<p>Allianser och interventioner</p><p>En studie av hur familjer upplevt en öppenvårdsinsats</p><p>och hur behandlingseffekt kvarstår</p><p>Sammanfattning</p><p>I Sverige utreds årligen uppskattningsvis 100 000 barn av socialtjänstens individ- och famil-jeomsorg och antalet strukturerade öppenvårdprogram har i det närmaste fördubblats sedan 1999. Många av dessa insatser har kommit att ersätta den traditionella institutionsvården. I och med ökningen av att antalet unga som numera hamnar i strukturerade öppenvårdsprogram behövs mer kunskap om såväl innehåll som resultat. Denna studies syfte är att undersöka och belysa en öppenvårdsverksamhets, i en mellansvensk kommun, innehåll d.v.s. vilka föränd-ringar som familjerna kan beskriva har skett samt om positiva förändringar kvarstår efter be-handling. Studien är av kvalitativ karaktär och resultaten bygger på intervjuer med familjer som deltagit i den aktuella behandlingen. Studiens tolkningsram belyser förutsättningar vilka ligger till grund för framgångsrik behandling. Viktiga inslag såsom terapeutisk allians och generella behandlingsprinciper vilka tar upp interventioner riktade mot avgörande risk- och skyddsfaktorer belyses. Resultatet visar att öppenvårdsverksamhetens behandlingsfaktorer intensitet och tillgänglighet har varit verksamma för att uppnå förändringar. Flertalet positiva förändringar har bestått efter behandlingens avslut. Resultatet antyder på att verksamheten skulle vinna på att bättre informera om behandlingens innehåll innan familjer tar ställning till att delta i behandling eller ej. Resultatet visar att arbetsplaner och målbeskrivningar skulle kunna göras tydligare för att bättre nå behandlingsresultat. Studiens resultat indikerar också betydelsen av att interventioner inom skolsituationen har betydelse för positiva förändringar. Ytterligare visar resultatet att flertalet familjer beskriver en mycket god terapeutisk allians och dess betydelse för uppnådd förändring.</p> / <p>Alliance and interventions</p><p>A study of how families have experienced open care treatment and the lasting effects of treatment.</p><p>Abstract</p><p>In Sweden approximately 100,000 cases involving children are investigated annually by the social services office for individual and family services. The number of registered cases in the open care service programs has almost doubled since 1999, replacing traditional institutional care. As a result of the increase in the number of children, more knowledge is needed con-cerning the underlying issues and results from the open care service program. The purpose of this study is to investigate and clarify the open care service program of a medium-sized Swe-dish county, to explain changes that have take place as described by the families themselves and which positive changes remain after treatment. The study’s analysis sheds light on which premises should exist for positive treatment. Important elements such as therapeutic care al-liance and general treatment programs and which interventions directed towards conclusive risk and protective factors are addressed. Results show that factors such as intensity and avail-ability of open care service programs treatment are instrumental in reaching changes and that the majority of changes have persisted after concluded treatment. Results suggest that open care service programs could benefit by better informing about treatment’s before families decide on participating in treatment or not. Also results indicate that action plans and descrip-tion of objectives could be made more explicit to better attain therapeutic results. Results also show that the majority of families describe a favorable therapeutic alliance and their signific-ance to viable change. Results also corroborate the importance of intervention in the school environment on attaining positive effects.</p>

Thesis (M.Ed.)--North-West University, Vaal Triangle Campus, 2007.

The purpose of this qualitative case study was to describe the experiences of resilience following parental divorce for university freshmen. Five participants were interviewed using a multiple case study methodology and Richardson’s (2002) resilience model as the theoretical framework. It examined how the three needs of Self-Determination theory (autonomy, relatedness, and competence) and the three categories of protective factors (individual, family, and community) contributed to resilience. Data were collected through demographic surveys, divorce artwork, resilience artwork, and interview transcriptions. General themes, typological self-determination need themes, and typological protective factor themes were developed for each individual and across cases. The findings suggested that autonomy needs and individual protective factors were the same, competence needs and most community factors were the same, and relatedness needs and family protective factors, along with the community protective factor of friends, were same. Therefore, this study linked the empirical support of protective factor research to the tenet of self-determination theory that stated that by facilitating the three self-determination needs, optimal positive psychological, developmental and behavioral outcomes occur (Deci & Ryan, 2008). Findings also revealed a) the importance of cognitive coping strategies, b) the benefit of helping others, c) the significance of the relatedness need, and d) the value of multiple types of relationships. Implications for counselors and recommendations for future research on resilience in children of divorce were provided.

Borderline Personality Disorder (BPD) is one of the more common personality disorder diagnoses observed in psychiatric inpatients and outpatients. Previous studies have found that individuals with BPD may be expected to experience difficulties throughout their lifetimes and they may repeatedly return for psychological treatment. Whereas previous studies have attempted to identify various factors related to relapse in other chronically recurring disorders such as depression, schizophrenia, and substance abuse, studies examining factors associated with relapse in BPD, and personality disorders in general, are absent from the scientific literature. This exploratory study examined whether specific risk and protective factors (dynamic and/or static) identified from the general relapse literature were associated with diagnostic relapse in BPD. Results revealed that variables related to an increased likelihood for BPD relapse included: substance abuse or Major Depressive Disorder, higher Neuroticism, and lower Conscientiousness. In addition, having a steady work or school status after remission was found to protect against a BPD relapse in the presence of various risk factors. Although this study has several limitations, these results provide some of the first insights to the processes of relapse and continued remission in BPD patients. Continued research efforts in this area can help to identify individuals who are at a greater risk for BPD relapse and potentially to design effective relapse-prevention strategies for the treatment of BPD.

The aim of this study was to explore school learners’ perceptions of the factors that influence methamphetamine use in Manenberg. To meet this aim, three objectives were proposed namely, to explore school learners’ knowledge and understandings of methamphetamine use / to explore school learners’ perceptions of methamphetamine and its uses and / to explore school learners’ perceptions of the factors that influence methamphetamine use. Methamphetamine use amongst adolescents has become an increasing concern internationally and globally, with Cape Town’s level of methamphetamine users being substantially higher compared to other parts of South Africa. The study was thus important as it firstly, permitted the understanding of adolescents’ knowledge of methamphetamine and its uses in a lower socioeconomic status community, secondly, permitted the understanding of adolescents perceptions of the contributing factors of meth use, and thirdly, by knowing and understanding their viewpoints, key focus areas were recommended for intervention and prevention programs in an attempt to decrease the high drug rate in South Africa.

Allianser och interventioner En studie av hur familjer upplevt en öppenvårdsinsats och hur behandlingseffekt kvarstår Sammanfattning I Sverige utreds årligen uppskattningsvis 100 000 barn av socialtjänstens individ- och famil-jeomsorg och antalet strukturerade öppenvårdprogram har i det närmaste fördubblats sedan 1999. Många av dessa insatser har kommit att ersätta den traditionella institutionsvården. I och med ökningen av att antalet unga som numera hamnar i strukturerade öppenvårdsprogram behövs mer kunskap om såväl innehåll som resultat. Denna studies syfte är att undersöka och belysa en öppenvårdsverksamhets, i en mellansvensk kommun, innehåll d.v.s. vilka föränd-ringar som familjerna kan beskriva har skett samt om positiva förändringar kvarstår efter be-handling. Studien är av kvalitativ karaktär och resultaten bygger på intervjuer med familjer som deltagit i den aktuella behandlingen. Studiens tolkningsram belyser förutsättningar vilka ligger till grund för framgångsrik behandling. Viktiga inslag såsom terapeutisk allians och generella behandlingsprinciper vilka tar upp interventioner riktade mot avgörande risk- och skyddsfaktorer belyses. Resultatet visar att öppenvårdsverksamhetens behandlingsfaktorer intensitet och tillgänglighet har varit verksamma för att uppnå förändringar. Flertalet positiva förändringar har bestått efter behandlingens avslut. Resultatet antyder på att verksamheten skulle vinna på att bättre informera om behandlingens innehåll innan familjer tar ställning till att delta i behandling eller ej. Resultatet visar att arbetsplaner och målbeskrivningar skulle kunna göras tydligare för att bättre nå behandlingsresultat. Studiens resultat indikerar också betydelsen av att interventioner inom skolsituationen har betydelse för positiva förändringar. Ytterligare visar resultatet att flertalet familjer beskriver en mycket god terapeutisk allians och dess betydelse för uppnådd förändring. / Alliance and interventions A study of how families have experienced open care treatment and the lasting effects of treatment. Abstract In Sweden approximately 100,000 cases involving children are investigated annually by the social services office for individual and family services. The number of registered cases in the open care service programs has almost doubled since 1999, replacing traditional institutional care. As a result of the increase in the number of children, more knowledge is needed con-cerning the underlying issues and results from the open care service program. The purpose of this study is to investigate and clarify the open care service program of a medium-sized Swe-dish county, to explain changes that have take place as described by the families themselves and which positive changes remain after treatment. The study’s analysis sheds light on which premises should exist for positive treatment. Important elements such as therapeutic care al-liance and general treatment programs and which interventions directed towards conclusive risk and protective factors are addressed. Results show that factors such as intensity and avail-ability of open care service programs treatment are instrumental in reaching changes and that the majority of changes have persisted after concluded treatment. Results suggest that open care service programs could benefit by better informing about treatment’s before families decide on participating in treatment or not. Also results indicate that action plans and descrip-tion of objectives could be made more explicit to better attain therapeutic results. Results also show that the majority of families describe a favorable therapeutic alliance and their signific-ance to viable change. Results also corroborate the importance of intervention in the school environment on attaining positive effects.

We have been in the Philippines where we did a research about child labor. We went to a country in South because we wanted to come home with a deeper understanding of how social work can be practiced in a developing country and to get a bigger global perspective. Child labor is a big subject and therefore we made a demarcation in our research to child labor that we could observe in the urban area Manila. To get answers on our research questions we chosen to do a qualitative study with a triangulation of methods. This means that we used different kind of data collection methods such as, interviews, observation and literature studies. To get interviews we contacted an organization that helped us with contacts on the spot. We interviewed both government and non-government organization to get a broader picture of how they are working with child labor. The observation was made all the time since there were children around us every day, begging or wanted to sell some items to us. The literature was more difficult to find because there isn’t any books about the Philippines in Sweden.      What we have found out is that child labor is a big problem in the Philippines, but that it is a country with a lot of big problems for example poverty. The children in child labor come from poor families that need an extra income. The children doesn’t only work a few hours a week, they often work so much that they drop out of school. Except that the children is missing out of their education there is also a lot of risks involving in child labor. We have been researching about the children’s situations and how government and non- government organizations are working with the issue of child labor and it´s negative effects on the child’s development. We found out that both ILO and the Philippine government have programs right now to support the goal of a child labor free Philippines. We also found out that there is a big lack of trust for the government. To analysis our results we have chosen two theories, the ecological model of human development and development of psychopathology. Both theories are Western but they can be applied on the Philippines if you have the context in mind.

The purpose of the study is to see how Fundación Senda De Libertad works in a preventive manner with youths who have social difficulties in Dario, Nicaragua. This study has utilised qualitative method, in order to gain adequate and sufficient information. The analysis of data has been gathered through an ethnographic perspective were observations and qualitative interviews have been used. This study shows how youths are affected with different social problems because of the number of risk factors that surround their environment. The organisation’s preventive works is done by going out and teach in schools, society and churches about self-esteem, sex and relationships, drug abuse and so forth. Conclusions show that many youths are unable to affect their own future and will therefore spend their time committing criminal actions, doing drugs and so forth. Fundación Senda De Libertad therefore works to support in order for them to become active participants in society. This will also help them make changes in the future of the general society.

En positiv eller negativ livsinställning, djur, natur, tro och utbildning, är det faktorer som har skyddande egenskaper? Personerna som fått behandling professionellt, har bearbetat händelserna de varit med om bättre än de som inte har fått hjälp med bearbetning. De personer som har en positiv livsinställning, i kombination med att de fått professionell hjälp av någon, har bearbetat de traumatiska händelser de varit med om bättre, än personer som har en negativ livsinställning, eller inte fått professionell hjälp. Några av personerna som intervjuats har även haft stor hjälp av att vistas ute i naturen tillsammans med sina hundar. Hundarna har varit ett stort stöd mentalt och en god vän som lyssnat när de mått dåligt. / A positive or negative approach to life, animals, nature, faith and education, are those factors with protective characteristics? Persons that have got professional treatment, have processed the experienced incidents, better than those who have not received help to process the incidents. Those who have a positive approach to life, combined with professional treatment, have processed traumatic experiences better than persons with a negative approach to life, or those with no professional treatment offered. Some of the interviewed persons have gained a lot by spending time with their dogs in nature. The dog has acted as mental support and a good friend, who has listened when the person has been depressed and in need of support.

A large number of African American males have experienced risk and protective factors that may impede or enhance their success in the school setting. As a result of these risk and protective factors, they may or may not be at-risk for adverse outcomes behaviorally as well as academically. As indicated throughout the literature, to better serve behaviorally at-risk students, the educational system has responded by implementing methods such as zero-tolerance policies, increased security, and alternative education programs. While the former has been established throughout the literature, there has been a paucity of research on alternative education programs in general and even less with regard to African American male students. This study examined four levels of risk and protective factors, individual, school, community, and family, among African American males in both alternative and general educational settings. One hundred fifteen students ages 11 to 16 were assessed for demographics, self-efficacy, school engagement, and racial identity measures. The purpose of the study was to examine the differences between risk and protective factors among African American males in alternative and general education settings. Specifically, the individual level was examined in detail using the following risk and protective factors: self-efficacy, school engagement, and racial identity. This study also examined the impact risk and protective factors have in predicting the likelihood that an African American male would be placed in an alternative education setting. Both independent samples t-tests and hierarchical logistic regression analyses were used. Results indicated that there are statistically significant differences in levels of self-efficacy and school engagement between African American males in alternative education settings and general educations settings. No difference was found in levels of racial identity among the groups. Results from the hierarchical logistic regressions indicated that self-efficacy is a significant predictor. These findings show the importance for school psychologists to work with students to instill confidence to be successful in school settings. Also, since self-efficacy was shown to be a significant predictor of placement status in alternative school settings, it is important for school psychologists and school personnel to get involved with these students before they even become at-risk.