<p>2024-05-30</p>

Studiens övergripande syfte är att studera hur långtidssjukskrivningar påverkar människor i arbetsför ålder där områden självbild, vardag och meningsfullhet har fått extra fokus. Fem personer som är, eller har varit, sjukskrivna i sex månader eller längre till följd utav en stroke intervjuades utifrån en semi-strukturerad intervjuguide. Intervjuerna bearbetades med en innehållsanalys där följande fyra tema framträdde Effekter och konsekvenser, Acceptans i det som är och flexibilitet i det som blir, Lokalisera sig i en ny vardag samt Utvecklas, inte avvecklas. Studiens teoretiska utgångspunkter är Maslows behovshierarki, Känsla av sammanhang samt Krav- kontroll- och stödmodellen vilket har använts i analysen av resultatet.    Resultatet visar på att långtidssjukskrivningen har varit avgörande för individens förbättrande mående då det skapar utrymme för att kunna fokusera på sin rehabilitering och återhämtning. Samtidigt poängteras det flertal konsekvenser av att vara långtidssjukskriven så som minskat psykiskt välbefinnande, utanförskap, passivitet och ekonomiska problem. Att vara långtidssjukskriven var en oönskad situation som frambringade skam, skuld och man kände sig som en börda för sin familj likväl som för samhället.   Långtidssjukskrivningen ledde till en förändring och omställning i livet, både i vem man är som person men även att hitta sig själv i en ny vardag. Studiens resultat framhåller en relativt intakt självbild men ens nya vardag utan struktur och gemenskap beskrevs som en tuff utmaning. För att må så bra som möjligt under en långtidssjukskrivnings framkom vikten av socialt stöd, rutiner och att ha uppgifter som känns meningsfulla och utmanande. Uppgiftens betydelse klargjordes ur två perspektiv, var uppgiften för lätt eller inte fyllde något syfte ledde det till meningslöshet och försämrad självbild hos individen. Var uppgiften anpassad utefter den enskildes intresse och förutsättningar gav det motivation och möjlighet att stärka personens upplevda kapacitet.  Nyckelord: långtidssjukskrivning, konsekvenser, självbild, vardag, meningsfullhet

Several actors highlight that young adults in the transition process between child and adolescent psychiatry (BUP) and adult psychiatry (VUP) tend to fall through the cracks between these services, resulting in a responsibility gap. The purpose of this study is therefore to examine the transition between BUP and VUP, and to understand why this transition doesn´t function as effectively as it should. The study is qualitative, and the empirical material was collected through seven semi-structured interviews with unit managers and operational managers at both BUP and VUP across different regions in Sweden. The results were analyzed using the theory of institutionalized organizations and the theory of organizational slowness. Together, these theories contributed to a broader understanding of why the transition doesn´t work as it should. The results showed that both BUP and VUP are characterized by numerous institutional rules which they follow to maintain, for example, legitimacy. Additionally, the results indicated that BUP and VUP possess organizational slowness. The study also shows that the reasons why patients fall between the services and why the transition doesn´t function properly is due to a combination of the respondents´ desire for more flexible transitions, despite no legal or regulatory obstacles to this. The management´s lack of awareness of what needs to be changed, and the highly institutionalized rules governing these services.

Syftet med denna studie var att få en ökad förståelse för socialsekreterares förändringsskapande arbete inom ramen för en utredning, inom socialtjänstens myndighetsarbete med inriktning barn och ungdom. För att kunna besvara frågeställningarna och uppnå syftet med studien genomfördes semistrukturerade intervjuer med socialsekreterare inom socialtjänstens barn- och ungdomsvård. Den teoretiska ramen bestod av kritisk realism samt domänteori. Resultatet visade att synen på förändring samt organisatoriska förutsättningar har betydelse för hur socialsekreterarnas arbetar med förändring under utredning. En slutsats är att socialförvaltningen som organisation behöver överväga vilken teoretisk grund arbetet ska vila på för att säkerställa att arbetet i större utsträckning utförs målmedvetet och i mindre utsträckning styrs av organisatoriska förutsättningar.

The study aims to gain an understanding of the recidivism prevention work that program leaders within correctional service are working with, directed at individuals convicted of relationship crimes. Through the method choice of semi-structured interviews, we have been able to examine the professional experiences of the treatment methods offered. The empirical material consists of five educated program leaders who were interviewed using an interview guide. The data have been analyzed using thematic analysis with focus on meaningful interpretation. The results show that individuals sentenced for relationship crimes are categorized based on the risk that exists for relapse. This risk is the basis for which treatment program the client will undertake. If the client refuses to participate in the program, he risks being sanctioned by the Criminal Justice System. The results also show that program leaders have an important role in the relapse prevention work with relationship criminals. Program leaders have dual roles, one controlling and one treating. The therapeutic alliance between the program leader and the client is a central factor in being able to work with the target group. Keywords: relationship crime, intimate partner violence, correctional service, program leader, treatment, relapse prevention work

No description available.

No description available.

Men's domestic violence and/or abuse (DVA) is a widespread social issue. Often, the men are fathers, and the victims are mothers and children. In Sweden, social workers (SWs) are expected to involve these fathers in child protection investigations (CPIs) and work towards changing their behavior. However, engaging fathers in CPIs has proven to be a challenging task, especially when they involve DVA by fathers. The overall aim of this licentiate thesis is to examine how fathers can be engaged in CPIs initiated as a result of their suspected DVA against the mothers of their children. The licentiate thesis is a compilation thesis that consist of two articles, with the first having been published in a peer-review journal and the second submitted to a journal awaiting review. Using qualitative methods. I conducted semi structured interviews with 15 social workers on a total of 31 occasions during their work with 12 ongoing CPIs. Seven fathers have also been interviewed. The interviewed fathers had been involved in CPIs as a result of their DVA against the mothers of their children and had undergone treatment targeting their violent/abusive behavior. The interviews with the SWs are addressed in the first article, and the interviews with the fathers in the second article. The data were analysed using thematic analysis. The first article examines the strategies used by SWs to achieve cooperation with fathers in CPIs that involve the father being suspected of DVA against the child's mother. This analysis is rooted in the framework of shame, guilt, and social bonds. The results suggest that whether social workers succeed in achieving cooperation with fathers is related to the social workers' strategies of building secure social bonds with the fathers, which may alleviate the fathers' feelings of shame. However, there is a risk that these strategies may lead to DVA being minimized or overlooked. Striking a balance between building a social bond and addressing DVA is crucial, and the timing of addressing DVA plays a central role. The second article highlights fathers' experiences of interactions with SWs in the context of CPIs initiated as a result of their DVA against the mothers of their children. In particular, the focus is directed at how ideals of fatherhood, power relations, and shame influence fathers' experiences of engaging in these meetings. The analysis is guided by shame, guilt and social bonds linked to a gender theoretical framework. The results suggest that DVA contributes to fathers violating moral ideals of good fatherhood, which threatens to deprive them of contact with their children and also triggers feelings of shame. In the CPIs, it is the SWs, often female, who hold power over the processes while fathers are subordinated, which challenges expected power structures and hegemonic masculinity ideals. Fathers' engagement in CPIs is enabled when fathers adopt a subordinate position, which is facilitated by SWs meeting them with care and non-judgmental attitudes. This subordinate position can be a useful means for fathers to maintain an intact masculine position when DVA is exposed, shame is triggered, and their fatherhood and social bonds are threatened. However, SWs need to be attentive to the risk that fathers may both downplay their DVA and adopt positions that may be perceived as caring, egalitarian, and change-oriented even though their dominance – in the form of DVA – may persist. In summary, the study indicates that it is challenging but possible to successfully engage these fathers in CPIs. The study suggests that SWs need to balance building social bonds with the fathers and addressing the violence without imposing further shame. The findings highlight a particularly crucial aspect in the interaction, which is the SWs' ability to meet the fathers in a way that they do not feel judged for who they are - perpetrators of DVA. Instead, focusing on the violence as actions, on what they have done. In doing so, actions are separated from the self and can instead manifest as guilt. This approach can both facilitate fathers' engagement in CPIs and point towards taking responsibility for and changing the violent/abusive behaviors. / <p>Paper II is not included in the fulltext online.</p><p>Paper II  in dissertation as manuscript.</p>

The purpose of the studie is to investigate social worker’s experiences of interpreters in their professional practice within the reception and family unit in a medium-sized Swedish municipality. Another aim is to investigate the interpreter's involvement in influencing the professional conversation with clients who do not speak Swedish, as well as to identify the various challenges that may arise in relation to interpreters during client meetings. The study is conducted using a qualitative method through semi-structured interviews. Through a thematic analysis of the collected material, four themes were identified, these four themes were developed with reference to the questions, the interview guide and previous research. These themes are as follows: 1. The interpreter's influence on professional conversations, 2. Establishing effective communication and understanding of the client's situation, 3. Challenges with interpreted conversations and 4. Method and strategy for managing effective communication and understanding of the client's situation. The results of the study show that the interpreter enables communication between social workers and non-Swedish-speaking clients, while at the same time bringing challenges. The result draws attention to the fact that challenges such as communication misunderstandings, incorrect translations, lack of language skills on the part of the interpreter and lack of efficiency are added in client meetings with interpreters.

<p>2024-02-27</p>