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  • 1.
    Amanda, Moro
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Holmström, Linn
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    “...Man behöver faktiskt inte reagera på allt”: En kvalitativ studie om stresshantering och organisationskultur inom Socialtjänstens barnavård2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This is a qualitative study focused on social workers experience of stress and their coping strategies in the light of organizational culture. Previous research shows that stress is common in social services and highlights five coping strategies that social workers use. It also shows that the organizational culture has an impact on the social workers work environment. This study shows that the stress social workers experienced was mainly connected to workload, administration and moral stress. The coping strategies that the social workers used were both problem focused and emotion focused. The strategies used were compensatory strategies, standard lowering strategies, disengagement, voice and exit. They also tried to handle stress through walks, talking to friends and training. We identified two forms of organizational cultures, professional and organizational culture characterized by by silence lack of support . In the not professional organizational culture support from management was poor and the social workers main strategies were exit and standard lowering. In the professional organizational culture they experienced good support from both management and coworkers. They used to a larger extent compensatory strategies and were more satisfied at their workplace. The reliability in this study is affected negatively due to the low number of respondents.

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  • 2.
    Andersson, Lisa
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Coordination patterns and institutional settings: a comparative study of labour market programs for unemployed youth in Sweden and the United Kingdom2020In: Policy Studies, ISSN 0144-2872, E-ISSN 1470-1006Article in journal (Refereed)
    Abstract [en]

    Over the past decades, Europe has seen increasing interest in and pressure to coordinate social policy. Studies on the coordination of social policies have found that institutional settings affect coordination patterns when comparing different welfare state ideal-types. Adding to this body of research, this paper compares two countries with diverging authority to regulate social policy areas; Sweden representing a unitary decentralized state and the UK representing a regionalized state. With labour market programs for youth serving as a case, the purpose of this paper is to compare the development of inter- and intra-policy coordination over a period of 10 years, analysing the impact of regulatory authority. Policy documents which set the regulatory frame of the programs are analysed from the perspectives of instruments, and territorial levels of regulatory authority and how these connect to coordination patterns. The results show that levels of discretion and processes of decentralization and fragmentation of regulatory authority impact on coordination patterns, where inter- and intra-coordination develops under different circumstances.

  • 3.
    Bergmark, Åke
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Studie av brukarmedverkan: Förutsättningar för brukarmedverkan i arbetet med ekonomiskt bistånd2019Report (Other academic)
    Abstract [sv]

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

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

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  • 4.
    Bergmark, Åke
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Stranz, Hugo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Studie av Instrument X: Om användningen av ett standardiserat instrument i arbetet med ekonomiskt bistånd2019Report (Other academic)
    Abstract [sv]

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

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

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

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

  • 6.
    Berlin, Marie
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Sociology.
    Kääriälä, Antti
    Lausten, Mette
    Andersson, Gunnar
    Stockholm University, Faculty of Social Sciences, Department of Sociology.
    Brännström, Lars
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Long-term NEET among young adults with experience of out-of-home care: A comparative study of three Nordic countriesManuscript (preprint) (Other academic)
  • 7.
    Berlin, Marie
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Sociology. The Swedish National Board of Health and Welfare, Sweden.
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Hjern, Anders
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Karolinska Institutet, Sweden.
    Brännström, Lars
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Educational outcomes of children from long-term foster care: Does foster parents’ educational attainment matter?2019In: Developmental Child Welfare, ISSN 2516-1032, Vol. 1, no 4, p. 344-359Article in journal (Refereed)
    Abstract [en]

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

  • 8.
    Berlin, Marie
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Sociology.
    von Grieff, Ninive
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Skogens, Lisa
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    The relationbetween out-of-home care, early school failure, and prematuremortality: A 30-year follow-up of people treated for substancemisuse in Sweden2020In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    Abstract [en]

    Evidence from Swedish and international studies show that a high proportionof children from out-of-home care (OHC) have poor school performanceand that this is strongly associated with their substantial risk ofadverse development in future life. However, risk factors for poor schoolperformance and adverse development are difficult to disentangle sincethey are often interrelated and enforce each other over the life course.This study examines premature mortality in relation to early school failure(drop-out from compulsory school) and OHC experience in childhood(0–17 years of age) among clients who were in treatment for substancemisuse in the early 1980s (N = 1,036). The analyses were based on recordlinkages between interview data collected during treatment and nationalregister data covering approximately 30 years of follow-up, from exit fromtreatment until 2013. Our results showed that 54 per cent had beenplaced in OHC as children, half before their teens and half as teenagers.The OHC population had a higher prevalence of school failure comparedwith clients who had not been exposed to childhood OHC. OHC wasassociated with an excess mortality, although this was only significantfor females who had entered OHC before their teens. Adjusting results forschool failure reduced their excess mortality by half, and additional lifecourse factors associated with mortality among people with substancemisuse adjusted for most of the remaining excess mortality. School failurewas strongly associated with the excess mortality of females, but not withthe excess mortality of males.

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  • 9.
    Bildtgård, Torbjörn
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Öberg, Peter
    Blood thicker than water? Emotional closeness between older parents and adult children in stepfamilies2020In: Journal of Family Studies, ISSN 1322-9400, E-ISSN 1839-3543Article in journal (Refereed)
    Abstract [en]

    Increasing prevalence of ageing stepfamilies and stepchildren's potential to act as a source of support for older parents has prompted research about intergenerational cohesion in steprelationships. Our purpose is to investigate emotional closeness in biological and step-relationships in ageing stepfamilies, and the explanations older parents and adult children give to such differences. We study emotional closeness in parent-child relationships among Swedish older parents (aged 66-79) who have raised both biological and stepchildren, and adult children (aged 31-57) who were raised by both biological and stepparents. Qualitative family history interviews (n = 24) including hierarchical maps of long-term family relationships were collected and analyzed. Results show biological relationships to be rated as emotionally closer than step-relationships, by both parents and children. This gap in closeness is explained by the informants in terms of (a) personal characteristics, (b) social circumstances and (c) the importance of blood. Both children and parents use the first two explanations, but there is a clear generational difference concerning the perceived importance of blood. While older parents deemphasize the importance of blood for emotional closeness, adult children emphasize it. The study contributes to ageing stepfamily research by including stepfamily members' own perspectives on emotional closeness.

  • 10.
    Brodin, Helene
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Peterson, Elin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Equal Opportunities? Gendering and Racialising the Politics of Entrepreneurship in Swedish Eldercare2019In: NORA: Nordic Journal of Feminist and Gender Research, ISSN 0803-8740, E-ISSN 1502-394XArticle in journal (Refereed)
    Abstract [en]

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

  • 11.
    Brännström, Lars
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Forsman, Hilma
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Almquist, Ylva B.
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.
    Inequalities in educational outcomes in individuals with childhood experience of out-of-home care: What are driving the differences?2020In: PLoS ONE, E-ISSN 1932-6203, Vol. 15, no 4, article id e0232061Article in journal (Refereed)
    Abstract [en]

    Background

    Prior research has shown that individuals with experience of out-of-home care (foster family care or residential care) in childhood are educationally disadvantaged compared to their peers. In order to be better equipped to design interventions aimed at improving the educational outcomes of children for whom society has assumed responsibility, this study seeks to further our understanding about which factors that contribute to the educational disparities throughout the life course.

    Methods

    Using longitudinal data from a cohort of more than 13,000 Swedes, of which around 7% have childhood experience of out-of-home care, Peters-Belson decomposition is utilized to quantify the extent to which the gap in educational achievement in school (age 16) and midlife educational attainment (age 50) captures differences in the prevalence of factors influencing educational outcomes, and differences in the impacts between these factors.

    Results

    We find that the achievement and the attainment gap was around 13% and 9% respectively. These gaps were to a large extent explained by differences in the distribution of predictors. The major explanatory factor for placed children’s lower achievement was a lower average cognitive ability. Yet there were some evidence that the rewards of cognitive ability in these children differed across the life course. While the lower returns of cognitive ability suggest that they were underperforming in compulsory school, the higher returns of cognitive ability on midlife attainment indicate that–given previous underperformance–their attainment at age 50 reflects their cognitive capacity more accurately than their achievement at age 16 do.

    Conclusion

    The large influence of the unequal distribution of predictors suggests that policy efforts are needed to promote equity in the distribution of factors contributing to educational achievement and attainment. Since cognitive ability was found to be an important contributory factor, such efforts may include promoting cognitive and intellectual development among children in out-of-home care, preferably starting at a young age.

  • 12.
    Brännström, Lars
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Vinnerljung, Bo
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Hjern, Anders
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.
    Outcomes in Adulthood After Long-Term Foster Care: A Sibling Approach2020In: Child Maltreatment, ISSN 1077-5595, E-ISSN 1552-6119Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 14.
    Collin, Emma
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Rosenberg, Linnea
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    "Att göra det som är rätt även om ingen ser på": En kvalitativ intervjustudie om socialarbetares etiska resonemang kring sin yrkesroll2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

     

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

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

     

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

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  • 15.
    Davis Ramström, Angelica
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Ilea, Caroline
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Hur kan en maskros växa ur asfalt?: En intervjustudie med vuxna maskrosbarn om vad som varit avgörande för deras livsutveckling2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this study, we examine how some children can develop well despite growing up in a dysfunctional family. We also focus on what our respondents have perceived as helpful by social workers and other professionals, and what their recommendations for practice are. We interviewed six adults who identified themselves with the term “resilient child” and analyzed these interviews by a thematic analysis. Results: All our respondents were aided by their intrinsic personal characteristics; such as being social, gifted in school and having a positive outlook on life. They also mentioned that they applied different coping strategies growing up, and pointed to the importance of gaining insight about their parent's problems. In addition, the respondents all underlined the meaning of their participation in spare time activities during their childhood. They also appreciated the social workers and other professionals who acknowledged them and went beyond their usual work routine to help them when they grew up. In young adulthood, most of our respondents found therapy to be useful to process their childhood. The respondents stressed the importance for social workers of having relevant knowledge and the ability to create a safe atmosphere for children to open up and talk about their problems.

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

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

  • 17.
    Ekendahl, Mats
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Månsson, Josefin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Karlsson, Patrik
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Cannabis use under prohibitionism – the interplay between motives, contexts and subjects2019In: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370Article in journal (Refereed)
    Abstract [en]

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

  • 18.
    Forsman, Hilma
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Exploring educational pathways over the life course in children with out-of-home care experience: A multi-group path analysis2020In: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 111, article id 104852Article in journal (Refereed)
    Abstract [en]

    It is well-established that children with out-of-home care (OHC) experience perform poorly in the educational system. However, we know less about their educational pathways over the life course. Utilizing longitudinal prospective survey and register data with a follow-up to more than 60 years of age, this study compared educational outcomes over the life course between children with OHC experience and their same-aged peers. Moreover, by means of multi-group path analysis, the study explored differences in educational pathways. The results showed that the OHC group had lower school grades in sixth grade, in ninth grade as well as lower educational attainment in middle age. Cognitive ability and previous school performance had the largest associations with the outcomes in both groups. Yet, these predictors had significantly weaker influence in the OHC-group. Conversely, the birth family's attitude towards higher education was more important among children with OHC experience. Implications for policy and practice are discussed.

  • 19.
    Hessle, Sven
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Reconstruction of post-war social work: Experience from former Yugoslavia as an inspiration2020In: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397Article in journal (Refereed)
    Abstract [en]

    Immediately after the civil war among the nations of former Yugoslavia that took place 1992-1995, Swedish members of the social work faculty were recruited by UNICEF to support the organising of foster homes for war-orphaned children. Around 20 projects, some initiated by UNICEF and others by SIDA (Swedish International Development Cooperation Agency) were also organised with Sarajevo University as the main location of the administration. At the request of the Parliament of Republika Srpska, a new school of social work was established at the University of Banja Luka. This was a successful project thanks to network collaboration among the faculties of social work in the former Yugoslavian nations and with academic contributions from universities from Sweden and Berlin. In this article, the two social welfare projects based in Sarajevo and Banja Luka are presented. Together with an accompanying group of experts, I found that an explorative mindset and an abductive approach were helpful tools in dialogues with our partners in the developing world.

  • 20.
    Håkansson, Hanna
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Personals förhållningssätt till sexualitet på gruppboenden.: En kvalitativ studie om utrymmet för sexualitet för vuxna personer med intellektuella funktionsnedsättningar.2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    In Sweden there is a limited research about adults with intellectual disabilities and their sexuality through a social work perspective. This study aims to study how workers in group homes and their managers describes the residents sexuality and describes how they approaches their sexuality at work. And if there’s any facilities or hindrance that affects the sexual space. 5 semi-structured interviews with managers and coordinators, and 3 focus groups with carers where made. For analysis script theory and the charmed circle have been used. The result shows that people who works at group homes has no guidance or collective ways to approach sexuality in their work. They talk about an open approach but often describes the residents as asexual and connects sexuality with the level of disabilities. The respondents acknowledge that they need more knowledge. The conclusion is that there’s a need for more knowledge and guidance for people who work at group homes to extend the space for sexuality for adults with intellectual disabilities.

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  • 21.
    Jackisch, Josephine
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).
    Brännström, Lars
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Almquist, Ylva B.
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences, Centre for Health Equity Studies (CHESS).
    Troubled childhoods cast long shadows: Childhood adversity and premature all-cause mortality in a Swedish cohort2019In: SSM - Population Health, ISSN 2352-8273, Vol. 9, article id 100506Article in journal (Refereed)
    Abstract [en]

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

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

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

  • 23.
    Karlström, Pim
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Det ekonomiska biståndet – från stöd till kontroll: En tematisk analys av socialtjänstlagens förarbeten genom proposition 1979/80:1 samt proposition 2000/01:80 i avseenden gällande ekonomiskt bistånd.2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this study the resemblances in the preparatory work that was conducted before the introduction of the Social Welfare Act (socialtjänstlagen) in 1982 as well as before the current legislation that came into power in 2001 has been studied. The aim of this study has been to examine the similarities and differences in preparatory work originating from two contrasting time periods using the model for thematic analysis suggested by Braun & Clarke (2006). The theories that were utilized discuss power, principles of governing and distribution of responsibilities, neo-liberalism, street-level bureaucracy and stigma. An important theoretical component consists of Bacchi and Evelines (2010) “WPR-approach” which brings up how the problem is handled linguistically. The empirical findings spanned over three levels: government, municipality and individuals and demonstrate theoretical models of explanation for these. In the empirical material no solutions on a structural or individual level were presented, instead moral and personal responsibility was accentuated as the path out of poverty. This study showed that the individual is subjectified, stigmatised and renounced which make it even more difficult to break free from the terms of aid.

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    Pim Karlström
  • 24.
    Lindegren, Sanna
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Kårlycke, Mia
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Den bästa socionomen är den som orkar arbeta: En kvalitativ studie om emotioner i det sociala arbetet2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

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

  • 27.
    Lundström, Tommy
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Sallnäs, Marie
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Barnskyddets innersta kärna – om tvångsplaceringar som motiveras av barns hemförhållanden2019In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 26, no 3-4, p. 283-302Article in journal (Refereed)
    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.

  • 28.
    Matscheck, David
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Evidensbaserad metod eller praktisk verksamhet? Supported employment utan IPS2019In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 26, no 1, p. 87-108Article in journal (Refereed)
    Abstract [en]

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

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

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  • 29.
    Matscheck, David
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Ljungberg, Amanda
    Topor, Alain
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Beyond formalized plans: User involvement in support in daily living - users' and support workers' experiences2020In: International Journal of Social Psychiatry, ISSN 0020-7640, E-ISSN 1741-2854, Vol. 66, no 2, p. 156-162Article in journal (Refereed)
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Results:

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

    Conclusion:

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

  • 30.
    Matscheck, David
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work. FoU Nordost [RD Northeast], Danderyd, Sweden.
    Piuva, Katarina
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Eriksson, Lisbeth
    Åberg, Martin
    The Coordinated Individual Plan – is this a solution for complex organizations to handle complex needs?2019In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 9, no 1, p. 55-71Article in journal (Refereed)
    Abstract [en]

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

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  • 31.
    Meiss, Kathleen Ann
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Work, welfare & social work practice1991Doctoral thesis, monograph (Other academic)
    Abstract [en]

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

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

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

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

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

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

  • 33.
    Minas, Renate
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Enroth, Nicklas
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Social work meets the European Union – the case of vulnerable EU citizens in European cities2019In: Inequalities and migration: challenges for the Swedish welfare state / [ed] Sven Trygged, Erica Righard, Lund: Studentlitteratur AB, 2019, p. 131-152Chapter in book (Other academic)
  • 34.
    Mossberg, Roland
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Distans och närhet: förutsättningar och möjligheter för det sociala arbetets organisering och disciplinering1990Doctoral thesis, monograph (Other academic)
    Abstract [en]

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

  • 35.
    Nordlöf, Alexandra
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Özakdemir, Fulya
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Marknadiseringen av äldreomsorgen: har omsorgskvaliteten i Sverige förändrats under 2000-talet?: En scoping study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Sweden has with the introduction of different new public management inspired reforms, from the 80s and ahead, increasingly implemented marketization on tax-funded welfare services. One of the areas of social services that seemed ideal to marketize was eldercare. Today, almost 40 years later, we can see the results of marketization; re-organization, new laws, new requirements and new knowledge. But has the quality of care improved and do the elderly benefit from marketization? The aim of this study is to investigate what scientific research has found out about the impact of marketization on the quality of care in eldercare. The study is a scoping study and maps out a part of the field of research to make this research comprehensible. 12 articles published 2000-2019 have been chosen after an extensive search process and constitute the data of the study. The content of the articles have been analyzed by thematic analysis. The results indicate that due to the changes associated with marketization, a number of areas related to the quality of care in eldercare have changed for the worse during the last 20 years and only a few have improved.

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  • 36.
    Olrin, Carl-Magnus
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Pukenaite, Inga
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Tillsyn, folköl och ungdomar: Hur relaterar tillsyn och densitet av detaljhandeln inom Stockholm till ungdomarnas alkoholvanor2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this paper we evaluate Stockholm’s methods of enforcing age related sales regulations on type 2 beer, which is the strongest type of beer that can be sold in a privately owned businesses in Sweden. Quantitative methods are used to ascertain whether the amount of regulatory goals met has any relation to the amount of youths acquiring type 2 beer, and if other apparent demographic or geographic explanations are apparent in youth’s consumption patterns. No apparent relation was found between regulatory goals met and consumption patterns. The only predictive variable was found to be population density, where higher density correlated with lower use of type 2 beer. Although this could be a result of the four highest population density areas having radically different consumption patterns compared to the rest of Stockholm. Qualitative methods were also used to evaluate internal reporting from the different districts, the format and content of reports were found to vary greatly. More research is required to ascertain whether the consumption patterns are a consequence of preventative methods specific to Stockholm contrary to an emergent property of high population cities, or something else entirely.

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  • 37.
    Piuva, Katarina
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Socionomen som psykoterapeut2019In: Socionomen, ISSN 0283-1929, no 7, p. 18-22Article in journal (Other academic)
  • 38.
    Piuva, Katarina
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Brodin, Helene
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Just Like Any Other Family? Everyday Life Experiences  of Mothers of Adults with Severe Mental Illness in Sweden2020In: Community mental health journal, ISSN 0010-3853, E-ISSN 1573-2789Article in journal (Refereed)
    Abstract [en]

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

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  • 39.
    Pålsson, David
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Securing the floor but not raising the ceiling? Operationalising care quality in the inspection of residential care for children in Sweden2020In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 23, no 1, p. 118-130Article in journal (Refereed)
    Abstract [en]

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

  • 40.
    Pålsson, David
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Shanks, Emelie
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Missed opportunities? State licencing on the Swedish residential care market2020In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Article in journal (Refereed)
    Abstract [en]

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

  • 41. Raitasalo, Kirsimarja
    et al.
    Kraus, Ludwig
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. IFT Institut für Therapieforschung, Germany; ELTE Eötvös Loránd University, Hungary.
    Bye, Elin K.
    Karlsson, Patrik
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Tigerstedt, Christoffer
    Törrönen, Jukka
    Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.
    Raninen, Jonas
    Similar countries, similar factors? Studying the decline of heavy episodic drinking in adolescents in Finland, Norway and Sweden2020In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443Article in journal (Refereed)
    Abstract [en]

    Aims

    To (1) examine several factors associated with trends in heavy episodic drinking (HED) in Finland, Norway and Sweden, (2) investigate similarities in these associations across the countries and (3) analyse the contribution of these factors to the trend in HED and the differences across the countries.

    Design and Setting

    Observational study using five waves of the European School Survey Project on Alcohol and Other Drugs (ESPAD) from Finland, Norway and Sweden between 1999 and 2015.

    Participants

    A total of 18,128 male and 19,121 female 15‐ to 16‐year‐old students.

    Measurements

    Monthly HED, perceived access to alcohol, truancy, parental control, leisure time activities and daily smoking. The Cochran–Armitage test was used to examine linear time trends in HED. Logit regression models using the Karlson–Holm–Breen (KHB) method were fitted for each country separately, including all the independent variables together with time and adjusted for family status, parental education and gender.

    Findings

    In Finland, Norway and Sweden, perceived access to alcohol, truancy and daily smoking decreased significantly between 1999 and 2015 while risk perceptions, parental control and participation in sports increased in the same period. The confounding percentage of all the independent variables related to the trend in HED was 48.8%, 68.9% and 36.7% for Finland, Norway and Sweden, respectively. Decline in daily smoking (p<.001) and perceived access to alcohol (p<.001) were positively and increase in parental control (p<.001) negatively associated with the decline in HED in all three countries. Changes in truancy, going out with friends, and engaging in sports and other hobbies had little or no impact on the decline in HED or displayed no consistent results across the countries.

    Conclusions

    The decline in adolescent heavy episodic drinking in Finland, Norway and Sweden between 1999 and 2015 appears to be associated with a decline in adolescent daily smoking and perceived access to alcohol and an increase in parental control.

  • 42.
    Shanks, Emelie
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Lundström, Tommy
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Meagher, Gabrielle
    Stockholm University, Faculty of Social Sciences, Department of Social Work. Macquarie University, Australia.
    Sallnäs, Marie
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Wiklund, Stefan
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Impression management in the market for residential care for children and youth in Sweden2020In: Social Policy & Administration, ISSN 0144-5596, E-ISSN 1467-9515Article in journal (Refereed)
    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.

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  • 43.
    Silvén Hagström, Anneli
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Childhood narratives about the experience of growing up with alcoholic parents2019In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 36, no 3, p. 299-301Article in journal (Other academic)
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  • 44.
    Silvén Hagström, Anneli
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work. University of Gävle, Sweden.
    Forinder, Ulla
    'If I whistled in her ear she'd wake up': Children's narration about their experiences of growing up in alcoholic families2019In: Journal of Family Studies, ISSN 1322-9400, E-ISSN 1839-3543Article in journal (Refereed)
    Abstract [en]

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

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  • 45.
    Spanberger Weitz, Ylva
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work. FoU Nordväst, Sollentuna, Sweden.
    Karisson, Marie
    Professional or authentic motherhood? Negotiations on the identity of the birth mother in the context of foster care2020In: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117Article in journal (Refereed)
    Abstract [en]

    This article explores birth parents' negotiations on the identity of the birth mother in three narratives about shared parenthood in foster care. The article draws on data from an interview study exploring the views of 16 birth parents on their experiences of foster care and non-resident parenthood. Through a position analysis, the authors show how the identity of the birth mother is negotiated in light of the moral discourse on intensive mothering. In these stories, birth mothers are positioned as authentic mothers holding a unique, emotional and life-long bond with their children. In contrast, foster mothers are positioned as professional mothers carrying out the formal activities of everyday care. Birth parents re-negotiate the moral discourse on intensive mothering by downplaying the importance of everyday care. The article thus adds to our knowledge on how non-resident mothers find different ways of constructing a sense of mothering, when they are not able to take part in the everyday care of their children. An understanding of such processes is important for social work practice to handle the challenges that may occur in relationships between foster parents and birth parents and thereby to support a more collaborative approach of shared parenthood.

  • 46.
    Storm, Palle
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Den osynliga utsattheten2019In: Ä : en tidning för Riksföreningen sjuksköterskan inom äldrevård : geriatriker, dietister inom geriatrik samt alla professioner runt den äldre patienten, ISSN 2001-1164, no 4, p. 26-28Article in journal (Other (popular science, discussion, etc.))
  • 47.
    Storm, Palle
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Lowndes, Ruth
    "Yes the Guys Can Do It!": Migrant Male Care Workers in Canadian and Swedish Nursing Homes2019In: Teorija in praksa, ISSN 0040-3598, Vol. 56, no 4, p. 1052-1068Article in journal (Refereed)
    Abstract [en]

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

  • 48.
    Strandell, Rebecka
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Care workers under pressure - A comparison of the work situation in Swedish home care 2005 and 20152020In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 28, no 1, p. 137-147Article in journal (Refereed)
    Abstract [en]

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

  • 49.
    Stratoudakis, Jannis
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Javadzadeh, Yasamin
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    “Det ska inte spela någon roll vilken handläggare man hamnar hos, riktlinjerna ska vägleda oss.”: Biståndshandläggares resonemang vid bedömning av behov av inköp för äldre.2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to contribute to knowledge about how care-managers within the City of Stockholm’s eldercare interpret the concept of reasonable standard of living and experience their discretion when assessing the need for every-day purchases. Eight caremanagers were interviewed from two different city district administrations and the responses were analyzed through thematic content analysis. The informants felt that the concept of reasonable standard of living can be vague and that gray zones may arise when assessing the various needs for every-day purchases. The participants stated that the municipal guidelines play a critical role in giving them guidance during the assessment process, but they also felt limited by the guidelines and they experienced that their discretion is minimal. 

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  • 50.
    Szebehely, Marta
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Meagher, Gabrielle
    Stockholm University, Faculty of Social Sciences, Department of Social Work.
    Vinster i välfärden: En historia om näringslivslobbyism och socialdemokratisk ambivalens2020In: Politik och marknad: kritiska studier av kapitalismens utveckling / [ed] Lars Ekdahl, Lennart Erixon, Ante Farm, Göran Fredriksson Humlesjö, Anders Gullberg, Stockholm: Dialogos Förlag, 2020, p. 116-139Chapter in book (Other academic)
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