Thesis (M.S.)--Boston University / The purpose of this study is to explore the social factors which are present in the children and adults with a diagnosis of bronchial asthma and to learn the role of the social worker in the treatment of these cases. The writer hopes to find out the ways in which the medical social worker can help the asthmatic patient benefit from the medical treatment he is receiving. The writer sets forth the following questions to be answered: 1) What are the reasons for referral to the socia~ service department? 2) What are the factors in the environment which seem to be impeding treatment? 3) What methods are ; used by the social worker in trying to remove the obstacles? 4) To what extent is it possible to achieve these objectives?

This thesis is about a special type of institutional treatment called family-work. It can be described as different ways to involve the families of the youth in their treatment programme. The locus of the study are special treatment homes which provide treatment for youth with serious social and behavioural problems. The study concerns three units at three institutions. The thesis has a qualitative and interpretative approach with using of observations, field studies, combined with interviews and field notes. The study focuses at the pre-conditions for the local "family projects" run by the care workers. With "project" means a process where different actions take place. The Theory of Action concept facilitates the understanding of these types of process and the importance of the internal(subjective) and external(objective) conditions in proportion to the space of action. Several local conditions influenced the pre-requisites for the staff to be able to carry out a "family project" and decide how to realize an intention. Important conditions were commissions given by the social services and the treatment focus at the units. The units are functioned as kinds of overall social "project contexts" with four basic characteristics: the treatment focus and structure, the professionalism and the organisation of the work. The conclusion from the study is that none of the "project contexts" at the three units provided good pre-requisites for family-work. "Family projects", realised by care workers were however professional and seem to have helped both the parents and the young persons, but "the project" were, in total, relatively few. It appeared that a successfully completed "family project" is the last step in a long process in which many different conditions contribute to the destiny of the "project". A clear family focused structured treatment at a unit can provide the employees with good conditions for realising the opportunities they see for working with families.