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  • 251.
    Lantz, Alma
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete.
    Kjörk, Sara
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete.
    "Vi är med och skriver det sista kapitlet i en människas liv": Professionellas hantering av brukares självbestämmande och användning av det salutogena perspektivet.2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 252. Laragy, Carmel
    et al.
    Fisher, Karen
    Cedersund, Elisabet
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Campbell-McLean, Carolyn
    Support as a complement, intrusion and right: Evidence from ageing and disability support service users in Sweden and Australia2011Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, nr 4, s. 745-753Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    How service users conceptualise their personal support services is under researched, even though this understanding is important for responsive policy development and service implementation. This paper tests the proposition that service users understand formal support in three ways: support is a complement to their other arrangements, an intrusion into their personal life and a right. These three concepts were identified using discourse analysis in a Swedish study of older people wanting in-home support services. To test generalisability of these concepts, they were applied to data from an Australian study of people using disability personal support. The analysis found that the three concepts were core to people’s views of their support, although the construction of the concepts differed in the two countries. Service users in Sweden asserted their right to services more forcefully than those in Australia, and they had higher expectations that their support needs would be met. These differences reflect the impact of each country’s social policy environment on service users’ expectations. The analysis suggests that service users and their families want to control their formal support arrangements to complement their informal care and their life preferences and to minimise the intrusive aspects of formal support. The findings imply that the three concepts have utility for theorising service users’ perspectives, informing policy and developing implementation strategies which enhance peoples’ quality of life.

  • 253.
    Lennartsson, Carin
    et al.
    Aging Research Center (ARC), Karolinska Institutet.
    Sundström, Gerdt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Wikström, Petter
    Statistiska centralbyrån.
    Allt fler guldbröllop2017Ingår i: Välfärd, ISSN 1651-6710, nr 4, s. 18-19Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    "Vi lever allt längre, vilket ger möjlighet till längre äktenskap. Trots ökande skilsmässotal under 1900-talet är det allt fler som lever i äktenskap som varat 50 år och mer."

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  • 254.
    Lennartsson, Carin
    et al.
    Aging Research Center (ARC), Karolinska Institutet.
    Sundström, Gerdt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Wikström, Petter
    Statistiska centralbyrån.
    Cada vez más bodas de oro2017Övrigt (Övrig (populärvetenskap, debatt, mm))
  • 255.
    Levin, Sara K.
    et al.
    Department of Forensic Psychiatry, Linköping University, Vadstena, Sweden.
    Nilsen, Per
    Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
    Bendtsen, Preben
    Department of Medical Specialist, Linköping University, Motala, Sweden.
    Bülow, Per
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Department of Psychiatry, Ryhov County Hospital, Jönköping, Sweden.
    Staff perceptions of facilitators and barriers to the use of a short-term risk assessment instrument in forensic psychiatry2018Ingår i: Journal of Forensic Psychology Practice, ISSN 1522-8932, E-ISSN 1522-9092, Vol. 18, nr 3, s. 199-228Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Prospective adverse events within forensic settings should be assessed using structured risk assessment instruments. Our aim was to identify the barriers and facilitators of a structured instrument for assessment of short-term risk within inpatient forensic psychiatric care. The instrument was piloted at a forensic psychiatric clinic. Three focus group interviews were conducted with staff. Content analysis revealed three main categories of barriers and facilitators for clinical use: implementation object, context, and users. Complexity of the instrument, insufficient continuous training and support, difficulties retrieving assessments on wards, and insecurity about translating assessments into actions were perceived barriers to clinical use. Routines for documentation improved communication and the inclusion of protective and short-term dynamic clinical factors were perceived as clinically relevant. Problem-solving ability, attitude, and motivation of staff were facilitating factors. Comprehensive risk assessment instruments require substantial support for staff to find them manageable. Systematic documentation is required to measure actual daily clinical use.

  • 256.
    Levin, Sara K.
    et al.
    Department of Forensic Psychiatry, Linköping University, Vadstena, Sweden.
    Nilsen, Per
    Department of Medical and Health Sciences, Division of Community Medicine, Linköping University, Linköping, Sweden.
    Bendtsen, Preben
    Department of Medical Specialists, Linköping University, Motala, Sweden.
    Bülow, Per
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Structured risk assessment instruments: A systematic review of implementation determinants2016Ingår i: Psychiatry, Psychology and Law, ISSN 1321-8719, E-ISSN 1934-1687, Vol. 23, nr 4, s. 602-628Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Research-based structured risk assessment instruments (SRAIs) can improve violence risk assessment and clinical judgements in mental health and correctional services. Practical challenges of implementing SRAIs have led to calls for more research to understand the determinants influencing this process. Studies describing determinants for SRAI implementation in psychiatric, correctional, or community in-patient settings were systematically reviewed. Findings were analysed according to the Consolidated Framework for Implementation Research. A total of 11 studies were included. Four types of main implementation determinants were found: characteristics of the SRAI; users of the SRAI; inner setting; and process. Findings underscore the importance of applying a multifactorial approach to the implementation of SRAIs to address many different barriers and facilitators. More stringent research is needed to obtain more solid evidence of factors that impede or enable SRAI implementation, especially regarding patient perspectives and outer setting determinants. Constructing shared concepts of determinants across research fields could further aid information transferences.

  • 257.
    Liao, Hua-Fang
    et al.
    National Taiwan University, Taiwan.
    Hwang, Ai-Wen
    Chang Gung University, Taiwan.
    Kang, Lin-Ju
    Chang Gung University, Taiwan.
    Liao, Ya-Tzu
    Chang Gung University, Taiwan.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Simeonsson, Rune J.
    University of North Carolina at Chapel Hill, USA.
    Development of the FUNDES-Child and its implications for the education of Taiwanese children2018Ingår i: An emerging approach for education and care: Implementing a worldwide classification of functioning and disability / [ed] S. Castro & O. Palikara, London: Routledge, 2018, s. 85-110Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    Children and youth with special needs from age two to 18 years in Taiwan receive evaluation and services from both the Ministry of Health and Welfare and the Ministry of Education based on the People with Disabilities Rights Protection Act (Ministry of Health and Welfare, 2007) and the Special Education Act (Ministry of Education, 2014). On the basis of the earlier two acts, those children could apply for Disability Identification to receive related services, which are provided by the local social welfare department, and could also apply for special education services provided by the local educational department if they are going to attend preschool or higher-level school (both public and private). Special education placements range widely, from inclusion in regular classes in school to segregated setting in special education schools.

  • 258.
    Liao, Ya-Tzu
    et al.
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
    Hwang, Ai-Wen
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
    Liao, Hua-Fang
    The School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taiwan.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Kang, Lin-Ju
    Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Taiwan.
    Understanding the participation in home, school, and community activities reported by children with disabilities and their parents: A pilot study2019Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 12, artikel-id 2217Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Participation has significant impact on children’s health and well-being. Knowledge is limited on how children with disabilities perceive their participation and whether their perceptions differ from their parents. This pilot study aimed to explore whether self-reported frequency of participation and prioritized activities differ between children with disabilities and their parents. Thirty children with disabilities eligible for special education in elementary school and their parents were included. Each of them were interviewed with the Chinese version of Picture My Participation (PMP), separately, to identify the child’s participation frequency in 21 activities at home, school, and community, desire-to-change activities, and the level of involvement in these activities. The results indicated that children’s ratings of participation frequency were significantly lower than parents’ ratings in home activities but not in school and community activities, as analyzed by the Wilcoxon Signed Ranked test. Nineteen (63%) child–parent pairs had selected entirely different items as their desire-to-change activities. Children selected the activities that they were somewhat to very involved in; while parents selected the activities they thought their children were less involved in. Our findings suggest that children with disabilities had unique views on life and this should be supported in their health care and individualized education plans.

  • 259.
    Lindmark, Ulrika
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Centrum för oral hälsa. Jönköping University, Hälsohögskolan, HHJ. ADULT. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ahlstrand, Inger
    Jönköping University, Hälsohögskolan, HHJ, Avd. för rehabilitering. Jönköping University, Hälsohögskolan, HHJ. ADULT.
    Ekman, Aimée
    Jönköping University, Hälsohögskolan, HHJ, Avd. för socialt arbete. Jönköping University, Hälsohögskolan, HHJ. ADULT. Jönköping University, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Berg, L.
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hedén, L.
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
    Källstrand, J.
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Larsson, M.
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Nunstedt, H.
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, L.
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Pennbrant, S.
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, A.
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
    Larsson, I.
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Health-promoting factors in higher education for a sustainable working life – protocol for a multicenter longitudinal study2020Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 20, nr 1, s. 1-8, artikel-id 233Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work.

  • 260.
    Lindmark, Ulrika
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Bülow, Pia H.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Social Work, University of the Free State, Bloemfontein, South Africa.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Rönning, Helén
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Ahlstrand, Inger
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Fransson, Eleonor I.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Gunnarsson, Nina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Henricson, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Kjellström, Sofia
    Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Sandgren, Anna
    Center for Collaborative Palliative care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    The use of the concept of transition in different disciplines within health and social welfare: An integrative literature review2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 664-675Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Aims

    To continuing the quest of the concept of transition in nursing research and to explore how the concept of transition is used in occupational therapy, oral health and social work as well as in interdisciplinary studies in health and welfare, between 2003–2013.

    Design

    An integrative literature review.

    Methods

    PubMed, CINAHL, PsycINFO, DOSS, SocIndex, Social Science Citation Index and AMED databases from 2003–2013 were used. Identification of 350 articles including the concept of transition in relation to disciplines included. Assessment of articles are in accordance to Meleis' typologies of transition by experts in each discipline. Chosen key factors were entered into Statistical Package for the Social Sciences (SPSS).

    Results

    Meleis' four typologies were found in all studied disciplines, except development in oral health. The health‐illness type was the most commonly explored, whereas in social work and in occupation therapy, situational transitions dominated.

  • 261.
    Lindmark, Ulrika
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Wagman, Petra
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Wåhlin, Charlotte
    Intervention and Implementation Research Unit, Karolinska Institutet, Linköping, Sweden.
    Rolander, Bo
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Futurum, Academy for Health and Care, Jönköping County Council, Jöonköping, Sweden.
    Workplace health in dental care – a salutogenic approach2018Ingår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 16, nr 1, s. 103-113Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    The purpose was to explore self-reported psychosocial health and work environments among different dental occupations and workplaces from a salutogenic perspective. A further purpose was to analyse possible associations between three salutogenic measurements: The Sense of Coherence questionnaire (SOC), the Salutogenic Health Indicator Scale (SHIS) and the Work Experience Measurement Scale (WEMS).

    Methods

    Employees in the Public Dental Service in a Swedish county council (n = 486) were invited to respond to a self-reported web survey including demographics, work-related factors, the SOC, the SHIS and the WEMS.

    Results

    This study showed positive associations between employee characteristics and self-reported overall psychosocial health as well as experienced work environment. Autonomy was reported more among men than women (P < 0.000) and to a higher degree by dentists and dental hygienists than dental nurses (P < 0.000). Meaningfulness, happiness, job satisfaction, autonomy and positive to reorganization were reported by personnels aged less than 40 years (P ≤ 0.047). Clinical coordinators reported significant better health (SOC, SHIS) and experienced more autonomy, better management and more positive to reorganization than other dental professions. Dental hygienists and nurses experienced less time pressure than dentists (P ≤ 0.007). Better health and positive work experiences were also seen in smaller clinics (P ≤ 0.29).

    Conclusion

    Dental professionals reported a high degree of overall psychosocial health as well as a positive work experience. Some variations could be seen between employee characteristics such as gender, years in dental care, professionals, managing position and workplace size. Identify resources and processes at each workplace are important and should be included in the employee's/employers dialogue.

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  • 262.
    Lochner, Christine
    et al.
    Dept of Psychiatry, University of Stellenbrosh, South Africa.
    Seedat, S
    Allgulander, Christer
    The Karolinska Institute, Dpt of Psychiatry.
    Kidd, M
    Stein, D
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete.
    Childhood trauma in adults with social anxiety disorder and panic disorder: A cross-national study2010Ingår i: African Journal of Psychiatry, ISSN 1994-8220, Vol. 13, nr 5, s. 376-381Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES:

    The influence of childhood trauma as a specific environmental factor on the development of adult psychopathology is far from being elucidated. As part of a collaborative project between research groups from South Africa (SA) and Sweden focusing on genetic and environmental factors contributing to anxiety disorders, this study specifically investigated rates of childhood trauma in South African and Swedish patients respectively, and whether, in the sample as a whole, different traumatic experiences in childhood are predictive of social anxiety (SAD) or panic disorder (PD) in adulthood.

    METHOD:

    Participants with SAD or PD (85 from SA, 135 from Sweden) completed the Childhood Trauma Questionnaire (CTQ). Logistic regression was performed with data from the two countries separately, and from the sample as a whole, with primary diagnoses as dependent variables, gender, age, and country as covariates, and the CTQ subscale totals as independent variables. The study also investigated the internal consistency (Cronbach alpha) of the CTQ subscales.

    RESULTS:

    SA patients showed higher levels of childhood trauma than Swedish patients. When data from both countries were combined, SAD patients reported higher rates of childhood emotional abuse compared to those with PD. Moreover, emotional abuse in childhood was found to play a predictive role in SAD/PD in adulthood in the Swedish and the combined samples, and the same trend was found in the SA sample. The psychometric qualities of the CTQ subscales were adequate, with the exception of the physical neglect subscale.

    CONCLUSION:

    Our findings suggest that anxiety disorder patients may differ across countries in terms of childhood trauma. Certain forms of childhood abuse may contribute specific vulnerability to different types of psychopathology. Longitudinal studies should focus on the potential sequential development of SAD/PD among individuals with childhood emotional abuse.

  • 263.
    Lundgren, Christine
    et al.
    Department of Oncology, Ryhov County Hospital, Jönköping, Sweden.
    Lindman, Henrik
    Department of Oncology, Uppsala University Hospital, Uppsala, Sweden.
    Rolander, Bo
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Futurum, Academy for Health and Care, Region Jönköping County, Jönköping, Sweden.
    Ekholm, Maria
    Department of Oncology, Ryhov County Hospital , Jönköping, Sweden.
    Good adherence to adjuvant endocrine therapy in early breast cancer - a population-based study based on the Swedish Prescribed Drug Register2018Ingår i: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 57, nr 7, s. 935-940Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Adjuvant endocrine therapy improves recurrence-free and overall survival in primary breast cancer. However, not all patients complete their planned treatment, mostly because of side-effects. The aim of this study was to examine the adherence to adjuvant endocrine therapy in a cohort of primary breast cancer patients in Region Jönköping County, Sweden, after 3 and 5 years.

    MATERIAL AND METHODS: The Swedish Breast Cancer Register was used to identify patients diagnosed with hormone receptor positive breast cancer in Region Jönköping County between 2009 and 2012. Adherence was evaluated based on data from the Swedish Prescribed Drug Register, and Medication Possession Ratio (MPR), defined as the days' supply of medication during the period from the first dispensing till the last dispensing in the time period (3 and 5 years), divided by number of days. Adherence was defined as MPR ≥80%. Regression analyses were used to identify subgroups associated with adherence; age, type of endocrine treatment, additional adjuvant therapy, and hospital responsible for the follow-up (Eksjö, Jönköping, and Värnamo).

    RESULTS: We identified 634 patients who were recommended adjuvant endocrine therapy and to be able to estimate adherence after 3 and 5 years, 488 patients were included in the analysis. After 3 years of treatment, 91.2% of the patients (95% confidence interval (CI) 88.7-93.6; n = 445), were found to be adherent. The corresponding figure for the 271 patients who had completed 5 years of treatment was 91.5% (95% CI 88.2-94.8; n = 248). No subgroups (age, endocrine therapy, radio/chemotherapy, or hospital) were significantly associated with adherence in the multiple logistic regression analysis.

    DISCUSSION: This study shows substantially higher adherence to adjuvant endocrine therapy than previously reported. Reasons for this could be differences in routines for therapy information and follow-up, but this needs to be further investigated.

  • 264.
    Lundgren, Dan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Municipality of Jönköping, Sweden.
    Ernsth-Bravell, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Börjesson, Ulrika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Kåreholt, Ingemar
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Karolinska Institute, Solna, Sweden.
    Changes in perceived psychosocial work environment in old age carefrom 2007 to 2015Manuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    This study examines changes in nursing assistants’ perceived psychosocial work environment 2007-2015 and whether there are differences between nursing homes and home care. Repeated cross-sectional surveys were conducted (summed sample N = 9400) in nursing homes and home care units. Mixed linear models with random intercept, slope and variance were used. Nursing assistants in nursing homes assess their psychosocial work environment better than nursing assistants in home care do. When analysing linear trends for the entire time period (2007-2015), we found a decline in control at work (p < .001) in both nursing homes and home care and positive trends for stimulus from work itself (nursing homes, p < .001 and home care, p = .004). This indicates that nursing assistants perceived decreasing control of their work situation and increasing stimulus from work itself over the period 2007-2015. The results indicated shifting trends when the municipality introduced different reforms, such as the act of a system of choice in the public sector and the implementation of home health care. These findings suggest that it is important for old-age care organisations to consider long-term consequences for nursing assistants’ psychosocial work environment when implementing new reforms and organizational changes.

  • 265.
    Lundgren, Dan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Municipality of Jönköping, Sweden.
    Ernsth-Bravell, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Börjesson, Ulrika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Kåreholt, Ingemar
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Karolinska Institute, Stockholm, Sweden.
    The association between psychosocial work environment and satisfaction with old age care among care recipients2018Ingår i: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study examines the association between nursing assistants’ perceptions of their psychosocial work environment and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted among people receiving care (N = 1,535) and nursing assistants (N = 1,132) in 45 nursing homes and 21 home care units within municipal old-age care. Better psychosocial work environment was related to higher satisfaction in old-age care among the recipients. Significant and stronger associations were more common in nursing homes than in home care. Perception of mastery and positive challenges at work were associated with higher recipient satisfaction both in home care and in nursing homes: social climate, perception of group work, perception of mastery, and positive challenges at work only in nursing homes. Findings suggest that recipient satisfaction may be increased by improving the psychosocial work environment for nursing assistants, both in nursing homes and in home care. 

  • 266.
    Lundgren, Dan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Division of Social Services, Municipality of Jönköping, Sweden.
    Ernsth-Bravell, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Börjesson, Ulrika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Kåreholt, Ingemar
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Karolinska Institute, Solna, Sweden.
    The impact of leadership and psychosocial work environment on recipient satisfaction in nursing homes and home care2019Ingår i: Gerontology and geriatric medicine, E-ISSN 2333-7214Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study examines the association between nursing assistants’ assessment of leadership, their psychosocial work environment, and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted with nursing assistants (n = 1,132) and people receiving care (n = 1,535) in 45 nursing homes and 21 home care units. Direct leadership was associated with the psychosocial work environment in nursing homes and home care. Furthermore, better leadership was related to higher satisfaction among nursing assistants and older people in nursing homes. Thus, indirect leadership had no effect on recipients’ satisfaction in either nursing homes or home care. The path analysis showed an indirect effect between leadership factors and recipient satisfaction. The findings suggest that the psychosocial work environment of nursing assistants and recipient satisfaction in nursing homes can be increased by improving leadership.

  • 267.
    Lundin, Anette
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Rättfärdigade prioriteringar - en kvalitativ analys av hur personal i äldreomsorgen hanterar motstridiga verksamhetslogiker2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Tidigare forskning visar att äldreomsorgspersonal kämpar med två typer av logiker: en ekonomisk logik och en omsorgslogik. Även om båda logikerna behövs för att skapa god omsorg så utmanar de varandra. Dessa utmaningar kommer till uttryck i omsorgspraktiken där personalen ställs in för val och måste göra prioriteringar.

    Denna avhandling syftar till att förstå hur äldreomsorgspersonal beskriver att de arbetar för att finna balans mellan logikerna och hur de rättfärdigar sina prioriteringar i omsorgen om de äldre personerna. Frågeställningen för avhandlingen är att ta reda på hur personal och enhetschef vid ett kommunalt äldreboende förstår och hanterar interaktionen mellan de två logiker som styr omsorgsarbetet för att främja de äldre personernas välbefinnande. Syftet innehåller tre delsyften: 1) att analysera personalens erfarenheter av och meningsskapande kring de äldre personernas välbefinnande och deras reflektioner kring det omsorgsarbete de utför, 2) att belysa och problematiserade logiker som styr omsorgsarbetet samt 3) att analysera hur personalen rättfärdigar sina prioriteringar i rådande kontext och hur deras förklarbarhet påverkar deras professionella identiteter. Målet är att bidra med socialvetenskaplig kunskap om de överväganden personal gör när de ställs inför att göra prioriteringar i äldreomsorgens praktik.

    Material samlades in genom 12 individuella intervjuer med personal vid ett kommunalt äldreboende, en intervju med personalens enhetschef och en uppföljande gruppintervju med tre personer ur personalgruppen. Materialet analyserades med tre analysmetoder: fenomenologisk analys, reflexiv analys och positioneringsanalys. Resultatet visar att personalen definierar de äldre personernas välbefinnande som ett behov av att känna sig existentiellt berörd. Denna känsla av existentiell beröring delas in i tre delar: känsla av valfrihet, känsla av njutning och känsla av närhet till någon eller något. Arbetet för att uppnå detta välbefinnande beskrivs innebära ett balanserande av tre tvetydigheter: att vilja värna om de äldre personernas valfrihet och samtidigt hantera institutionella begränsningar, de äldre personernas behov av aktivering å ena sidan och att de inte behöver aktiveras å andra sidan samt att förstå de äldre personernas behov av rutiner samtidigt som det är svårt att veta vilka behov de har. Tvetydigheterna kontextualiserades och de två logikerna som styr omsorgsarbetet analyserades. Analysen visar att enhetschefen skapar en hybrid av den ekonomiska logiken och omsorgslogiken; ekonomi är omsorg och vice versa. Denna hybrid möter motstånd från personalen som skiljer på de båda logikerna genom att tala om ”vård och det där andra”. Personalen upplever att den ekonomiska logiken begränsar deras möjligheter att utföra omsorg i linje med omsorgslogiken. Motsättningar mellan de båda logikerna leder till prioriteringar som rättfärdigas av personalen i syfte att behålla de professionella identiteterna.

    Den teoretiska analysen bygger på teorier om institutionella logiker, förklarbarhet ochprofessionell identitet. Analyserna visar vikten av att väcka dialog mellan enhetschefer och personal där de diskuterar innebörder av olika värdeord som används på politisk nivå. Sådana diskussioner skulle kunna bidra till mindre motstånd och en högre överensstämmelse mellan verksamhetsmål och praktik. Avhandlingen visar även vikten av att förstå logiker som vertikala istället för horisontellt uppdelade. Alltså, att styrande verksamhetslogiker existerar uppifrån och ned i verksamheter (från politisk nivå till chefsnivå och till praktisk nivå) och att de inte kan delas in i exempelvis en professionslogik och en styrningslogik. Den senare synen kan bidra till potentiella missförstånd eftersom det gör att konflikter kan tolkas existera mellan personal och chef, medan de egentligen existerar mellan olika motstridiga värderingssystem.

    Slutsatsen är att de båda logikerna behövs för att stödja äldre personers välbefinnande. Ibland är logikerna samspelta och ibland är de i konflikt med varandra. När logikerna ställs mot varandra är det av vikt att komma ihåg att den ekonomiska logiken är lika förhandlingsbar som omsorgslogiken. De två logikerna existerar i samspel och om deras motstridigheter inte belyses finns risk att omsorgspraktiken inte stödjer de äldre personernas välbefinnande.

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  • 268. Lundin, Anette
    et al.
    Stier, J.
    Bülow, Pia
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    To do or not to do: Problematizing accounts made by carers (not) prioritizing care tasks as the work load increasesManuskript (preprint) (Övrigt vetenskapligt)
  • 269. MacDonald, K.
    et al.
    Thomas, M. L.
    Sciolla, A. F.
    Schneider, B.
    Pappas, K.
    Bleijenberg, G.
    Bohus, M.
    Bekh, B.
    Carpenter, L.
    Carr, A.
    Dannlowski, U.
    Dorahy, M.
    Fahlke, C.
    Finzi-Dottan, R.
    Karu, T.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Glaesmer, H.
    Grabe, H. J.
    Heins, M.
    Kenny, D. T.
    Kim, D.
    Knoop, H.
    Lobbestael, J.
    Lochner, C.
    Lauritzen, G.
    Ravndal, E.
    Riggs, S.
    Sar, V.
    Schäfer, I.
    Schlosser, N.
    Schwandt, M. L.
    Stein, M. B.
    Subic-Wrana, C.
    Vogel, M.
    Wingenfeld, K.
    Minimization of childhood maltreatment is common and consequential: Results from a large, multinational sample using the Childhood Trauma Questionnaire2016Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, nr 1, s. 1-16, artikel-id e0146058Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Childhood maltreatment has diverse, lifelong impact on morbidity and mortality. The Childhood Trauma Questionnaire (CTQ) is one of the most commonly used scales to assess and quantify these experiences and their impact. Curiously, despite very widespread use of the CTQ, scores on its Minimization-Denial (MD) subscale-originally designed to assess a positive response bias-are rarely reported. Hence, little is known about this measure. If response biases are either common or consequential, current practices of ignoring the MD scale deserve revision. Therewith, we designed a study to investigate 3 aspects of minimization, as defined by the CTQ's MD scale: 1) its prevalence; 2) its latent structure; and finally 3) whether minimization moderates the CTQ's discriminative validity in terms of distinguishing between psychiatric patients and community volunteers. Archival, item-level CTQ data from 24 multinational samples were combined for a total of 19,652 participants. Analyses indicated: 1) minimization is common; 2) minimization functions as a continuous construct; and 3) high MD scores attenuate the ability of the CTQ to distinguish between psychiatric patients and community volunteers. Overall, results suggest that a minimizing response bias-as detected by the MD subscale-has a small but significant moderating effect on the CTQ's discriminative validity. Results also may suggest that some prior analyses of maltreatment rates or the effects of early maltreatment that have used the CTQ may have underestimated its incidence and impact. We caution researchers and clinicians about the widespread practice of using the CTQ without the MD or collecting MD data but failing to assess and control for its effects on outcomes or dependent variables. © 2016 MacDonald et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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  • 270.
    Malm, Dan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Rolander, Bo
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Futurum Academy for Healthcare, Jönköping, Sweden.
    Ebefors, Eva-Marie
    Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden.
    Conlon, Lisa
    Futurum Academy for Healthcare, Jönköping, Sweden.
    Nygårdh, Annette
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Reducing the prevalence of catheter-related infections by quality improvement: Six-year follow-up study2016Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 6, nr 2, s. 79-87Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Peripheral venous catheter (PVC) insertion is a crucial nursing action during life support. Several factors that increase the risk of thrombophlebitis associated with PVCs have been reported. Objective: We wish to evaluate the impact of a quality improvement regarding PVC treatment for patients with coronary heart diseases.

    Method: A longitudinal, quantitative observational study was carried out in 2008 and 2013 in a hospital in southern Sweden with 360 consecutive patients suffering from acute chest pain. New routines for PVC treatment were included in the hospital with daily inspection according to a checklist. A structured observation protocol was used to survey the prevalence of thrombophlebitis between 2008 and 2013. Also, we examined the relationship between the location and luminal diameters of PVCs.

    Results: The student’s t-test showed significant differences between 2008 and 2013 with respect to luminal diameter of PVCs (p = 0.002), prevalence of thrombophlebitis (p = 0.003) and number of days with PVC left in situ (p < 0.001).

    Conclusion: These findings emphasize the value of using systematic daily inspections and checklists to achieve quality and safety in patients with acute chest pain having PVC-based treatment.

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  • 271.
    Malmberg, Bo
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Henning, CeciliaHögskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Äldres livsvillkor och omsorg.
    Aspects on aging, old age care and local contexts2002Samlingsverk (redaktörskap) (Övrig (populärvetenskap, debatt, mm))
  • 272.
    Malmberg, Bo
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Henning, Cecilia
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Äldres livsvillkor och omsorg.
    Introduction.2002Ingår i: Aspects on aging, old age care and local contexts, Jönköping: Hälsohögskolan , 2002Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 273.
    McCall, Mary E.
    et al.
    Samuel Merritt University, School of Nursing, Oakland, California, USA.
    Börjesson, Ulrika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Integration or specialization? Similarities and differences between Sweden and the United States in gerontology education and training2017Ingår i: Gerontology & Geriatrics Education, ISSN 0270-1960, E-ISSN 1545-3847, Vol. 38, nr 1, s. 47-60Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article examines the similarities and differences in the education and training of gerontologists and others who work with older people in Sweden and the United States. It outlines the aging trends in both countries and assesses the level of training for those who provide care in a variety of fields. Both countries are aging, but the programs for gerontological training are quite different in the two countries, reflecting underlying cultural values. Sweden’s education is generally more oriented toward the integration of some aging education in more disciplinary fields, such as nursing and social work and thus could benefit from more specialized, aging-specific courses. The United States is highly specialized, with multiple programs in various subfields of aging (e.g., geropsychology; aging services administration) and could benefit from integrating more aging knowledge into courses in other disciplines. The authors challenge professionals to consider if there is a basic but global curriculum and/or set of competencies in gerontology that could be agreed upon. As an increasingly global village, the ability to share and learn is more easily achievable. Sweden and the United States have much to learn from each other in terms of appropriately educating and training those who support our older people.

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  • 274.
    Monwell, Bodil
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    En dyster parentes – opiatregeln i svensk LARO-behandling 2010–20162019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Opioids are well documented to arouse euphoria, relieve pain, and to have a high dependency potential. Opioid dependence is a serious chronic condition with a high risk of extensive worsened health, relapse and premature death.

    Opioid maintenance treatment (OMT) is well researched and has strong scientific support. In Sweden, OMT over time was subjected to polarised and infected political debate and has been strictly regulated by the National Board of Health and Welfare (NBHW). During 2010–2016 NBHW redefined the diagnostic concept of “opiate dependence” in the regulation SOSFS 2009:27. Dependence to only three opioids: heroin, opium or morphine, could give eligibility to OMT (here called the “opiate rule”). The purpose stated was to prevent those dependent to other opioides, e.g. buprenorphine,from receiving OMT. Applicants with severe opioid dependence were thereby divided into two subgroups: those with “opiate” dependence related to heroin, morphine or opium, and those with opioid dependence who lacked documentation in relation to the three opiates. The question is whether there were differences between these groups concerning problem severity or substance-related diagnostics that could justify differences in access to OMT?

    A population (n = 127) actualised for OMT during 2005-2011 in Jönköping County is studied regarding severity of problems, diagnostics and trajectories in and out of treatment. In order to provide precise drug use data, a cognitive tool for taking anamnestic information, called the Drug List, was developed.

    In Study I, using the Addiction Severity Index, the two groups were found to be quite similar in severity of health problems, social situation and drug problems, including overdoses and injections.

    In Study II, the Drug List was found to be superior to a traditional way of taking anamnestic data, more sensitive and giving more precise data, without taking more time. Validity was shown in relation to faked drugs.

    In Study III, using a structured diagnostic interview, ADDIS, with the Drug List, showed that both two groups qualified for severe opioid dependence, that opiates and other opioids had contributed equally to the development of opioid dependency, and that the two groups also had similar additional substance dependence problems.

    Study IV investigated how “the opiate rule” affected practice by interviewing representatives of OMT clinics as well as a representative of a users’ association. The regulation created dilemmas for clinics as well as for users. Users developed a strategy of getting "negative merits" for being eligible to OMT. Clinicians developed strategies to find ways “around” the regulation in order to admit patients in OMT.

    Study V followed those who had applied for OMT and found four trajectory subgroups – those denied OMT, those discharged, those readmitted, and those who remained in treatment. The study provides evidence for a more positive development being related to more involvment in OMT concerning health, social situation as well as substance use problems. Being denied or discharged is related to increased risks of a negative development.

    The thesis conclude that there was no support for dividing applicants according to “the opiate rule”. The purpose of top-down control using regulations, is to guarantee uniform and knowledge-based care. In this case the regulation had negative effects in these respects, increasing risks for the applicants, and lost credibility from the profession. The opiate rule in SOSFS 2009:27 is therefore a dismal parenthesis in the history of OMT in Sweden, and could be studied to prevent similar mistakes in the future.

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  • 275.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Blix, Olof
    Beroendemottagningen, Psykiatriska kliniken, Länssjukhuset Ryhov.
    Bülow, Per
    Psykiatriska kliniken, Länssjukhuset Ryhov.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Ämneslista som kognitivt stöd gav utförligare uppgifter om droganvändning: Jämförelse av två metoder för utredning av opioidberoende2013Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, nr 48, s. 2178-2180Artikel i tidskrift (Övrigt vetenskapligt)
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  • 276.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan. Department of Dependency, County Hospital Ryhov, Jönköping, Sweden.
    Blix, Olof
    Department of Dependency, County Hospital Ryhov, Jönköping, Sweden.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Bülow, Per
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Psychiatric Clinic, County Hospital Ryhov, Jönköping, Sweden.
    Drug list as a cognitive support to provide detailed information on a patient's drug use: A comparison of two methods within the assessment of drug misuse and dependence2016Ingår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 51, nr 11, s. 1470-1476Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: It is important to identify the type of drugs a patient has used, especially when polydrug misuse has increased and new drugs and patterns of misuse are quickly spread. Objectives: In order to acquire sufficient information about drug use, an effective and simple form of mapping is needed.

    Methods: Persons actualized for Opioid Substitution Treatment (n = 135) were interviewed about their drug-history in a two-stage model. First, they were asked to write down the drugs misused, and dot those injected with a felt pen. Second, they were asked to do the same on a drug list provided as a cognitive support. For a subsample of 50 persons, the drug list included four fictive drugs to evaluate possible over-reporting.

    Results: The use of a drug list did not take longer than the traditional way of using open questions, i.e. about 5–8 minutes. Using a drug list gave a cognitive support resulting in a much higher proportion/number of reported drugs. The majority, 97%, used more than one drug. None of the patients who were given the drug list that included fictive drug names reported having used any of them. The respondents reported 43 additional substances to the 125 given on the list which improve our knowledge of the drug scene.

    Conclusions/importance: Using a drug-list was superior to open questions; it does not take more time and provides additional, clinically relevant information than open questions. Using a drug-list also gives improved knowledge of new drugs entering the local drug scene.

  • 277.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan. County Hospital Ryhov, Department of Dependency, Psychiatric Clinic, Jönköping, Sweden.
    Bülow, Per
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Type of opioid dependence among patients seeking opioid substitution treatment: Are there differences in background and severity of problems?2016Ingår i: Substance Abuse Treatment, Prevention, and Policy, ISSN 1747-597X, E-ISSN 1747-597X, Vol. 11, nr 1, s. 1-8, artikel-id 23Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The study explores differences and similarities in background and problem severity among those seeking Opioid Substitution Treatment (OST), comparing those who primarily had misused "opiates", e.g. heroin, morphine and opium, with those who primarily had misused other opioids.

    Methods: Patients (n=127) assessed for possible admittance in OST are compared based on the Addiction Severity Index. Two groups based on primary type of opioid misused are compared (opiates vs. other opioids).

    Results: In the global severity ratings there were no significant differences between the groups other than tautological artefacts concerning heroin. There were few specific differences between the groups. The opiate group more often had Hepatitis C and more often had legal problems related to financing their misuse. Injection of drugs was the main method of administration in both groups, i.e. 90 % for mostly opiates vs. 75 % for mostly other opioids. A great majority in both groups, 96 % vs. 91 %, had misused most other types of drugs. Both groups were found to have severe problems in all areas investigated.

    Conclusions: The study demonstrates great similarities in problem severity among those seeking OST, both those who primarily had misused opiates and those who primarily had misused other opioids.

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  • 278.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Department of dependency, Psychiatric Clinic, County Hospital Ryhov, Jönköping, Sweden.
    Bülow, Per
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Psychiatric Clinic, County Hospital Ryhov, Jönköping, Sweden.
    Johnson, Björn
    Department of Social Work, Malmö University, Malmö, Sweden.
    The pros and cons of supervised urine tests in opioid replacement therapy: A study of patients' experiences2018Ingår i: Heroin Addiction and Related Clinical Problems, ISSN 1592-1638, Vol. 20, nr 6, s. 5-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and aim: In opioid maintenance treatment (OMT), drug testing is performed continuously to ensure that patients are taking their prescribed medication, and to detect whether they have taken other, non-prescribed, substances. Typically, supervised urine testing is conducted, and in Sweden such testing is often a treatment precondition. This study investigates OMT patients’ experiences of and views on supervised urine testing.

    Methods: Structured interviews were conducted with 90 Swedish OMT patients. During the interview, patients were asked to say what they thought about the supervised urine tests required. The answers were then analysed through content analysis.

    Results: Three main themes with sub-themes were found in the patients’ statements. 1) The consequences of the test results (sub-themes: external control can provide assurance; proven drug intake may have negative consequences for patients; proven drug abstinence can yield advantages for patients), 2) The testing procedures (sub-themes: supervised urine testing is humiliating and causes harm; how you are treated is important; clinical culture and attitudes differ; stress, pressure and anxiety – tests can be difficult to perform), and 3) The structure of the testing (sub-themes: structure is needed in life; inflexible testing schemes can interfere with treatment goals; gathering people with similar problems can be counterproductive).

    Conclusions: Most interviewees found the testing functional as support or as proxy control in case of personal loss of control. However, supervised urine testing also constitutes a severe invasion of privacy. Less demeaning testing methods need to be developed and implemented.

  • 279.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Department of Dependence, Psychiatric Clinic, County Hospital Ryhov, Jönköping, Sweden.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Opiates versus other opioids – are these relevant as diagnostic categorizations?2017Ingår i: Heroin Addiction and Related Clinical Problems, ISSN 1592-1638, Vol. 19, nr 6, s. 39-48Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:

    For more than three decades, the international diagnostic systems have used the term ‘opioids’, including opiates, yet research publications continue to use an older terminology. In 2010, new Codes of Statutes for “opiate replacement therapy” (ORT) was brought into effect in Sweden, stating that only those “dependent on opiates” – explicitly described as heroin, morphine or opium – were eligible. Those addicted to other opioids were then denied access. This study examines the relevance of the distinction of opiates vs. other opioids. Are there differences in the severity of opioid dependence or concerning other substance-related diagnoses?

    Methods:

    Ninety-nine individuals participated: 1) the opiate group (n = 69), and 2) the other opioids group (n=30). Structured interviews covered the ICD-10 criteria of nine different types of addictive substances. For opioids, questions were asked separately in relation to opiates versus other opioids.

    Results:

    The two groups fulfilled the criteria for opioid dependence to the same extent, with most participants meeting all six criteria, so indicating a severe opioid dependence problem. Both opiates and other opioids had contributed to their development of opioid dependence, and both groups, to the same high degree, showed comorbidity affecting other dependence conditions.

    Conclusions:

    This study reveals that the two categories of opioids used contribute to the development of opioid dependence and that the term ‘opioids’ can be suitably used to convey a unitary concept in diagnostic terms. There was no support for treating the two groups differently. The study calls for more stringent use of terminology in accordance with the international diagnostic systems.

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  • 280.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Opioid maintenance treatment: trajectories in and out of treatment2019Ingår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 73, nr 1, s. 24-30Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Problem: Although efficacy studies of opioid maintenance treatment (OMT) have shown evidence of treatment benefits, there is still need for studies on its effectiveness in natural clinical processes. This study investigates the development in health, substance use and social conditions of those who applied for OMT, including those denied access or discharged.

    Method: First, persons assessed for admittance in 2005–2011 (n = 127) were categorized into four trajectory groups based on whether they were admitted or denied (n = 19), discharged (n = 31), readmitted (n = 21) or had been undergoing OMT without interruption (n = 56). Second, 99 of these, the analytical sample, were interviewed at follow-up using (a) the Addiction Severity Index (ASI) for seven problem-areas and housing, and (b) self-rated change in 11 problem areas. The ASI was compared to baseline interviews after 55 months (mean). Third, outcomes within groups was studied in relation to alternative interventions.

    Results: Within the analytical sample, those denied OMT showed no improvements at group level, those discharged had some improvements, more if readmitted than if not and those with uninterrupted OMT showed the most comprehensive improvements. Those outside OMT, denied and discharged, had considerable mortality risks related to ongoing drug use, especially in lack of well-planned alternative interventions.

    Conclusion: Improvements strongly relate to access to OMT. This study underscores that access to OMT improves the situation in all areas investigated and decreases the risk for drug-related death. It underscores the importance of two major risk situations, i.e. being denied OMT and being discharged.

  • 281.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Johnson, B.
    Opiatregeln i konflikt med vetenskap,yrkesetik och klinisk erfarenhet: Hur en föreskrift för LARO hanterades ipraktikenManuskript (preprint) (Övrigt vetenskapligt)
  • 282.
    Monwell, Bodil
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Johnson, Björn
    Malmö högskola.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Opiater eller opioider?: dags att städa bland begreppen2015Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, nr 43, s. 1928-1929Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 283.
    Mosberg Iversen, Sara
    et al.
    University of Southern Denmark.
    Blaakilde, Anne Leonora
    Region Zealand.
    Wilinska, Monika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Sandvik, Kjetil
    Growing old with and via media2017Ingår i: MedieKultur: Journal of Media and Communication Research, ISSN 0900-9671, E-ISSN 1901-9726, Vol. 33, nr 63Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    What we understand at any given time as “old age” may seem to have a very straightforward and factual base. Yet, in the words of Simone de Beauvoir, “as far as our own species is concerned old age is by no means easy to define” (de Beauvoir, 1996, p. 9). Even the most positivist sciences have to admit that old age is a “a heterogeneous event that some individuals tolerate better than others” (Balcombe & Sinclair, 2001, p. 845). That is, “old age” as a biological and physiological phenomenon has many and variable causes that may become visible at differing points in individual lives. Moreover, the phenomenon of ageing cannot be explained by any one universal theory (Balcombe & Sinclair, 2001, pp. 845-846). What it means to be old in a particular society at any given time is, thus, a matter of social and cultural construction that may vary greatly from place to place and at different historical times (Hazan, 1994). 

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  • 284.
    Mylläri, Sanne
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete.
    Hansson, Lina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete.
    Finns det någon där för mig?: En studie om ungdomars upplevelser kring att tryggt kunna berätta för andra om sitt psykiska mående2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Forskningsfältet kring ungdomars psykiska hälsa är oenigt. Forskare är oense om den psykiska ohälsan hos ungdomar ökar– och i så fall, varför? En faktor som lyfts fram som förklaring till hur ungdomar mår idag är ungdomars livsvillkor i Sverige. I det samhälle som ungdomar idag ställs inför råder en stark tilltro till individualism, vilket i sin tur leder till ett stort eget ansvarstagande som kan upplevas pressande. Dessa faktorer i sig innebär inte att ungdomar bör uppleva ett sämre psykiskt mående, tvärtom, de flesta ungdomar i Sverige idag mår bra. Dagens generation av ungdomar prioriterar postmateriella värderingar, som frihet och valfrihet, högre än det materiella – och enligt mätningar visar det sig att vissa villkor och förutsättningar för ungdomar i Sverige har haft en positiv utveckling över tid. Trots detta sker det ändå en ökad rapportering av självupplevda psykiska problem och ett behov av stöd hos ungdomar.  

    I denna studie har ett urval av tredjeårselever på gymnasienivå (n=272) i en webbenkät tillfrågats om behovet av stöd vid psykisk ohälsa. Resultatet visar att ungdomar efterfrågar mer kunskap kring psykisk ohälsa och ett bättre stöd både från nätverk och profession, dels för att minska det tabu som finns om psykisk ohälsa. Resultatet visar också att ungdomar främst vänder sig till de som står denne närmast i nätverket och att valet att vända sig till olika professioner prioriteras lågt. När ungdomar söker stöd framkommer önskan om att bli lyssnad på och att stödet finns där när denne behöver det. Resultatet visar även att det finns skillnader mellan hur kvinnor respektive män väljer att uttrycka sitt mående för andra. Stressnivån verkar vara högre för de som går ett teoretiskt gymansieprogram än för de som går ett praktiskt program och gruppen som mår allra sämst är de som mer sällan söker stöd.

    Författarnas avslutande reflektioner rör det ansvar som ligger hos profession inom skola och elevhälsovård, kring att minska tabut och få de grupper som sällan söker stöd för sin psykiska ohälsa att känna sig tryggare med att göra det.

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  • 285.
    Nilsson, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Dementia and the need for new activities: Some questions on the use of social therapeutic horticulture2014Ingår i: Dementia. European Social Care Perspectives. / [ed] Joachim Döbler & Dawn B. Judd, Wolfenbüttel, Germany: Ambet , 2014, s. 213-233Kapitel i bok, del av antologi (Refereegranskat)
  • 286.
    Nilsson, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Frihet, regler och läkarintyg: en uppföljning av Samverkansmodellen mellan Försäkringskassan och Landstinget i Jönköpings län2012Rapport (Övrig (populärvetenskap, debatt, mm))
  • 287.
    Nilsson, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Socialt behandlingsarbete inom gröna ramar2013Ingår i: Gemenskaper: Socialpedagogiska perspektiv / [ed] Lisbeth Eriksson, Gunilla Nilsson & Lars A. Svensson, Göteborg: Daidalos, 2013, s. 275-298Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 288.
    Nilsson, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Which social values can the use of horticulture as therapy add to the social care of the elderly?2012Ingår i: Social work social development 2012 : action and impact, 8-12 July 2012, Stockholm, Sweden: Abstract book, 2012, s. 191-192Konferensbidrag (Övrigt vetenskapligt)
  • 289.
    Olsson, Lena
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för socialt arbete. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Bengtsson, Staffan
    Jönköping University, Hälsohögskolan, HHJ, Avd. för socialt arbete. Jönköping University, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Granlund, Mats
    Jönköping University, Hälsohögskolan, HHJ, Avd. för socialt arbete. Jönköping University, Hälsohögskolan, HHJ. CHILD. Jönköping University, Högskolan för lärande och kommunikation, HLK, CHILD.
    Huus, Karina
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Elgmark Andersson, Elisabeth
    Jönköping University, Hälsohögskolan, HHJ, Avd. för rehabilitering. Jönköping University, Hälsohögskolan, HHJ. CHILD.
    Kåreholt, Ingemar
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Social service utilisation in relation to class setting - a longitudinal study among children with mild intellectual disability in Sweden2020Ingår i: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591XArtikel i tidskrift (Refereegranskat)
    Abstract [en]

    TThe aim of this study was to investigate if the type of class setting is related to the utilisation of disability-related services and child welfare services outside school over time among children with mild intellectual disability (ID). A quantitative study with a longitudinal and comparative design was carried out including data from archival records concerning service utilisation among 405 children. Children in special classes were more likely than children integrated into regular classes to utilise disability-related services. Integrated children who changed school setting from regular classes to special classes were more likely to begin to utilise such services and to increase the number of services utilised, compared to children who remained integrated. Professionals in social services and schools may need to improve their collaboration around families of children with mild ID when assessing needs and providing services. Special attention may need to be devoted to children integrated into regular classes.

  • 290.
    Olsson, Lena
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Elgmark Andersson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Habilitation service utilization patterns among children with mild intellectual disability2017Ingår i: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 14, nr 3, s. 233-239Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    There is a need for more knowledge about the utilization of habilitation services outside school among children with mild intellectual disability (ID). Specific aims. The aim of this study was to describe the patterns of habilitation service utilization among children with mild ID living in Sweden.

    Method

    A quantitative cross-sectional total population study was performed using data from service providers’ existing records.

    Findings

    The most common types of services utilized were those by physicians, counselors, and psychologists. Compared with children with mild ID who were in special classes, children with mild ID who were integrated into mainstream classes utilized significantly fewer types of services. Increasing age of the child was associated with a lower number of service types utilized. Children integrated into mainstream classes were significantly less likely to utilize habilitation services than children attending special classes. The likelihood of utilizing habilitation services decreased with age. Approximately two-thirds of the children utilized habilitation services.

    Discussion

    It is urgent that integration/inclusion in one organizational system, that is, school, does not result in exclusion in another system, such as pediatric habilitation services, which also aim to promote active participation in society. Pediatric habilitation professionals, teachers, and health units at schools need to interact in a manner so that children with mild ID, independent of type of school setting, have access to disability-related services outside school.

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  • 291.
    Opsal, Anne
    et al.
    Sørlandet Hospital, Addiction Unit, Norway.
    Kristensen, Øistein
    Sørlandet Hospital, Addiction Unit, Norway.
    Larsen, Tor Ketil
    Stavanger University Hospital, regional Centre for Clinical Research in Psychosis.
    Syversen, Gro
    Oslo University Hospital, Adult Addiction Treatment Unit, Centre for Addiction.
    Rudshaug, Elise Bakke Aasen
    Sørlandet Hospital, Addiction Unit, Norway.
    Gerdner, Arne
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Clausen, Thomas
    University of Oslo, Norwegen Centre for Addiction Research (SERAF); Sørlandet Hospital, Addiction Unit, Norway.
    Factors associated with involuntary admissions among patients with substance use disorders and comorbidity: a cross-sectional study2013Ingår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 13, nr 57Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: To investigate factors associated with involuntary admissions to hospital pursuant to a social services act of patients with substance use disorder by comparing the socio-demographic characteristics, substance use, and psychiatric comorbidities with voluntarily admitted patients.

    Methods: This cross-sectional study compared two groups admitted to combined substance use disorder and psychiatry wards. Sixty-five patients were involuntarily admitted pursuant to the Social Services Act and 137 were voluntarily admitted. The International Classification of Diseases and Related Health Problems was used for diagnostic purposes regarding substance use disorders, type and severity of psychiatric problems, and level of functioning. Socio-demographic variables were measured using the European Addiction Severity Index, and the Symptom Checklist-90-R instruments were used to evaluate the range of psychological problems and psychopathological symptoms. Logistic regression was performed to investigate the relationship between involuntary admissions and patients characteristics.

    Results: Patients who had been involuntarily admitted were more likely to be females, had utilized public welfare services more often, presented more severe substance use patterns, and had a history of more frequent visits to physicians for somatic complaints in the last 6 months, they also had fewer comorbid mental disorders. Still, considerable burdens of comorbid substance use disorders and mental disorders were observed both among involuntary and voluntary admitted patients.

    Conclusions: More attention is required for involuntarily admitted patients in order to meet the needs associated with complex and mixed disorders. In addition, treatment centers should offer diagnostic options and therapy regarding substance use, psychiatric and somatic disorders.

  • 292.
    Panican, Alexandru
    et al.
    Socialhögskolan, Lunds universitet.
    Ulmestig, Rickard
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete.
    Frälsningen, lagen och sanningen i ett kommunalt aktiveringsprojekt2011Ingår i: Socionomens forskningssupplement, Vol. 30, nr 4, s. 44-55Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    I artikeln analyseras maktrelationen mellan socialarbetare och deltagare i ett kommunalt aktiveringsprojekt för arbetslösa socialbidragstagare. Socialarbetarna ska samtidigt både stödja och kontrollera de arbetslösa, vilket skapar en relation mellan representanterna för välfärdsstatens hjälpverksamhet och deras klienter. Analysen utgår från den franske idéhistorikern och filosofen Michels Foucaults teoribildning om pastoralmakt.

    Ladda ner fulltext (pdf)
    panican och Ulmestig 2011
  • 293.
    Persson, Emma
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Tuovinen, Lauri
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    "Nu är det kanske inte så vanligt bland kvinnor men män tar ju oftast då till flaskan då": Hur omsorgspersonal på äldreboenden resonerar kring äldre män och kvinnor som missbrukar alkohol.2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna studie var att undersöka hur omsorgspersonal som är verksamma inom äldreboende, resonerar kring äldre som missbrukar alkohol utifrån aspekter som synsätt, bemötande, upptäckande av alkoholmissbruk, tillvägagångssätt, praktiska åtgärder samt vård. Studiens resultat analyserades utifrån genus- och socialkonstruktivistiskt perspektiv. Metoden som implementerats är en kombination av fokusgruppsintervjuer med vinjetteknik. Resultatet tyder på att synsätt, bemötande, upptäckande, praktiska åtgärder samt vård attityder och värderingar angående äldre som missbrukar påverkas av genus. Utöver detta finns det mönster i materialet som tyder på att även förståelse för äldres missbruk påverkas av genusrelaterade normer.

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    fulltext
  • 294. Persson Thunqvist, Daniel
    et al.
    Sandén, Inger
    Bülow, Pia
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Kommunikation som praktik: en teoretisk bakgrund2012Ingår i: Delaktighetens praktik: Det professionella samtalets villkor och möjligheter / [ed] Pia Bülow, Daniel Persson Thunqvist & Inger Sandén, Lund: Gleerups Utbildning AB, 2012, 1, s. 17-29Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 295.
    Pherson, Tommy
    et al.
    Göteborgs universitet.
    Tengelin, Ellinor
    Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan Väst, Avdelningen för vårdvetenskap på avancerad nivå.
    Genusnormer: normer som skapar kvinnor och män2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar, Tengelin, Ellinor, Lund: Studentlitteratur AB, 2015, 1, s. 107-126Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 296.
    Pietilä Rosendahl, Sirpa
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Mälardalen University.
    Bülow, Pia
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Björklund, Anita
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Images of sorrow: Experiences of losing a co-twin in old age2013Ingår i: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, nr 12A, s. 64-73Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    What it is like when a lifelong twin relationship ends through death in later life is the focus of this study. It draws on interview data from seven twins who are part of a longitudinal Swedish twin study (SATSA) and who lost their co-twins in old age. Data were analyzed using qualitative latent content analysis. The results showed that the experience of loss of the co-twin was pro-found, including an emotional as well as a be-havioral dimension. Loss and loneliness were expressed as the dominant feelings related to the quality of the missing relationship as well as the loss of twin identity. However, the grief ex-periences in this study were primarily related to the closeness and quality of the twin relation-ship, rather than identity. Behavioral adjust-ments included the use of outside as well as internal cognitive resources to cope with life after the loss. Despite the devastating experi-ence of losing a co-twin after a lifelong rela-tionship, the participants engaged actively in their own grief processes. It was concluded that twin loss is unique, in the sense of losing the relational twin identity, as well as it is charac-terized by similar features as the loss of a close relationship among non-twins.

  • 297.
    Pietilä, Sirpa
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Björklund, Anita
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Bülow, Pia
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete.
    Older twins' experiences of the relationship with their co-twin over the life course2012Ingår i: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 26, nr 2, s. 119-128Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Based on 35 life stories of aging twins, this study focuses on personal experiences and recollections of their relationships with the co-twin over the life course. The participants are part of two longitudinal Swedish twin studies on aging, SATSA and Gender. In the narrative analysis, three relationship patterns, labeled ‘nurturing’, ‘draining’, and ‘superficial’, emerged, pointing to qualitative aspects in the co-twin relationship. The dominating aspect was emotional closeness, which differed in the three relationship patterns. In the nurturing twin relationship pattern, emotional closeness was experienced as intimacy and yet independence, while in the draining relationship pattern it was experienced as dependence. The superficial twin relationship was experienced as distant and lacking in emotional involvement. Most of the relationship patterns seemed to remain the same throughout life. However, seen from a life course perspective, this study pointed to complexity and diversity in lifelong twin relationships.

  • 298.
    Pietilä, Sirpa
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Björklund, Anita
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Bülow, Pia
    Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    'We are not as alike, as you think' sense of individuality within the co-twin relationship along the life course2013Ingår i: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 27, nr 4, s. 339-346Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    We have explored how older twins experience and describe themselves in relation to their co-twin. The life stories of 20 older twins were analyzed with narrative analysis.

    Results showed that the twins described themselves from the point of differences in relation to the co-twin. This was based on experiences of how other people viewed them as alike, as well as on life events along the life course, which contributed to the perception of oneself as an individual in relation to the co-twin. The emphasis on unlikeness was therefore interpreted as a way of trying to establish a position as an individual within the co-twin relationship and to assert ones individuality to the rest of the social environment. To claim oneself as an individual was an ongoing identity work along the life course.

  • 299.
    Pinto, Ana I
    et al.
    Porto University , Porto , Portugal.
    Grande, Catarina
    Porto University , Porto , Portugal.
    Coelho, Vera
    Porto University , Porto , Portugal.
    Castro, Susana
    University of Roehampton , London , UK.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd).
    Björck-Åkesson, Eva
    Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Beyond diagnosis: the relevance of social interactions for participation in inclusive preschool settings2018Ingår i: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 22, nr 6, s. 390-399Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: This study aims to explore the role of three specific factors within the child-environment interaction process - engagement, independence and social interactions - in influencing development and learning of children with disabilities in inclusive preschool settings. The main question is whether children can be categorised in homogenous groups based on engagement, independence and social interactions (proximal variables within a biopsychosocial framework of human development). The study also examined whether children with the same diagnosis would group together or separately, when trying to identify clusters of engagement, independence and social interactions, and additionally whether such clusters vary as a function of individual child characteristics, and/or as a function of structural and process characteristics of preschool environment.

    METHODS: Data was taken from an intervention study conducted in mainstream preschools in Portugal. A person-centered cluster analysis was conducted to explore group membership of children with various diagnoses, based on their engagement, independence and social interaction profiles.

    RESULTS: Results show that children clustered based on similarity of engagement, independence and social interaction patterns, rather than on diagnosis. Besides, it was found that quality of peer interaction was the only predictor of cluster membership.

    CONCLUSION: These findings support the argument that participation profiles may be more informative for intervention purposes than diagnostic categories, and that preschool process quality, namely peer interaction, is crucial for children's participation.

  • 300.
    Plenty, Stephanie
    et al.
    Stockholms Universitet, CHESS.
    Östberg, Viveca
    Stockholms Universitet, CHESS.
    Almquist, Ylva B.
    Stockholms Universitet, CHESS.
    Augustine, Lilly
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Swedish National Institute of Public Health (FHI), SE-831 40 Östersund, Sweden.
    Modin, Bitte
    Stockholms Universitet, CHESS.
    Psychosocial working conditions: an analysis of emotional symptoms and conduct problems amongst adolecent students2014Ingår i: Journal of Adolescence, ISSN 0140-1971, E-ISSN 1095-9254, Vol. 37, nr 4, s. 407-417Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explored how psychosocial features of the schoolwork environment are associated with students’ mental health. Data was drawn from 3699 ninth grade (15 year-old) Swedish students participating in the Health Behaviour in School-Aged Children survey. Using Structural Equation Modelling, perceived school demands, decision control and social support from teachers, classmates and parents were examined in relation to students’ emotional and conduct problems. Higher demands were associated with greater emotional symptoms and conduct problems. Although weaker social support predicted emotional symptoms and conduct problems, the relative influence of teachers, classmates and parents differed. Teacher support was more closely associated with conduct problems, particularly for girls, while classmate support was more strongly related to emotional symptoms. The findings indicate that while excessive school pressure is associated with poorer mental health, social support can assist in optimising adolescents’ emotional health and adaptive behaviour, as well as shaping perceptions of demands.

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