The Swedish child welfare system is, in an international comparison, distinguished bya family service orientation. Which means that there's a focus on understanding childrenand families in their community context (Lundström, Shanks, Pålsson & Sallnäs 2021).When a child is in a situation where their health or development is at risk or is harmed,social services have a responsibility to remove the child from that situation. In somecases, the child is then placed at an out of home care facility which is called HVB,where care or treatment is conducted (Kunskapsguiden 2022).In the beginning of the 21st century Sweden has had a rise of private out of home carefacilities (Sallnäs 2005). Which made us interested as to how different factors affect theway that decisions are being made when it comes to placement at HVB and furthermorehow these factors might lead to different dilemmas. Therefore will this paper study whatfactors might exist and how they affect the social workers.The result of the study shows that the child's needs and participation, location of thehome and how the organization is built are all factors that affect the way decisions aremade. The result also shows that there are some dilemmas that might occur. One is thefact that HVB might not actually be a good treatment, another is risks within placementand co-morbidity, another is economics versus the child's best interests and lastlywhether or not the placement should be close to home. Through the study we’ve cometo the conclusion that more research on the field is needed to make sure that Sweden asa society is providing the best possible care for children and adolescents.

Made available in DSpace on 2016-08-10T10:54:59Z (GMT). No. of bitstreams: 1 PEDRO URIEL GONCALVES LIMA.pdf: 785716 bytes, checksum: 2b01eb823bb69a2ffb205c6f57db876a (MD5) Previous issue date: 2016-03-11 / With the advent of the Psychiatric Reform and the enactment of Law 10.216 - 12 establishing a new vision for the treatment of people with mental illness, the implementation of Psychosocial and Therapeutic Residences Care Centers have been imposed as support for the new model of care for these patients. Through Satisfaction Assessment Scales Brazilian was aimed in this study to evaluate the degree of satisfaction of residents and staff of these homes, to reflect whether such dwellings or not brought benefits proposed by the Law. It was found that only 1.9% of the professionals they said very dissatisfied with the service, the majority, 62.7%, are satisfied with the work they do. With regard to residents, some data draw attention, such as 44.4% feel respected by professionals, 66.7% feel that professionals understand well your problems. After analyzing the verbal material collected in interviews of professionals and residents, it was possible to understand the dissatisfaction of professionals as to salary issues and incentives for training, and realize how much the occupant is received by the service. / Com o advento da Reforma Psiquiátrica e a promulgação da Lei 10.216-12 que instituiu uma nova concepção para o tratamento de pessoas com doenças mentais, a implantação dos Centros de Atenção Psicossocial e Residências Terapêuticas se impuseram como respaldo para o novo modelo de atendimento a estes pacientes. Por meio de Escalas Brasileiras de Avaliação da Satisfação objetivou-se neste estudo avaliar o grau de satisfação de moradores e funcionários dessas residências, para refletir se tais moradias trouxeram ou não benefícios propostos pela Lei. Foi constatado que apenas 1,9% dos profissionais se disseram muito insatisfeitos com o serviço, a maioria, 62,7%, estão satisfeitos com o trabalho que realizam. Com relação aos residentes, alguns dados chamam a atenção, tais como 44,4% se sentem respeitados pelos profissionais, 66,7% sentem que os profissionais compreendem muito bem seus problemas. Após analisar o material verbal coletado nas entrevistas dos profissionais e dos moradores, foi possível compreender as insatisfações dos profissionais quanto a questões salariais e incentivos à qualificação, além de perceber o quanto o morador é acolhido pelo serviço.