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Bakgrund: Ca 1–2 procent av alla kvinnor beräknas någon gång under livet uppfylla kriterierna för anorexia nervosa. Sjukdomen, som innebär en kraftigt förhöjd mortalitetsrisk och kan ge allvarliga kroppsliga och psykiska komplikationer på längre sikt, blir ofta uppenbar någon gång under tonåren. Idag råder uppfattningen att barn och ungdomar med anorexia nervosa eller annan ätstörningsproblematik så långt som möjligt bör vårdas tillsammans med sina   föräldrar. På senare år har olika typer av familjebaserad vård, där föräldrarna tilldelas en central roll som drivande i barnets tillfrisknande, blivit allt vanligare i takt med att evidensen för denna form av ätstörningsvård ökat. Forskning har vidare visat att det innebär en stor påfrestning för övriga familjemedlemmar när ett barn insjuknar i en ätstörning. Utifrån detta vore det värdefullt att få en fördjupad kunskap om vilka erfarenheter föräldrar har av att delta i familjebaserad ätstörningsvård. Ett antal kvalitativa studier finns genomförda på området men sammanställd kunskap saknas i dagsläget. Syfte: Syftet med föreliggande litteraturstudie var att undersöka vilka erfarenheter föräldrar har av att delta i familjebaserad ätstörningsvård. Metod: Kvalitativ litteraturstudie som genomförts enligt Thomas och Hardens (2008) modell för   tematisk syntes av kvalitativ forskning. Resultat: Studien resulterade i fyra deskriptiva teman; Upplevelse av den familjebaserade   ätstörningsvårdens upplägg, Förändring av förhållandet till ätstörningen, Förändringar inom familjen, Att träffa andra i samma situation samt tre analytiska teman; Minskad ensamhet, Att känna sig misslyckad och dömd som förälder samt Att känna att man gör det rätta för sitt barn. Diskussion: Resultatet diskuterades utifrån Dorothea Orems teori om egenvårdsbalans samt i relation   till annan aktuell forskning som berör familjebaserad vård och ätstörningar hos barn och ungdomar. / Background: About 1-2 percent of all women fulfil the criteria for anorexia nervosa at some point of their life. The disorder, which entails elevated mortality and might result in serious somatic and   psychiatric long-term complications, often becomes apparent during the teenage years. Today, the prevailing view is that children and youths with eating disorders should be treated together with their parents as far as possible. During the last decade different types of family-based care, were the parents play a central role in their child's recovery, have become more common in step with growing research evidence. Research has also shown how an eating disorder in a child causes a big strain on the rest of the family members. Regarding this, it would be valuable to achieve deeper knowledge about parents’ experiences of engaging in family-based eating disorder care.  A number of qualitative studies concerning this topic exists, but more compiled knowledge is still missing. Aim: The aim of the study was to investigate parents’ experiences of engaging in family-based eating disorder care. Method: A qualitative literature review on the subject was conducted according to Thomas and Hardens (2008) model of thematic synthesis of qualitative research. Results: The study resulted in four descriptive themes; The experience of the setup of the family-based eating disorder care, A change in the approach to the eating disorder, Changes within the family and To meet other parents in the same situation and three analytic themes; To feel less alone, To experience failure and feel judged as a parent and To feel confident that you are doing the right thing for your child. Discussion: The findings were discussed based on Dorothea Orem’s self-care-deficit theory and in relation to other relevant research concerning family-based care and eating disorders in children and youths.

At present media often deal with the topic of children growing up in institutions. The society's effort is that children grow up in functional families. Also, based on the UNICEF?s criticism a reform has been created. The Czech Republic has been making an effort for a long time already to decrease the number of children not growing up in natural family environment. A few measures had been proposed and some of them implemented but they have been ineffective in achieving their desired outcomes. The transformation of the alternative upbringing system should be made on a complex basis. However, concerns and disagreements arise over the proposed solution. Advantages and disadvantages are published in various coverages, discussions, as well as in professional literature. The thesis title: The attitude of social and welfare workers towards closing baby and children's homes. The thesis is divided into two parts. The theoretical part deals with the topics of today's family, institutional upbringing, alternative family-based care, and particular steps in the effort to reduce the number of children growing up in institutions. The practical part aims at mapping the attitudes of social workers at baby and children's homes concerning the closing these institutions. A partial objective was to investigate whether the age and practical experience influence the attitudes of social workers of baby and children's homes. Another partial objective was to compare attitudes of social workers of baby and children's homes among different regions of the Czech Republic. I set out two hypotheses. Hypothesis 1: "Social workers have negative attitudes towards closing baby and children's homes." Hypothesis 2: "Social workers' opinions of closing baby and children?s homes do not show any differences among regions of the Czech Republic." Empiric data were collected using a quantitative research, interviewing, and questionnaire technique. The research sample was composed of social workers of selected childcare institutions. The number of questionnaires sent to healthcare institutions (baby homes, baby homes at children's homes, children's homes for 1 - 3 aged and child centres) was 34. Other respondents from children's homes were addressed; in total 148 in the Czech Republic. Thus the research sample was composed of 182 respondents. Every institution was contacted twice as to increase the returnability. The population was represented by the same size as the selected sample, that means it is an exhaustive subpopulation. In total 80 questionnaires returned, i.e. the selected sample returnability (filled questionnaires) reached 44%. Obtained results were statistically processed using scaled classification of data in contexts with obtained nominal, ordinal, and cardinal variables. To analyse categorical data, the chi-square test of independence was used. The hypothesis 1 was statistically confirmed. The hypothesis 2 was not possible to adequately evaluate statistically due to the high number of categories (CR regions) into which the data were divided. Results were placed into nominal statistic tables. The descriptive statistics show that the negative attitudes of social workers prevail. Results of the thesis can be used to analyse opinions of social workers concerning the transformation of the system of care of at risk children. There are many studies relating to the underway transformation of the system of care for at risk children that should be elaborated before the reform is launched. In working out the thesis, I identified many topics that might originate writing further theses. They are e.g. opinions of social workers from the competent authority for social and legal protection of children, attitudes of children in institutional care, creation of an optimal model for at risk children, etc.