Psykisk ohälsa ses som ett folkhälsoproblem bland barn och ungdomar. Psykiska besvär tidigt i livet ökar risken för suicidförsök. I åldersgruppen 10–19 år begår ungefär 50–60 personer suicid per år i Sverige. Psykologer på barn- och ungdomspsykiatrin (BUP) arbetar bland annat med suicidnära barn och ungdomar. Syftet med studien var att undersöka psykologers upplevelse av att arbeta med suicidnära barn och ungdomar. Studien har även ämnat till att undersöka vilket stöd organisationen erbjuder psykologerna i arbetet med suicidnära barn och ungdomar samt hur stödet upplevs. Sju psykologer på BUP intervjuades med semistrukturerade intervjuer som analyserades med tematisk analys. Majoriteten av deltagarna upplevde arbetet med suicidnära barn och ungdomar som ensamt, utmanande och emotionellt belastande samt att känslorna följde med efter arbetstid. Stödet från organisationen beskrevs som svagt och bestod oftast av handledning, riktlinjer och utbildning. Det kollegiala stödet upplevdes som bra men otillräckligt. Det stöd som psykologerna upplevde som viktigast att få från organisationen var emotionellt stöd. Slutsatsen var att psykologerna upplever en obalans i arbetskrav och arbetsresurser som har resulterat i känslor som stress och oro. Förslag till framtida forskning är att studera patienternas och ledningens perspektiv på BUP samt jämföra arbetet på privatiserade BUP för att undersöka skillnader i upplevelse och stöd från organisationen. / Mental illness is seen as a public health problem among children and adolescents. Mental disorders early in life increase the risk of suicide attempts. In Sweden, approximately 50 to 60 people between the ages of 10 and 19 commit suicide each year. Among other things, psychologists in child and adolescent psychiatry (BUP) work with suicidal children and adolescents. The purpose of this study was to examine psychologists' experiences of working with suicidal children and adolescents. The study also aimed to investigate what organizational support is offered to psychologists working with suicidal children and adolescents and how the support is experienced. Semi-structured interviews of seven psychologists in BUP were conducted and analyzed using thematic analysis. The majority of the participants experienced their work with suicidal children and adolescents as lonely, challenging, and emotionally draining and that these emotions followed them home after working hours. The organizational support was described as weak and usually consisted of supervision, guidelines, and training. The support from colleagues was perceived as good but insufficient. The organizational support that psychologists felt was most important to receive was emotional support. The conclusion was that psychologists experience an imbalance in professional demands and resources that has resulted in emotions such as stress and anxiety. Suggestions for future research are to study patient and management perspectives on BUP and compare existing research with the work in privatized BUP to see if there are differences in experiences and organizational support.

Losing a close relative or friend is a traumatic event for anyone, especially for children and adolescents. This article investigates the motives and patterns of children’s and adolescents’ interpersonal online communication on bereavement platforms. A qualitative content analysis of two different youth bereavement platforms (n = 21 threads; 319 postings) illuminates how one common feature is the verbalization and illustration of missing support in the offline world. The substantial usage of social network platforms can be considered an extension of children’s and adolescents’ personal social environment. Furthermore, topics on bereavement platforms ultimately go beyond grief, as children and adolescents also include emotions such as hope, gratitude and cohesiveness. Communication within online bereavement communities thus enables a process known from offline communication as transformation from a lossoriented to restoration-oriented coping (Stroebe and Schut 2010, p. 277).

Bakgrund: En bidragande orsak till landets rådande hälsoklyftor finns inom ANDT-området och för att vända denna utveckling har regeringens program för alkohol-, narkotika-, dopings- och tobaksfrågor lyft ett jämlikhets- och jämställdhetsperspektiv för att främja jämlika samhällsinsatser inom området. Då attityder och förhållningssätt till ANDT redan utvecklas under uppväxttiden är barn och ungdomar en viktig målgrupp att beakta i arbetet. Hur detta arbete bedrivs utifrån ett jämlikhets- och jämställdhetsperspektiv kring målgruppen i Uppsala län återstår dock fortfarande som relativt outforskat och därmed i behov av att studeras närmare.  Syfte: Syftet med studien var att undersöka hur Uppsala läns ANDT-L-arbete kring barn och ungdomar bedrivs utifrån ett jämlikhets- och jämställdhetsperspektiv. Metod: Studien genomfördes med en kvalitativ studiedesign där data samlades in genom halvstrukturerade fokusgrupper med representanter från både regional och lokal nivå.   Resultat: Det framkomna resultatet visar att det tillämpas en bredd av åtgärder för att bemöta de ojämlikheter som råder inom ANDT-området, däribland riktade insatser för utsatta grupper inom länet och utbildningssatsningar för involverade aktörer. Det som däremot hämmar verkställandet av jämlika utföranden är oklara mål och bristfälliga resurser. Således föreligger det utvecklingsbehov beträffande arbetets innehåll där målgruppsanpassat arbetsmaterial och en tydligare strategi efterfrågas på lokal nivå. Slutsatser: För att främja framgångsrika implementeringsprocesser är holistiska arbetsgångar och hållbara samverkansstrukturer av betydelse. Oklara mål och bristfälliga resurser uppstår däremot som hinder för önskade effekter och försvårar således etableringen av ett jämlikt och jämställt ANDT-L-arbete. / Background: A contributing factor to the country's prevailing health gaps exists within the ANDT-area, and to change this development, the Government's program for alcohol, drugs, doping and tobacco issues has created an equality and gender equity perspective to promote equal societal efforts in the subject. As attitudes to ANDT already developed during the childhood years, children and adolescents are an important target group to consider in their work. How this work is conducted from an equality and gender equity perspective around the target group in Uppsala County, however, still remains relatively unexplored and thus in need of further study.Aim: The aim of the study was to investigate how Uppsala County's ANDT-L work with children and adolescents is conducted from an equality and gender equity perspective.Method: The study was executed with a qualitative study design where data was collected through semi-structured focus groups with representatives from both regional and local level.Results: The results show that a wide range of measures are applied to address the inequalities that exists within the ANDT-area, including targeted initiatives for vulnerable groups within the county and educational initiatives for involved actors. On the other hand, what hinders the implementation of equal performances are obscure goals and insufficient resources. Thus, there is a need for development regarding the content of the work, where target group-adapted work material and a more distinct strategy are requested at local level. Conlusions: In order to promote successful implementation processes, holistic work methods and sustainable collaboration structures are of significance. Obscure goals and insufficient resources occur as obstacles to the desired effects and thus make it difficult to establish equal and equity ANDT-L-work.

Social policy challenges in terms of structural social changes, consisting of economic, political and social conditions, shed light on integration policy difficulties in the Swedish welfare state. The aim and purpose of this qualitative study was to analyze, based on organizational isomorphism, how representatives from a selected football organization in Sweden understand football as an integrative tool and how they work with integration of children and adolescents through their certified academy. Also, in which ways the organization obtains legitimacy for their integrational work.  The results and analysis of the study shows that inclusion and exclusion through football academies is a complex and comprehensive task. It is presented mainly through the understanding of football as a logic, where football is presented as a promoter of integration and as a force for good, even though the main focus of the organization and thereby academy is to produce successful football players.

[pt] O principal objetivo deste trabalho foi analisar como se dá o exercício da parentalidade entre pais heterossexuais durante a vigência da conjugalidade e após deixarem de ser um casal conjugal, principalmente no tocante à garantia da convivência familiar aos filhos, observando os fatores sociais que têm interferido nessas relações. Pretendeu-se, ainda, analisar a frequência e qualidade do convívio da prole com ambas linhagens – materna e paterna – após a separação conjugal e desafios encontrados na composição de recursos para sustento da prole, durante a relação conjugal e também após a separação. De cunho qualitativo, o processo de pesquisa adotou a análise documental e a realização de entrevistas semiestruturadas para produção de dados empíricos, e a análise de conteúdo para sua discussão. O corpus documental constituiu-se de formulários de primeiro atendimento do Serviço Social, processos da área de Direito de Família e acordos extrajudiciais feitos no Grupo Interdisciplinar de Mediação de Conflitos, todos disponíveis no sistema interno do Núcleo de Prática Jurídica (NPJ) da PUC-Rio. Após leitura desse material, foram realizadas entrevistas semiestruturadas com usuários do NPJ que demonstraram interesse e disponibilidade. Mesmo nas informações coletadas de entrevistados do sexo masculino ficou evidente o papel da mulher como cuidadora principal dos filhos e do lar, remetendo à permanência de atribuição de tal responsabilidade à mãe ou a outra figura feminina. Outro dado importante foi a existência de conflitos quanto ao exercício da parentalidade já durante a vigência da conjugalidade que, de algum modo, eram suportados ou administrados. Após a separação conjugal, tais entraves são externalizados, sendo solicitado apoio para lidar com tais situações. Em todos os casos, também foi perceptível o lamento dos entrevistados por precisarem recorrer a uma terceira via para solucionar os conflitos existentes no núcleo familiar. / [en] The main objective of this work was to analyze how parenthood is performed by heterosexual parents during the period of conjugality and after they cease to be a conjugal couple, mainly regarding the guarantee of family coexistence for their children, observing whether social factors have interfered in these relationships. It was also sought the analyses of the frequency and quality of the offspring s interaction with both lineages – maternal and paternal – after marital split and of the challenges encountered in the composition of resources to support the offspring, during the marital relationship and also after separation. Through a qualitative approach, the research process adopted document analysis and semi-structured interviews to produce empirical data, and content analysis for its discussion. The documental corpus was composed by Social Work s first contact forms, cases in the area of Family Law and extrajudicial agreements made in the Interdisciplinary Group for Conflict Mediation, all available in the internal system of the Nucleus of Legal Practice (NPJ) of PUC-Rio. After reading this material, semi-structured interviews were conducted with NPJ users who showed interest and availability. Even in the information collected from male respondents, it was evident the woman s role as the main caregiver of the children and the home, referring the permanence of such attribution to the mother or another female figure. Another important data was the existence of conflicts regarding the exercise of parenthood already during the period of conjugality that, in some way, were supported or managed. After marital split such hindrances are externalized and support is requested to deal with such situations. In all cases, was also perceptible the regret of the interviewees for having to resort to a third way to resolve existing conflicts in the family nucleus.

[pt] A presente pesquisa pretendeu conhecer e relacionar práticas judiciárias nos litígios do Poder Familiar nas Varas de Família do TJRJ à aplicação do Direito de Família e do Direito da Criança e do Adolescente, em tempos de crescente judicialização das relações familiares. O material decorrente da pesquisa de campo, conformado por sentenças de juízes das Varas de Família do forum central do TJRJ e levantamento comparativo legislativo dos direitos dos filhos em seu cotidiano com os pais, foi submetido à análise de conteúdo, em sua modalidade temática. Os resultados sugerem que as práticas judiciárias nas Varas de Família ainda se mostram morosas e tradicionais, com aplicação especialmente do Código Civil de 2002 e do Código de Processo Civil de 2015, o que privilegia determinadas classes sociais, invisibiliza outras e prioriza os deveres parentais e não a proteção dos direitos filiais. Os resultados sugerem, ainda, que os diferentes caminhos traçados historicamente pelo Direito de Família e pelo Direito da Criança e do Adolescente dialogam com Bourdieu e sua noção de campo jurídico e habitus, reforçando o lado simbólico das Varas de Família como um espaço distanciado da aplicação de noções de Direitos Humanos, do ECA e outros regramentos disponíveis no ordenamento jurídico brasileiro. A análise sóciojurídica comparativa do material de pesquisa possibilitou compreender os avanços e retrocessos da prática do Direito de Família e a necessidade de tornar as Varas de Família espaços mais próximos do Direito da Infância e de um atuar conjunto com outros áreas do conhecimento e práticas da família, especialmente consideradas as diferenças e necessidades culturais e sociais em um país de severas desigualdades, como forma de garantir a proteção absoluta e prioritária de crianças e adolescentes assegurada pela Constituição de 1988. / [en] This thesis aims to research and determine how judiciary practices in the Family Law Courts of the State Courthouse of Rio de Janeiro are being applied regarding Family Law and the plural legislation on the rights of children and adolescents, in times of increasing judicialization of family relations. The material resulting from the field research, consisting of judgments of Family Court judges and comparative legislative survey of children s rights in their daily lives with their parents, was subjected to content analysis, in its thematic modality. The results obtained sugest that the judiciary practices in the Family Court are still slow and orthodox, the Brazilian Civil Code of 2002 and the Code of Civil Procedures of 2015 being specially applied, which privileges certain social classes, makes others invisible and prioritizes the parental duties and not the protection of the children rights. The results also suggest that the different paths historically traced by Family Law and the Children Rights dialogues with Bourdieu and his notion of legal field and habitus, reinforcing the symbolic side of the Family Courts as a space distanced from application of Human Rights, ECA and other legislation available in the Brazilian legal system. The comparative socio-legal analysis of the research material made it possible to understand the advances and setbacks of the practice of family law and the need to bring family courts closer to children rights s law, as well as act together with other areas of children and family (theory and pratice), as a way of guaranteeing the protection of children and adolescents rights assured by the Republic of Brazil s Federal Constitution of 1988, specially when considered the cultural and social needs of the different families in a country with such severe social inequality as Brazil.

[pt] Esta pesquisa tem como objetivo analisar os rebatimentos da pandemia de Covid-19 do novo coronavírus nas medidas de reintegração familiar de crianças e adolescentes acolhidos em unidades de acolhimento institucional do estado do Rio de Janeiro. Durante o período caracterizado como de pandemia foram aprovadas algumas medidas de incentivo à agilização do desligamento dos acolhidos por meio de recomendações e notas técnicas. Esta prática pode resultar em reintegrações malsucedidas, visto a realização de acompanhamento das crianças, dos adolescentes e de suas famílias de maneira virtual ou, quando presencial, com a frequência reduzida. Esta dissertação tem como foco uma discussão sobre a reintegração familiar em tempos de pandemia, considerando antigos e novos desafios. A metodologia de pesquisa incluiu um levantamento sistemático da produção acadêmica sobre acolhimento institucional, reintegração familiar e os rebatimentos da pandemia do novo coronavírus; entrevistas com técnicos de 4 instituições de acolhimento em 3 regiões do estado do Rio de Janeiro e consulta a uma pesquisadora/especialista no assunto. Conclui-se que a pandemia desvelou diversos desafios às instituições de acolhimento como um todo, modificando a rotina institucional e exigindo adaptações à nova realidade, tanto por parte dos técnicos como dos acolhidos. Contudo, estes desafios não foram os mesmos em todas as instituições pesquisadas e à medida de reintegração familiar na pandemia foram atribuídos significados distintos de acordo com as características da instituição e com a metodologia de trabalho da equipe técnica. / [en] This study aims to analyze the consequences of the Covid-19 pandemic on methods for the reintegration of families of children and adolescents in institutions in the state of Rio de Janeiro. During the period of the pandemic various methods for incentivizing the deinstitutionalization of the young people were approved by various recommendations and technical notes. This effort could result in unsuccessful reintegration given the reliance on virtual meetings or, if in person, with a reduced frequency. This dissertation focuses on family reintegration in the time of a pandemic considering old and new challenges. The methods include a systematic review of the academic literature about family unification and the consequences of the new Covid19 pandemic; interviews with staff in four residential institutions in three regions of the state of Rio de Janeiro and a consultation with a researcher/specialist in the area. I concluded that the pandemic created various challenges for the institutions such as changing the institutional routines and demanding adaptations to the new realities on the part of both the staff and young people. However, the challenges were not the same in all the institutions studied and ways of reintegrating families were quite different depending on the characteristics of individual institutions and on the methods of the staff.

En 30 de marzo del año 2021, entra en vigor ley N°31146, ley que modifica el código penal respecto a las sanciones del delito de explotación sexual en sus diversas modalidades y delitos conexos, para proteger con especial énfasis a las niñas, niños, adolescentes y mujeres, la cual da origen a la modificatoria del artículo 129-J denominado “Cliiente del Adolescente” surgiendo conflictos jurídicos. Por ello, el presente artículo tiene como objetivo general el proponer la inconstitucionalidad del delito anteriormente mencionado garantizando el libre ejercicio del desarrollo de la personalidad, en el proceso de despenalización del delito de cliente del adolescente, así como objetivos específicos el analizar el libre ejercicio del desarrollo de la personalidad y el delito de cliente del adolescente utilizando la técnica legislativa e identificar el proceso de despenalización en el delito de cliente del adolescente, aplicando el método de investigación cualitativa, de tipo documental, por lo cual, se tendrá como resultado proponer la inconstitucionalidad del tipo penal con la finaliidad de proteger derechos fundamentales como el libre desarrollo de la personalidad. / On March 30, 2021, Law N°31146 enters into force, Law that modifies the penal code regarding the penalties for the crime of sexual exploitation in its various forms and related crimes, to protect with special emphasis on children, adolescents and women, which gives rise to the amendment of article 129-J known as "Adolescent Client", raising legal conflicts. Therefore, the general objective of this article is to propose the unconstitutionality of the aforementioned offence, guaranteeing the free exercise of personality development, in the process of decriminalizing the crime of client of the adolescent, as well as specific objectives to analyze the free exercise of the development of the personality and the crime of client of the adolescent usin legislative technique and identifyin the decriminalizatio process in the adolescent's client crime applying the method of qualitative research, of documentary type, for which reason, the result will be to propose the unconstitutionality of the criminal type in order to protect fundamental rights as the free development of personality.

Die Erfassung der gesundheitsbezogenen Lebensqualität speziell von kleinwüchsigen Kindern und Jugendlichen gewinnt im medizinischen und psychologischen Bereich an Bedeutung. Neben dem Selbstbericht der betroffenen Kinder stellt die elterliche Perspektive zur gesundheitsbezogenen Lebensqualität eine zusätzliche Informationsquelle dar. In der vorliegenden Arbeit wurde quantitativ und qualitativ die gesundheitsbezogene Lebensqualität von kleinwüchsigen Kindern und Jugendlichen mit Wachstumshormonmangel (GHD) und idiopathischem Kleinwuchs (ISS) aus elterlicher Perspektive (n = 33) untersucht. Grundlage der quantitativen Untersuchung war die Erhebung der gesundheitsbezogenen Lebensqualität mithilfe des KIDSCREEN-52-Fragebogens aus Elternperspektive. Dieser Datensatz wurde mit den Normdaten des KIDSCREEN-52-Fragebogens deutscher Eltern normalwüchsiger Kinder (N ~ 1683) verglichen. Zusätzlich wurden Gruppenunterschiede (Geschlechter-, Alters- und Diagnosegruppen sowie der Behandlungsstatus) innerhalb der Stichprobe überprüft. Es wurden inferenzstatistische Auswertungsverfahren verwendet. Zudem wurden Eltern über die gesundheitsbezogene Lebensqualität ihrer kleinwüchsigen Kinder im Rahmen von strukturierten Fokusgruppeninterviews in Deutschland befragt. Diese Daten wurden qualitativ mithilfe der Software MaxQDA (MaxQDA 10/11, VERBI Software) ausgewertet. Die Ergebnisse der quantitativen Analyse zeigen signifikante Unterschiede zu normalgroßen Kindern in den Bereichen „Selbstwahrnehmung“, „Selbstständigkeit“ und „Soziale Akzeptanz“. Im Bereich „Schule“ schätzten Eltern mit kleinwüchsigen Söhnen die gesundheitsbezogene Lebensqualität schlechter ein als befragte Eltern mit kleinwüchsigen Töchtern. Die qualitative Auswertung zeigt, dass in bestimmten Lebensbereichen kleinwüchsiger Kinder Einschränkungen vorliegen. Neben physischen Defiziten wurden von emotionalen Problemen und sozialen Schwierigkeiten berichtet. Bewältigungsstrategien wurden positiv beschrieben. Insgesamt wurden nur geringfügige Gruppenunterschiede gefunden. In der Kategorie „Auswirkungen auf die Eltern und Zukunftsgedanken der Eltern“ zeigten sich Einschränkungen in der gesundheitsbezogenen Lebensqualität der Eltern. Zudem wurde die Unterstützung durch die Eltern als bedeutsam für die gesundheitsbezogene Lebensqualität ihrer kleinwüchsigen Kinder identifiziert.

[pt] Esta tese estuda a construção do lugar da criança e do adolescente enquanto sujeitos de direitos a partir do Estatuto da Criança e do Adolescente (ECA). Como objetivo inicial, estabelece uma leitura dos direitos da criança enquanto um processo complexo de mudanças e práticas na construção de uma nova cultura. O ECA estabeleceu dispositivos institucionais como leis, programas e órgãos que configuraram um circuito institucional gerando novas práticas no cotidiano. Mas, ao mesmo tempo em que funciona como uma transformação jurídico-institucional avançada, o ECA dispara uma ação intempestiva e abrupta no cotidiano da sociedade brasileira. Atores foram colocados em diálogo para a validação desse direito, nesse sentido, uma nova perspectiva de direitos trouxe consigo a valorização do ator e sua capacidade de ação em rede dentro de uma nova lógica de gestão pública. Os efeitos reais das inovações do ECA podem ser observados à luz da presença da criança no espaço público, geralmente, lugares em que são invisíveis, e onde o seu direito à cidade tende a desaparecer. Através de pesquisa empírica o estudo evidenciará trajetórias de crianças e adolescentes da Favela da Rocinha, no Rio de Janeiro, com passagem pelo Conselho tutelar, por meio de tramas e relatos dos casos. Este estudo inclui também, de forma complementar, uma análise da relação deste Conselho com algumas agências que compõem a Rede de proteção de crianças e adolescentes - Ministério Público, Centro de Referência de Assistência Social (CRAS) e Escola - de forma a entender como cada uma dessas agências, em seu modo de funcionamento, revela a fragilidade a que estão expostas crianças e adolescentes de origem popular. / [en] This thesis studies the construction of the place of the child and the adolescent as subjects of rights from the Statute of the Child and the Adolescent. As an initial goal, it establishes a reading of children s rights as a complex process of changes and practices in the construction of a new culture. The ECA established institutional arrangements such as laws, programs and bodies that set up an institutional circuit generating new practices in everyday life. But, at the same time that it functions as an advanced juridical-institutional transformation, the ECA triggers an abrupt and untimely action in the daily life of Brazilian society. Actors were put in dialogue for the validation of this right, in this sense, a new perspective of rights brought with it the actor s valorization and his ability to act in a network within a new logic of public management. The real effects of ECA innovations can be seen in the light of the child s presence in the public space, usually where they are invisible, and where their right to the city tends to disappear. Through empirical research, the study will show trajectories of children and adolescents from the Favela de Rocinha, in Rio de Janeiro, with passage through the Guardianship Council, through plots and case reports. This study also includes, in a complementary way, an analysis of the relationship of this Council with some agencies that make up the Network for the Protection of Children and Adolescents - Public Prosecutor s Office, Social Assistance Reference Center and School - in order to understand how each one of these agencies, in its way of functioning, reveals the fragility to which children and adolescents of popular origin are exposed.