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.

I dagens Sverige drabbas allt fler barn och unga av psykisk ohälsa, i rapporter framkommer dystra framtidsutsikter om att antalet barn och unga kommer att öka. Då det kommer till barn och unga med komplexa behov, ställer det i sin tur högre krav på samverkan mellan kommun och region. För att säkra att barn och unga får den rätta hjälpen är samverkan lagstadgad och något socialtjänsten och barn- och ungdomspsykiatrin (BUP) behöver förhålla sig till. Därmed syftade denna studie till att undersöka hur kuratorer inom barn- och ungdomspsykiatrin och socialsekreterare som arbetar med barn och unga inom socialtjänsten upplever samverkan sinsemellan. För att undersöka studiens syfte användes kvalitativ metod varvid tre kuratorer från BUP samt fyra socialsekreterare från socialtjänstens barn och ungdomsenhet intervjuades. I arbetet med att tolka resultatet för studien användes tidigare forskning samt de teoretiska begreppen handlingsutrymme och samverkan. I analysen av empirin uppmärksammandes fyra teman som utgjorde grunden för resultatet, personbundet, kunskap och förståelse för varandras verksamheter, framgångsfaktorer för samverkan samt förhindrande faktorer för samverkan. Några viktiga slutsatser utifrån dessa var att en god relation till samverkanspartner var nödvändig samt att en mer omfattande kunskap och förståelse för varandras verksamheter önskades. Vidare nämndes brist på resurser samt avsaknad av insatser som förhindrande faktorer och högt engagemang samt uppvisande av respekt som främjande faktorer i samverkansarbetet. / In Sweden today more and more children and youths suffer from mental illness, and reports show that this decline in mental health will continue downwards. This puts more pressure on communal and regional instances to have better cooperative structures regarding the complex needs of these individuals. This cooperation between social services and child and adolescent psychiatry are obligated by law to ensure that the correct assistance is offered. This study therefore regard this cooperation and mainly focuses on the working relationship between the two. The method of gaining more knowledge in the matter was to use a qualitative form of research. This information was obtained by interviewing three curators from child and adolescent psychiatry and four social secretaries. To interpret this information former research results was studied and the meaning of the theoretical terms “room to maneuver” and “cooperation” was outlined. During the analysis four themes emerged. Person bound, knowledge and understanding of each other´s operation and inhibitory and promoting factors ofcooperation. The most important conclusions of the study were that in order for a good cooperation to take place, both parties needed to have a deeper understanding of each other’s operation. Moreover, the study showed that the lack of resources and effort from both parties complicated the partnership. Meanwhile displaying respect and commitment increased the likelihood of a good working relation.

For adolescents with asthma, adhering to asthma regimes implies not only taking medications to relieve asthma attacks, but also adjusting their life styles in order to prevent asthma attacks. These life style modifications, such as avoiding allergens or having to limit physical activity, sometimes force adolescents to compromise their social life. On the other hand, the impact of such life style modifications on their social life may in turn force adolescents to give up adhering to asthma regimes. Indeed, adolescents are learning to be more independent while they enjoy a more complicated social life at home and at school than previously, and this rapid social development may thus be a great life challenge to adolescents with asthma. This thesis reports four studies which investigated the relationship between multi-dimensional asthma management (in medication and life style regimes) and the social life of young people with asthma at the transitional age from childhood to adolescence (or early adolescence, age 9-14), which also marks the transition from primary school to secondary school. In line with the literature on other adolescent chronic illnesses, study 1 demonstrated a downward trend of multi-dimensional asthma management in early adolescence. This developmental change was further investigated in study 2, 3 and 4, in which theories in behavioural psychology were followed to emphasise human behaviour influenced by the social activities and social relationships in the living environment, or the social environment. This was supplemented by theories in developmental psychology to identify relevant aspects of the social environment in early adolescence, especially the social relationships with parents, school staff and peers. Using quantitative and qualitative approaches, the studies not only supported the direct influence of asthma-specific social support, but also explored some mechanisms with which social relationships influenced asthma management in a more subtle and context-dependent way. By approaching asthma management behaviour with theories from behavioural and developmental psychology, it is also hoped that this thesis could be an example that shows the importance of recognising and to understanding the social life of young adolescents when adolescent behaviour is concerned.

Autism spectrum disorders (ASD) are neurodevelopmental disorders with multiple neurobiological aetiologies, which could be genetic, structural, metabolic or immune-mediated. ASDs are diagnosed with deficits in social communication and restricted and repetitive behaviours, and are associated with sensorial atypicalities. 30% of cases have co-existing epilepsy. A series of in vitro, in vivo and post-mortem investigations were undertaken to examine sensory atypicalities in ASD. In vitro characterisation of hippocampal neuronal cultures using immunofluorescence demonstrated the presence of multiple cell types including neurons, astrocytes and microglia. The distribution of ion channels of the Shaker family and tumour necrosis factor α receptors in astrocytes and neurons were identified but not explored further. Neuroanatomical and neuropathological investigations of primary olfactory cortex, using post-mortem stereology, demonstrated a specific increase in glial cell densities in layer II, which was negatively associated with age in ASD. Increases in glia were also associated with symptom severity and often co-localised with the presence of corpora amylacea in layer I. Qualitative analysis of the olfactory tubercle demonstrated that corpora amylacea did not extend to this neighbouring region of the primary olfactory cortex in ASD. These changes were independent of co-existing epilepsy and not observed in epilepsy without ASD. Preliminary pilot studies of the hippocampus provided a stereological sampling strategy to quantify cell densities in future investigations of this area in ASD. Neurophysiological investigations using collected magnetoencephalography data demonstrated diminished occipital gamma oscillatory synchrony in ASD in a visual time perception task. This did not always predict behavioural outcome but was specific to ASD and could not be explained simply in terms of changes in task performance. Moreover, changes in oscillatory synchrony were associated with symptom severity. These observations in primary sensory domains in post-mortem tissue and in patients suggest possible novel mechanisms in ASD and extend knowledge of the neurobiological bases of these disorders.

<p>The aim with this study was to learn about the experiences of field workers and welfare officers in the field of possible self-harm behavior among young people.Our problem was: Do field workers and welfare officers treat young people with deliberate self-harm differently and - How do field workers and welfare officers describe deliberate self- harm?</p><p>Our study was conducted through qualitative semistructured interviews with twelve interviewee’s.The result of this study shows that there is a difference in how young people with self-harm behavior are being treated - based on their gender.One possible cause for this result could be the old tradition mindset of viewing boys and girls differently – and thus, treating them differently when they seek help.Our study shows there is a possibility of treating boys and girls differently – which shows that we made a thought-provoking point</p>

The aim with this study was to learn about the experiences of field workers and welfare officers in the field of possible self-harm behavior among young people.Our problem was: Do field workers and welfare officers treat young people with deliberate self-harm differently and - How do field workers and welfare officers describe deliberate self- harm? Our study was conducted through qualitative semistructured interviews with twelve interviewee’s.The result of this study shows that there is a difference in how young people with self-harm behavior are being treated - based on their gender.One possible cause for this result could be the old tradition mindset of viewing boys and girls differently – and thus, treating them differently when they seek help.Our study shows there is a possibility of treating boys and girls differently – which shows that we made a thought-provoking point

Made available in DSpace on 2014-07-29T15:28:59Z (GMT). No. of bitstreams: 1 Tese Paulo V B e Azevedo.pdf: 3414417 bytes, checksum: 54ac1ec125fcb10c62ef1c5059b81be8 (MD5) Previous issue date: 2012-03-14 / Objective: To determine the prevalence of mental disorders in children and adolescents from an indigenous population living in isolated tribes in the Brazilian Amazon. Methods: This is an analytical prevalence study in a sample of 192 indigenous children and adolescents from Karajá ethnicity, aged between 7 and 14 years old. The prevalence were determined using the syndrome scales of mental health problems according to the ASEBA questionnaires. The Child Behavior Checklist 6-18 (CBCL) and the Teacher Report Form 6-18 (TRF) were used for the screening of these problems. The difference among the prevalence found in the two questionnaires as well as the risk association between gender and schooling and mental health problems were evaluated. Results: A total prevalence of problems of 34.38% with the CBCL and of 23.44% with the TRF was found (p < 0.00). There was an association between the occurrence of these problems in the subjects attending the second phase of fundamental school (6th to 9th year of formal education). Conclusion: The prevalence of mental health problems found was high when compared to studies with other cultures around the world. It was observed that even in human populations who preserve the primordial cultural aspects of their ancestors who lived 10.000 years ago, psychiatric problems exist and have clinical presentations that are similar to those found in modern civilized societies, in which the cultural context may influence the manifestations of such problems. / Objetivo: Determinar a prevalência de problemas mentais em crianças e adolescentes de uma população indígena vivendo isolada em tribos na Amazônia Brasileira. Métodos: Estudo de prevalência analítico em amostra de 192 crianças e adolescentes indígenas da etnia Karajá, entre os 07 e 14 anos de idade. As prevalências foram determinadas pelas escalas síndromes de problemas de saúde mental de acordo com os questionários do ASEBA. Foram utilizados para detecção desses problemas os Inventários de Comportamentos para Crianças e Adolescentes de 6 a 18 anos (CBCL) e de Comportamentos Referidos pelo Professor para Alunos de 6 a 18 anos (TRF). Foi avaliada a diferença entre as prevalências encontradas nos dois questionários e a associação de risco entre o sexo e a escolaridade e os problemas de saúde mental. Resultados: Foi encontrada uma prevalência de problemas totais de 34,38% com o CBCL e de 23,44% com o TRF (p < 0,00). Houve associação entre a ocorrência de problemas mentais e o sexo e a escolaridade, com maior ocorrência desses problemas nos sujeitos cursando a segunda fase do ensino fundamental. Conclusão: A prevalência de problemas de saúde mental encontrada foi alta comparada aos estudos com outras culturas ao redor do mundo. Observou-se que mesmo em populações humanas que preservam os aspectos culturais primordiais dos seus ancestrais que viveram há 10.000 anos, existem problemas psiquiátricos com apresentações clínicas similares às encontradas em sociedades modernas civilizadas, podendo o contexto cultural influenciar nas manifestações desses.

This diploma thesis focuses on clients of the Department of child and adolescent psychiatry who are hospitalized because of their behaviour and adaptation disorder. A significant sign of these children is their problematic behaviour and maladaptation resulting from their social handicap which has several forms. The environment of psychiatry centre adjusts different social measures and educational patterns and needs. The theoretic part describes the term of a socially disadvantaged child, moreover, it states the function of a family, relations and educational styles as a base of primal socialisation, as a headstone of their activity in society. The practical part of the thesis describes seven case studies about individual clients of the centre and their activity in this specific environment. The main goal of the investigation was to prove that the psyche of the school aged children is influenced by their social handicap which results in their bad self- control mechanisms, low self-evaluation, and also in their behaviour disorders. Another goal of the work was to discover whether the children are influenced also by their different social environment. Powered by TCPDF (www.tcpdf.org)

Att uppleva våld mellan föräldrar är en av de värsta formerna av våld ett barn kan utsättas för, och det kan medföra trauman och hälsoproblem ända in i vuxenlivet. När kvinnan tar sig ur relationen och får en placering på skyddat boende får barnen ofta följa med. Barnen får inget eget placeringsbeslut och det finns inga direkta riktlinjer för skyddade boenden. Tas det ett samhälleligt ansvar för dessa barn? Syftet med denna studie var att bidra med kunskap om vilka insatser som finns tillgängliga för barn som lever i skyddat boende tillsammans med sina mammor. Vi ville uppmärksamma barnens behov och vilka rättigheter barnen har enligt lag, samt ta reda på om de insatser barnen erbjuds kan anses tillräckliga för att tillgodose dessa behov. Studien har genomförts genom kvalitativa semistrukturerade intervjuer med sju professionella med erfarenhet av barn på skyddat boende i Stockholms län. Resultatet analyserades med hjälp av en teoretisk referensram bestående av utvecklingsekologi, anknytningsteori och traumamedveten omsorg, samt kompletterades med nationell och internationell forskning. Studiens resultat visar att många barn mår dåligt och har behov av kris- och traumabearbetning, samt att de kan lida av tristess på boendena. Vidare visar resultatet att andra viktiga aspekter som spelade en stor roll för barnens återhämtning var mammans föräldraförmåga samt möjligheten att skapa normalitet i sin vardag med hjälp av rutiner, skola och sysselsättning. Andra vuxna att ty sig till var också betydelsefullt. Det framkommer dock att det finns en problematik runt samarbetet med andra aktörer som bland annat socialtjänsten, barn- och ungdomspsykiatrin och kommunen. Vilka insatser barnen erbjuds och får tillgång till visade sig skifta oerhört mycket beroende på vilket boende de hamnade på. / Intimate partner violence is one of the worst forms of violence a child can experience and it can lead to trauma and health problems all the way into adulthood. When a woman leaves a relationship and is placed in a women's shelter, the children often accompany her. Children are not subject to separate placement decisions and there is no direct regulation of shelters. Does society take responsibility for these children. The aim of this study was to contribute knowledge about the services available for children who live in shelters with their mothers. We wanted to shed light on the needs of these children and their legal rights, and to see if the services offered to these children could be considered sufficient to satisfy their needs. The study was conducted through qualitative, semi-structured interviews with seven professionals who have experience with children in sheltered housing in Stockholm county. Results were analyzed using a theoretical framework composed of developmental ecology, attachment theory, and transforming care, complemented with national and international research. The results show that many children are emotionally distressed and in need of crisis intervention and trauma-focused therapy, and that they suffer from boredom at the shelters. The results also show that other important aspects that played a major role in children's recovery were the mother’s parenting competence and the chance to create normality with the help of routines, school and activities. The presence of other adults also mattered. It appears however, that there are problems in collaboration with other actors such as, among others, social services, child and adolescent psychiatry and the municipality. The services that are available to children differ greatly among shelters.

The diploma thesis deals with the comprehensive support of disadvantaged pupils in the department of child and adolescent psychiatry and primary school at the hospital. The aim of the research was to analyze the level of current pedagogical, health and therapeutic support for disadvantaged hospitalized pupils and to recommend measures to increase the effectiveness of provided care. In the theoretical part, support measures and the counseling system of pupils with special educational needs were generally described. In the practical part, partial goals of the research survey were set, which were to determine the degree of effectiveness of cooperation between medical and school staff providing the educational process of hospitalized pupils. The method of social research was used in this work. For the purpose of obtaining necessary information, a form of questioning a small research sample was used, which consisted of nurses and special pedagogues of this facility. The output of this work is a modification of the cooperation of all participants and their interpersonal and intrapersonal attitude to the care provided to hospitalized students.