' descriptions of helpful relationships in supportive housing2019In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Article in journal (Refereed)
    Abstract [en]

    This article explores how professional relationships may be helpful from the perspective of residents in staffed supportive housing for individuals with severe mental health and/or drug problems. Using in-dept interviews, residents were individually asked to describe a helpful relationship with a self-chosen staff member, the content of the help provided by this staff member and how this help influenced their lives. Using thematic analysis, we found that the residents described mutual relationships that resembled friendships and helpful staff members who carried out a variety of doings. Four domains of doings were identified: small human gestures, filling the hours with 'friendship', enabling the residents to take care of their own needs and fighting on behalf of the residents to ensure rights and benefits. To some of the residents, these doings had life-changing impact. We propose that service management within relationship-based practices should be open for friendship resemblance when matching professionals and service users and make room for a diversity of doings rooted in the service users' perceived needs.

  • 15. Lownes, Ruth
    et al.
    Storm, Palle
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Szebehely, Marta
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Fieldnotes: Individual Versus Team-based Rapid Ethnography2018In: Creative Teamwork: Developing Rapid, Site-Switching Ethnography / [ed] Pat Armstrong, Ruth Lowndes, New York: Oxford University Press, 2018, p. 81-95Chapter in book (Refereed)
    Abstract [en]

    This chapter discusses the taking, writing up, and analyzing of fieldnotes as part of the rapid ethnographic methodology. It describes the preparatory process the team members went through to learn how to conduct observations, and the guiding documents/principles used by the research team throughout the site visits. We explain how observations were carried out and how fieldnotes were captured in our project, comparing this process to that of traditional ethnographic research. It compares the process of writing up and analyzing fieldnotes in traditional ethnography with the process used in the team-based rapid ethnography, drawing on our individual experiences in conducting both types. The chapter concludes with a discussion of the strengths and limitations of the team-based approach.

  • 16.
    Lundström, Tommy
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Sallnäs, Marie
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Barnskyddets innersta kärna, om tvångsplaceringar som motiveras av barns hemförhållanden2019In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 26, no 3-4, p. 283-302Article in journal (Refereed)
  • 17.
    Matscheck, David
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Evidensbaserad metod eller praktisk verksamhet? Supported employment utan IPS2019In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 26, no 1, p. 87-108Article in journal (Refereed)
    Abstract [en]

    Evidence-based method or practical support for users? Supported Employment without IPS

    Since the Mental Health Reform of 1995, the social service in Sweden is required to offer ”meaningful activities” to persons with mental health impairments. This requirement has usually been met by the social service’s ”daily activities” centres, which do not have contact with the competitive labour market. ”Supported Employment” (SE) is a method which can be used to help people with mental health, neuropsychiatric or intellectual impairments to regular work places. Based on international research, the SE model ”Individual Placement and Support” (IPS) is recommended in national guidelines as an evidence-based method. However, IPS can be difficult to implement, since the model requires integrated teams, while in the Swedish system health care, social service and vocational rehabilitation belong to different sectors. Another reason is that subsidized forms of employment and internship are more usual in Sweden than in many other countries. This study investigates SE practices in three municipalities which do not follow all of the IPS model’s eight ”basic principles”. The results show that after 18 months many persons who had been totally without regular activities, or had access only to a daily activities centre, had some form of work or internship at regular workplaces. Twenty per cent had paid employment. The author interprets IPS as a ”packaging” of SE which the municipalities have ”translated” locally to offer SE activities which benefit users. This can also be seen as evidence-based practice (EBP), in which the best available research has been combined with the wishes of users and the professionals’ judgement of what is possible to offer in practice. Further research is needed concerning the value for users of prolonged internships which do not lead to paid employment.

  • 18.
    Matscheck, David
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Ljungberg, Amanda
    Topor, Alain
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Beyond formalized plans: User involvement in support in daily living - users' and support workers' experiences2019In: International Journal of Social Psychiatry, ISSN 0020-7640, E-ISSN 1741-2854Article in journal (Refereed)
    Abstract [en]

    Background:

    User involvement, based on respect and carried out through dialogue, has been shown to lead to increased self-respect, self-confidence and positive identity. In Sweden, the Social Service Act requires that interventions be designed and implemented together with the individual concerned. The basic criterion for social support is prolonged severe mental illness (usually at least 6 months), with no criteria for specific diagnosis or institutional history. The most common form of social support is ‘support in daily living’, a community care intervention for people aged 18 years or older who have their own homes and living arrangements.

    Aim:

    This article aims to deepen our understanding of user involvement at the individual level in the provision of an ongoing social work intervention. What elements of user involvement can be found in users’ and support workers’ descriptions of helpful support in daily living?

    Method:

    Qualitative interviews were conducted with 18 users, who had experienced support in daily living as helpful, and 16 interviews with the users’ support workers.

    Results:

    Three major, interconnected themes emerged: Constant dialogue; Framing the flexibility, in relation to formalized intervention plans and regulations; The importance of ‘small things’, decisions concerning daily life.

    Conclusion:

    Both users and support workers described user involvement at the individual, micro-level to be an integral part of helpful support in daily living. It was possible to create a space for dialogue and co-creation in which users were involved in formulating and deciding the contents of their support at an informal level, to influence their own everyday lives. While a formal framework of rules, restrictions and plans surrounds meetings between users and professionals, a facilitating factor may be the absence of too detailed plans and regulations, leaving trust to users and professionals and their capacity to manage most of the choices they have to make.

  • 19.
    Matscheck, David
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work. FoU Nordost [RD Northeast], Danderyd, Sweden.
    Piuva, Katarina
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Eriksson, Lisbeth
    Åberg, Martin
    The Coordinated Individual Plan – is this a solution for complex organizations to handle complex needs?2019In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 9, no 1, p. 55-71Article in journal (Refereed)
    Abstract [en]

    Persons with mental health problems and substance abuse often have complex needs requiring many kinds of help concurrently. In Sweden, an attempt has been made to counterbalance the effects of fragmentation by means of legislation on collaboration, requiring on the individual level the use of Coordinated Individual Plans (Sw. Samordnad Individuell Plan, SIP). The aim of the study is to explore collaboration as it is indicated in SIP and other case documentation with focus on how SIP is motivated, and what kind and degree of collaboration is indicated by the documentation. 12 individual case files have been studied in six local authorities and the results have been analyzed in relation to a regional collaboration agreement and local collaboration agreements. The results show unclear motivation for SIP and that SIP is primarily used for documentation of short-term planning. Use of SIP and participation in SIP appears also to be uneven. The authors characterize SIP as an unsystematic form of interagency meeting, with documentation indicating a relatively low to moderate level of collaboration. The authors question whether SIP is an optimal form for collaboration and suggest that more distinct models such as case management or multidisciplinary teams could be more effective.

  • 20.
    Meiss, Kathleen Ann
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Work, welfare & social work practice1991Doctoral thesis, monograph (Other academic)
    Abstract [en]

    This is a study of the search for the essential nature of social work practice. The text is divided into two parts. The first part presents a theoretical analysis of the intraprofessional discourse in search of a generic study-object for social work practice. Part 2 follows with an empirical application of the theoretical findings for the field of occupational social work. Placed within a framework that seeks to identify fundamental contextual issues, practice traditions and prevailing dilemmas of current practice theory, this study examines social work practice in Sweden and the USA today. The project is built upon a qualitative research method based upon the social work tradition of the use-of-self as the instrument of practice and a complex triangulation design which builds upon a practitioner-researcher perspective. In part 1, social work practice is defined by its practice focus, the internal dynamics of practice, and its external societal relations, the external dynamics of practice. The intra-professional struggle to define a generic study-object is plagued historically by the polarization between micro and macro practice traditions. The central problem for the development of social work practice theory is formulated as an embarrassing void. Clues are identified within the professional debates gradually marking the route for the identification of the embarrassing void and a generic studyobject of social work practice as a concept of victimization. Victimization is defined as a process concept of relationship-in-action, the contradiction of which is the function of practice, the advocacy of basic human rights. The relevance of a concept of victimization for social work practice is examined against the societal context in Sweden and the USA where underlying philosophical similarities are found to depend upon the citizen's relationship to the employment market for determining the quality of their personal welfare protections. In part 2, the concept of victimization is tested, with the application of an "extreme example" research method, against the boundary practice of occupational social work, and finds that it offers an unrecognized significance for western, democratic welfare states today. Empirical case-studies of occupational social work practices in Sweden and the USA are reported, examined and compared. The numerous and penetrating consequences of this study call for a re-examination of social work practice with relationship to the centrality of victimization processes and the relevance of employment for social work clients. The study concludes with a proposal for a new Social Justice Model for social work practice to be founded upon basic human rights in the private (family) and public (employment) spheres of everyday life as the concrete manifestation of the practice of social work with issues of victimization.

  • 21. Mensah, Tita
    et al.
    Hjern, Anders
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS). Karolinska Institutet, Sweden.
    Håkanson, Kickan
    Johansson, Pia
    Jonsson, Ann Kristine
    Mattsson, Titti
    Tranæus, Sofia
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Östlund, Pernilla
    Klingberg, Gunilla
    Organisational models of health services for children and adolescents in out-of-home care: Health technology assessment2020In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 109, no 2, p. 250-257Article in journal (Refereed)
    Abstract [en]

    Aim: Decades of research confirm that children and adolescents in out‐of‐home care (foster family, residential care) have much greater health care needs than their peers. A systematic literature review was conducted to evaluate organisational health care models for this vulnerable group.

    Methods: A systematic literature search was undertaken of the following data‐bases: Academic Search Elite, CENTRAL, Cochrane Database of Systematic Reviews, Cinahl, DARE, ERIC, HTA, PsycInfo, Psychology and Behavioural Sciences Collection, PubMed, SocIndex. Randomised and non‐randomised controlled trials were to be included. Two pairs of reviewers independently assessed abstracts of the identified published papers. Abstracts meeting the inclusion criteria were ordered in full text. Each article was reviewed independently, by pairs of reviewers. A joint assessment was made based on the inclusion criteria and relevance. Cases of disagreement were resolved by consensus discussion.

    Results: No study with low or medium risk of bias was identified.

    Conclusion: In the absence of studies of acceptable quality, it is not possible to assess the impact of organisational models intended to ensure adequate health and dental care for children and adolescents in out‐of‐home care. Therefore, well‐designed follow‐up studies should be conducted following the implementation of such models.

  • 22.
    Minas, Renate
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Enroth, Nicklas
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Social work meets the European Union – the case of vulnerable EU citizens in European cities2019In: Inequalities and migration: challenges for the Swedish welfare state / [ed] Sven Trygged, Erica Righard, Lund: Studentlitteratur AB, 2019, p. 131-152Chapter in book (Other academic)
  • 23.
    Mossberg, Roland
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Distans och närhet: förutsättningar och möjligheter för det sociala arbetets organisering och disciplinering1990Doctoral thesis, monograph (Other academic)
    Abstract [en]

    The first part, of this two part study, performs a kind of theoretical, structural analysis of social work. The purpose of performing such an analysis, the principal aim of this study, is to specify the general conditions and possibilities for social work, thereby giving a basis, for the different social work practices, to carry out their own concrete analysis, and form their own strategies for action. The second part of this study analyses a specific, empirical field of practice. Using the theoretical reasoning in the first part of the study as a basis, it describes and analyses, ”hemmahos- arbete”, a practice where the practitioners work with families in their homes. These practitioners, "hemma-hos-arbetare”, are employed by municipal social welfare offices. The goal of their practice is to give educational, therapeutic and practical support in everyday life situations. For lack of a proper English term for this practice, the Swedish terms, as defined above, will be used. ”Hemma-hos-arbete” is, as a type of practice, in a position in between, on the one hand, bureaucratic and professional orders, and on the other hand the everyday orders of the clients. ”Hemma-hos-arbete” can be characterized as a bridging practice, and to maintain this bridging position, and for its personnel to retain their identity as ”hemma-hos-arbetare”, means that they must find the right distance, neither too close nor too far, either to the highly discursive, professional/bureaucratic orders of practices or to the clients’ more or less non-discursive orders of everyday life practices. To find the right distance, has been the central issue of this thesis, and is of vital importance for all social workers. This, means to avoid, on the one hand, the risk of loosing contact with the client by taking too distant a professional/bureaucratic position, and on the other hand, the risk of becoming a part of the client's problems by taking too familiar a position. ”Hemma-hos-arbete”, as a concrete object of investigation, was selected because it illuminates issues of vital importance for the entire field of social work. The description and analysis of ”hemma-hos-arbete” is actually a secondary aim. The ”hemma-hos” study gives example of how the theoretical analytic can be applied to a specific social work practice.

  • 24.
    Peterson, Elin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Framing caregiving work for older people in Spanish public policy: gender, power and social justice2015In: La Revista Española de Ciencia Política, ISSN 1575-6548, no 39, p. 221-237Article in journal (Refereed)
    Abstract [en]

    The care crisis has been a recurrent theme in feminist debates and research. The care deficit is particularly severe is the ageing societies of Southern Europe. In Spain, familialism prevails in eldercare. This implies a permanent trust on the family, and its gender structure as provider of help and support. At the same time, studies show that migrant domestic workers increasingly meet the care needs of older dependent people. This article argues that as long as women, natives and migrants, fill the gaps in welfare provision, the recognition of caregiving work - and the redistribution of resources and responsibility for care - are vital issues for feminist research. By means a discourse-oriented policy analysis this article examines key policy texts related to dependent care and household employment as well as austerity measures that affect social policy. The article highlights that public policy has an important role in constructing caregiving work. Public policy shapes the positions of caregivers and care workers, the valuation of their work, and their status as workers and carers. While family carers and domestic workers are constructed very differently, two categories of carers have in common that they perform undervalued work.

  • 25.
    Piuva, Katarina
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Socionomen som psykoterapeut2019In: Socionomen, ISSN 0283-1929, no 7, p. 18-22Article in journal (Other academic)
  • 26.
    Piuva, Katarina
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Brodin, Helene
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Just Like Any Other Family? Everyday Life Experiences  of Mothers of Adults with Severe Mental Illness in Sweden2020In: Community mental health journal, ISSN 0010-3853, E-ISSN 1573-2789Article in journal (Refereed)
    Abstract [en]

    This study explores experiences of mothers in Sweden who care for their adult children suffering from severe mental illness. Using 15 interviews with mothers from 40 to 80 years old, the article examines how predominant professional knowledge and sanism constructs the mothers and their children as deviant and what counterstrategies the mothers develop as a response to these experiences of discrimination. The findings show that the mothers’ experiences are characterized by endless confrontations with negative attitudes and comments that have forced them to go through painful and prolonged processes of self-accusations for not having given enough love, care, support and help in different stages of their children's life. But the mothers’ experiences also reveal important aspects of changes over the life span. As the mothers are ageing, the relationship between them and their children becomes more reciprocal and the ill child may even take the role as family carer.

  • 27.
    Pålsson, David
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Securing the floor but not raising the ceiling? Operationalising care quality in the inspection of residential care for children in Sweden2020In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 23, no 1, p. 118-130Article in journal (Refereed)
    Abstract [en]

    In many countries, inspections are employed as a central instrument to the promotion of good social work practice, but how inspections operationally should achieve this is not evident. By utilizing data from guidelines, inter-views and observations, the aim of the article is to analyze how the Swedish Inspectorate operationalizes care quality within the service residential care for children. Analytically, the Inspectorate is regarded as an open system that is receptive to different ideas of how to operationalize care quality. The results show that: a) the standards display a marked variation, change annually and are similar across all homes, b) there is a limited link to good quality care as it is defined in empirical research, c) there are several driving forces for care aspects to inspect and, in general, the distinct standards pertain to formal re-quirements, while how the care is provided is associated with more indistinct standards and d) if there is no obvious malpractice in care provided, the in-spections appear to have rather unclear formative effects. The results are inter alia discussed regarding whether inspections foster the idea that the ‘floor’ of the care is raised (i.e. securing a basic level of care) but not the ‘ceiling’ (i.e. maximizing care).

  • 28.
    Pålsson, David
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Shanks, Emelie
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Missed opportunities? State licencing on the Swedish residential care market2020In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Article in journal (Refereed)
    Abstract [en]

    In many countries, residential care is subject to outsourcing and consequently, states are increasingly engaged in controlling activities. A central instrument is licencing; a procedure determining membership to markets. By analysing all formal applications submitted to the Swedish national Inspectorate between the years 2013–2016, the aim of the article is to describe the characteristics and influx of applicants as well as analysing how the inspectorate, conceptualised as a market agency, contributes to shape the residential care market. The findings show that applicants often are not forced to revise their care in conjunction with the licencing procedure, and slightly more than half of the applicants are granted a licence. Large companies are in general more successful than small companies, as are those presenting specialised target groups. The primary focus in licencing appears to be target group descriptions, management and ensuring the absence of methods with repressive elements. Licencing does not, or only to a limited extent, address issues such as schooling and health support, staffing levels, children’s contacts with the birth family, the scientific base of methods and measurement of client outcomes. The discussion focuses on how licencing contributes to the market formation as well as care aspects omitted in the controls.

  • 29.
    Silvén Hagström, Anneli
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Childhood narratives about the experience of growing up with alcoholic parents2019In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 36, no 3, p. 299-301Article in journal (Other academic)
  • 30.
    Silvén Hagström, Anneli
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work. University of Gävle, Sweden.
    Forinder, Ulla
    'If I whistled in her ear she'd wake up': Children's narration about their experiences of growing up in alcoholic families2019In: Journal of Family Studies, ISSN 1322-9400, E-ISSN 1839-3543Article in journal (Refereed)
    Abstract [en]

    This article aims to investigate what it means to grow up in an alcoholic family environment. Nineteen children aged 6–11 who participated in a psycho-educational programme in the 1990s for children living with parents who misuse alcohol were interviewed about their experiences in a longitudinal study. A narrative analysis of their life stories demonstrates how, on the one hand, they positioned themselves as ‘vulnerable victims’ exposed to their parent’s alcoholism and to situations of severe neglect, domestic violence and sexual abuse. This position was characterized by a sense of powerlessness and lack of resources for coping with emotional distress and risk, as well as an urgent need for protection and care. On the other hand, the children positioned themselves as ‘competent agents’ who had developed purposeful strategies for managing their life situation, such as trying to reduce their parent’s drinking and undertaking the role of a ‘young carer’. The children primarily tried to normalize themselves in their social circle in a position of ‘silenced and invisible victims’. However, the alcoholism was usually exposed and the children occasionally also found themselves in the position of ‘help-seeking victims’ obliged to disclose the ‘family secret’. Remarkably, this rarely changed their situation very much. Instead, the children were commonly left in the position of ‘visible but unprotected victims’.

  • 31.
    Storm, Palle
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Den osynliga utsattheten2019In: Ä : en tidning för Riksföreningen sjuksköterskan inom äldrevård : geriatriker, dietister inom geriatrik samt alla professioner runt den äldre patienten, ISSN 2001-1164, no 4, p. 26-28Article in journal (Other (popular science, discussion, etc.))
  • 32.
    Storm, Palle
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Lowndes, Ruth
    "Yes the Guys Can Do It!": Migrant Male Care Workers in Canadian and Swedish Nursing Homes2019In: Teorija in praksa, ISSN 0040-3598, Vol. 56, no 4, p. 1052-1068Article in journal (Refereed)
    Abstract [en]

    Canada and Sweden are seeing growing numbers of migrant male care workers in long-term care settings, yet research exploring their everyday experiences within this context is scarce. We draw on interview data of migrant men to compare how they come to be in nursing home care work, negotiate their social role, and reconcile and challenge norms about masculinity. The study finds that migrant men work to find a balance and manage tensions related to working in a womencoded field. They attempt to maintain their masculinity without losing their caring approach in both their work and social interactions.

  • 33.
    Strandell, Rebecka
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Care workers under pressure - A comparison of the work situation in Swedish home care 2005 and 20152020In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 28, no 1, p. 137-147Article in journal (Refereed)
    Abstract [en]

    As in many Western countries, eldercare services in Sweden have changed dramatically over recent decades. Population ageing, ageing-in-place policies, pressures to contain costs and organisational reforms linked to New Public Management are challenging public home care. There is, however, limited knowledge about how the job content and working conditions have changed in the Swedish home care across this period. This article aims to analyse and compare the work situation in the Swedish home care in 2005 and 2015. The analysis is based on the international Nordcare survey and draws on the subsample of respondents working in Swedish home care 2005 and 2015 (n = 371). The data were analysed with bivariate and multivariate methods. The results suggest that, overall, the work situation of home-care workers was worse in 2015 compared to 2005. For example, those surveyed in 2015 reported meeting a larger number of clients per day, receiving less support from their supervisors, and having less time to discuss difficult situations with colleagues and considerably less scope to affect the planning of their daily work. Care workers in 2015 were also more mentally exhausted than those surveyed in 2005. In addition, the workers in 2015 experienced an accumulation of work-related problems. Deteriorating working conditions could be related to cutbacks and organisational reforms, and evidence suggests that home-care workers are paying a high price for ageing-in-place policies. Improvements of the work situation in home care are necessary not only to ensure the quality of care for older people, but also to ensure workers' well-being and to recruit and retain care workers, and thus, to meet the future needs for home care in an ageing society.

  • 34.
    Szebehely, Marta
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Meagher, Gabrielle
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Vinster i välfärden: En historia om näringslivslobbyism och socialdemokratisk ambivalens2020In: Politik och marknad: kritiska studier av kapitalismens utveckling, Stockholm: Dialogos Förlag, 2020, p. 116-139Chapter in book (Other academic)
  • 35.
    Ulmanen, Petra
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Brodin, Helene
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    The role of gender and country of birth for the extent and consequences of informal caregiving in Sweden2019In: Changing priorities: The making of care policy and practices: Book of Abstracts, 2019, p. 74-75Conference paper (Other academic)
    Abstract [en]

    Formally provided eldercare services have declined in Sweden since the 1980s, followed by an increase in assistance from children, relatives and friends. This kind of informal care is most common among older people with lower levels of education and among older people born outside the Nordic countries. Although previous studies have concluded that daughters are the main providers of informal care regardless of country of birth, we still lack studies comparing the intensity and consequences of informal caregiving across different population groups in Sweden.

    The aim of this paper is to analyse the role of gender and country of birth (born in Sweden or other Nordic countries vs in non-Nordic countries) for the extent and consequences of informal caregiving in Sweden. The analysis is based on a nationally representative postal survey (n=3630, aged 45-66 years) from 2013. 

    Results: In the middle-aged population, 26% are caregivers, defined as providing help at least once a week to a family member, relative or friend with a disability or longstanding illness. 80 per cent of caregivers primarily assist an older adult (65 years+). While the proportion providing care does not differ significantly between the groups, non-Nordic immigrant women provide the most intensive care (13.2 hrs/week), compared to immigrant men (6.7 hrs/week), and both women and 75   men born in the Nordic countries (6.1 and 4.7 hrs/week respectively). Of the four groups, immigrant women most frequently provide the most demanding forms of care (personal and/or medical care as well as co-resident care), and are the group most negatively affected by caregiving, also when controlling for the amount of care provided. Country of origin however matters also for men. Compared to men born in the Nordic countries, non-Nordic immigrant men do more frequently provide the most demanding forms of care, and are more negatively affected by caregiving, also when controlling for the amount of care provided. Among female caregivers, immigrants are more affected in all four areas examined: well-being, work situation, labour force participation and economy. Among male caregivers, immigrants are more affected in all areas except labour force participation. 

    Altogether, the study points to the conclusion that non-Nordic immigrants are more negatively affected by caregiving than persons born in the Nordic countries, and that this is valid for both sexes, although immigrant women are the group most affected. That immigrant caregivers, both women and men, provide more demanding forms of care, may reflect that the persons they assist do not have access to care services to the same extent as other groups, and/or that the services are not suitable for their needs. This raises questions about inequalities in access to care services and needs of culturally sensitive care services. Even when controlling for the amount of care provided, immigrants are more affected by caregiving, and this is valid for both sexes, which may be related to their general weaker positions on the Swedish labour market. Only among female caregivers, however, immigrants are more affected in their labour force participation, which points to caregiving as a threat to primarily immigrant women’s economic independence.

  • 36.
    Vidlund, Elin
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Rigney, Stephen
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Biståndstagarnas subjektspositioner i kvällspressen: En diskursanalys av den mediala framställningen av mottagare av ekonomiskt bistånd2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous research has shown that welfare recipients are subject to prejudicial attitudes from others while welfare recipients themselves experience feelings of shame related to their need to apply for help for their subsistence. The aim of this study was to analyse how welfare recipients are depicted in Swedish newspaper media in order to better understand the role that the media can potentially play in how welfare recipients are perceived by others and by themselves. The empirical material consists of 74 articles published in two leading Swedish tabloid newspapers - Aftonbladet and Expressen - during the years 2011 and 2017. With Ernesto Laclau & Chantal Mouffe’s discourse theory, we have been able to identify six discursive subject positions that welfare recipients are offered in the material. Our findings show that these subject positions contribute to creating a picture of “deserving” and “undeserving” welfare recipients with the latter representing a threat to the cornerstones of the Swedish welfare state. This picture, however, is not static and between 2011 and 2017, subject positions that can be seen as “undeserving” have become more dominant in the discourse around welfare recipients.

  • 37. Ågotnes, Gudmund
    et al.
    Jacobsen, Frode
    Szebehely, Marta
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    The growth of the for-profit nursing home sector in Norway and Sweden: driving forces and resistance2020In: The Privatization of Care: The Case of Nursing Homes / [ed] Pat Armstrong, Hugh Armstrong, New York: Routledge, 2020, p. 38-50Chapter in book (Refereed)
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