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Sallnäs, M. & Shanks, E. (2023). Therapeutic content in Swedish residential care for children and youth - managers choices and the reasoning behind: [Terapeutiskt innehåll i institutionsvård för barn och unga – föreståndares val och resonemangen bakom]. European Journal of Social Work, 26(2), 376-388
Open this publication in new window or tab >>Therapeutic content in Swedish residential care for children and youth - managers choices and the reasoning behind: [Terapeutiskt innehåll i institutionsvård för barn och unga – föreståndares val och resonemangen bakom]
2023 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 26, no 2, p. 376-388Article in journal (Refereed) Published
Abstract [en]

The field of residential care for children and youth in Sweden is fragmented; there is a diversity both in terms of ownership and in terms of therapeutic content. This article analyses how decisions regarding therapeutic content are made in residential care settings. The data consists of interviews with representatives of different types of residential care organisations. The results indicate that the field is impacted by different logics as well as multiple actors and environmental elements shaping the prerequisites for decisions about therapeutic content. Local managers have substantial discretion in deciding which models and treatments that should be used in their settings and they can in that capacity be viewed as key actors in the field. The decisions of managers are influenced by a mix of professional and market logics, but there are also some traces of a family logic. Signs of a professional logic can be discerned in claims about models and treatments viewed as evidence-based and/or locally evaluated, but such claims are also perceived as competitive on the market. A gap between descriptions of models and treatments and actual practice is acknowledged by managers and believed to be fuelled by procurement processes and market considerations.

Keywords
Child welfare, residential care, treatment, marketisation, institutional logics
National Category
Sociology
Identifiers
urn:nbn:se:su:diva-200425 (URN)10.1080/13691457.2021.2016642 (DOI)000734011800001 ()2-s2.0-85121784918 (Scopus ID)
Available from: 2022-01-05 Created: 2022-01-05 Last updated: 2023-03-27Bibliographically approved
Lundström, T., Pålsson, D., Sallnäs, M. & Shanks, E. (2021). A Crisis in Swedish Child Welfare? On Risk, Control and Trust. Social Work & Society, 19(1)
Open this publication in new window or tab >>A Crisis in Swedish Child Welfare? On Risk, Control and Trust
2021 (English)In: Social Work & Society, ISSN 1613-8953, E-ISSN 1613-8953, Vol. 19, no 1Article in journal (Refereed) Published
Abstract [en]

In recent decades, Swedish out-of-home care has been criticised for a number of reasons. In this article, based on research and public debate, we discuss this criticism as well as the institutional responses that have been evoked. We use the concepts of risk, control and trust to structure the analysis, which outlines three core issues portrayed as problematic: a) certain principles of the Swedish child welfare system with relevance for the placement of children and adolescence, b) the quality of out-of-home care and c) the privatisation of out-of-home care and the possibility of generating profits on such services. The institutional response to the criticism has mainly been increased control measures, but the development is not uniform - trust and control-oriented responses are often combined. We conclude the article by relating Swedish out-of-home care to international child welfare trends, discussing the institutional responses and the implications for social work practice.

Keywords
Child welfare, out-of-home care, child welfare policy, privatisation, residential care, foster care
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-193357 (URN)
Available from: 2021-05-20 Created: 2021-05-20 Last updated: 2022-02-25Bibliographically approved
Shanks, E., Lundström, T., Meagher, G., Sallnäs, M. & Wiklund, S. (2021). Impression management in the market for residential care for children and youth in Sweden. Social Policy & Administration, 55(1), 82-96
Open this publication in new window or tab >>Impression management in the market for residential care for children and youth in Sweden
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2021 (English)In: Social Policy & Administration, ISSN 0144-5596, E-ISSN 1467-9515, Vol. 55, no 1, p. 82-96Article in journal (Refereed) Published
Abstract [en]

In what has become quite a turbulent quasi‐market for residential care for children and youth, providers now compete for public contracts. To create visibility and attract customers, many providers use marketing activities to project the desired impression of themselves to maintain or strengthen their market position. In this article, we analyse how companies that provide residential care for children manage the impressions they project on their websites and in advertisements. The results reveal that residential care providers use a range of impression management strategies to enhance their organizational image and to respond to potentially damaging or threatening images. The information providers choose to disclose leaves customers—in this case, the social workers responsible for choosing and purchasing care on behalf of clients—with rather limited opportunities to evaluate the quality of care. This is a significant problem considering other, more reliable, sources of information are difficult to access.

Keywords
impression management, privatization, quasi-market, residential care for children, Sweden
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-181622 (URN)10.1111/spol.12613 (DOI)000532857800001 ()
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016‐00164
Available from: 2020-05-17 Created: 2020-05-17 Last updated: 2022-02-26Bibliographically approved
Shanks, E., Backe-Hansen, E., Eriksson, P., Lausten, M., Lundström, T., Ranta, H. & Sallnäs, M. (2021). Privatisation of residential care for children and youth in Denmark, Finland, Norway, and Sweden. Nordisk välfärdsforskning | Nordic Welfare Research, 6(3), 128-141
Open this publication in new window or tab >>Privatisation of residential care for children and youth in Denmark, Finland, Norway, and Sweden
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2021 (English)In: Nordisk välfärdsforskning | Nordic Welfare Research, ISSN 1799-4691, E-ISSN 2464-4161, Vol. 6, no 3, p. 128-141Article in journal (Refereed) Published
Abstract [en]

Few studies have investigated the privatisation of residential care for children and youth, and no studies have compared, mapped, and discussed the care markets that have developed in the Nordic countries. Here, we map and discuss the role of providers of residential care for children and youth in Denmark, Finland, Norway, and Sweden. In addition, we explore the driving forces behind the current situation in these countries. Although these countries have significant level of privatisation, they have several differences in terms of the participation of the public sector and how market shares are divided between, for example, for-profit companies and non-profit organisations. These differences are discussed as a result of the historical positions, for example, of non-profit organisations as well as differences in the way the countries adapted New Public Management and procurement regulations.

Keywords
Privatisation, marketisation, residential care, child welfare
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-199773 (URN)10.18261/issn.2464-4161-2021-03-02 (DOI)
Available from: 2021-12-15 Created: 2021-12-15 Last updated: 2022-04-13Bibliographically approved
Lundström, T., Pålsson, D. & Sallnäs, M. (2020). Debatt: Vad kan man lära av IVOs granskning?. Socionomen (8), 50-51
Open this publication in new window or tab >>Debatt: Vad kan man lära av IVOs granskning?
2020 (Swedish)In: Socionomen, ISSN 0283-1929, no 8, p. 50-51Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-187407 (URN)
Available from: 2020-12-09 Created: 2020-12-09 Last updated: 2022-02-25Bibliographically approved
Lundström, T., Sallnäs, M. & Shanks, E. (2020). Stability and change in the field of residential care for children: On ownership structure, treatment ideas and institutional logics. Nordic Social Work Research, 10(1), 39-50
Open this publication in new window or tab >>Stability and change in the field of residential care for children: On ownership structure, treatment ideas and institutional logics
2020 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 10, no 1, p. 39-50Article in journal (Refereed) Published
Abstract [en]

The field of residential care for children and youth in Sweden is often termed unstable and turbulent. During recent decades the field has been subject to many changes. In this study, the development and changes in the field of residential care for children and youth in terms of ownership structure and treatment ideas will be analysed. The study is particularly focused on the changes in ownership structure that have taken place during the 2010s. It also analyses changes in treatment ideas, and discusses how these may relate to transformations of ownership structures as well as to dimensions of institutional logics, such as legislation and other types of normative pressure from the environment.

The result reveals that of the approximately 450 treatment oriented residential care units (excluding homes for refugee children), close to 80 % are today run by private companies and to a growing extent by large for-profit corporations. Parallel – and possibly related – to the changes in ownership structure, the dominant treatment ideas have changed over time. The changes in the field can be summarised as a transformation from small-scale establishments with a family logic, to large-scale establishments with a professional logic, or more specifically from a domination of small family run units with milieu therapy to big business and a focus on evidence based interventions.

Keywords
Residential care for children, privatisation, marketization, institutional change
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-161810 (URN)10.1080/2156857X.2018.1541016 (DOI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2018-11-07 Created: 2018-11-07 Last updated: 2022-02-26Bibliographically approved
Lundström, T. & Sallnäs, M. (2020). Ställ krav på barnets offentliga biträde vid LVU. Socionomen (5), 16-21
Open this publication in new window or tab >>Ställ krav på barnets offentliga biträde vid LVU
2020 (Swedish)In: Socionomen, ISSN 0282-1001, no 5, p. 16-21Article in journal (Other academic) Published
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-183312 (URN)
Available from: 2020-07-01 Created: 2020-07-01 Last updated: 2022-02-26Bibliographically approved
Lundström, T. & Sallnäs, M. (2019). Barnskyddets innersta kärna – om tvångsplaceringar som motiveras av barns hemförhållanden. Socialvetenskaplig tidskrift, 26(3-4), 283-302
Open this publication in new window or tab >>Barnskyddets innersta kärna – om tvångsplaceringar som motiveras av barns hemförhållanden
2019 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, E-ISSN 2003-5624, Vol. 26, no 3-4, p. 283-302Article in journal (Refereed) Published
Abstract [en]

The inner core of child protection – on coercive placement motivated by abuse or neglect

This article is about emergency placement due to child abuse or neglect. Empirical data consists of judgements on coercive care in three administrative courts (n=211). Motives for placements are analysed against the background of the discursive changes that have taken place with regard to definitions of child abuse as well as today’s strong focus on risk and risk assessments. Results show that there were a number of motives to justify the court’s decision in each individual case. However, the broadening of the concept of abuse in research and in general discourse is evident in the judgements. We raise the question whether this matter, in practice, has resulted in more children being cared for because of an expansion of the concept of violence. As for risk assessments, two types of causal reasoning can be identified: situations where the child has been abused or neglected and where the risk assessment is about the probability that the problems will continue, and situations where the child has not been harmed but risks being harmed in the future. However, risk assessments are not that elaborate and systematic as presupposed in legislation. Taken together, the findings call for a discussion both within the justice system and in social work.

National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-178017 (URN)10.3384/SVT.2019.26.3-4.3091 (DOI)
Available from: 2020-01-16 Created: 2020-01-16 Last updated: 2022-05-10Bibliographically approved
Lundström, T. & Sallnäs, M. (2019). HVB för barn och unga - en evig vinstmaskin?. Socialpolitik (2), 22-23
Open this publication in new window or tab >>HVB för barn och unga - en evig vinstmaskin?
2019 (Swedish)In: Socialpolitik, ISSN 1104-6376, no 2, p. 22-23Article in journal (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Hvb, hem för vård eller boende, är kanske det fält inom välfärdsområdet där privatiseringarna gått som längst. Avkastningen är mycket hög, 20 procent. En siffra som sticker ut.

Under rubriken ”Ungdomshem en guldgruva”, kunde Dagens Industri för fem år sedan konstatera: ”Boende för barn och ungdomar är en lönsam nisch för vårdbolag. Miljonvinsterna fortsätter att rulla in även om ett stundande vinstförbud hänger som ett mörkt moln över branschen”. Idag kan vi konstatera att något mörkt moln inte längre hänger som ett hot, vinstbegränsningar har i det stora hela försvunnit från den politiska dagordningen. Men hur är det då med själva vinsterna? Den frågan och hur det gått till när hvb-vård blivit ett fält för privata företag diskuteras i den här artikeln.

National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-175290 (URN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2019-10-17 Created: 2019-10-17 Last updated: 2022-02-26Bibliographically approved
Andersson, G., Höjer, I., Sallnäs, M. & Sjöblom, Y. (Eds.). (2019). När samhället träder in: barn, föräldrar och social barnavård (2ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>När samhället träder in: barn, föräldrar och social barnavård
2019 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019. p. 346 Edition: 2
Keywords
social barnavård, barn och unga, socialtjänst
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-173264 (URN)978-91-44-12336-3 (ISBN)
Available from: 2019-09-18 Created: 2019-09-18 Last updated: 2022-02-26Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9129-9471

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