This study examines whether participation in Extended Foster Care (EFC) or the Aftercare Program increase perceptions of independence in former and current foster dependents ages eighteen and older. Foster youth have historically experienced worse outcomes than the general population after reaching age 18. This study surveyed 72 young adults, 36 were in Extended Foster Care (EFC) and 36 were in the Aftercare Program in San Bernardino County. The areas examined were demographics, health care, employment, transportation, education, housing, mental health, pregnancy/parenting status, social support, services received in Independent Living Program (ILP), EFC, and/or the Aftercare Program and the young adults’ perception of the helpfulness of the programs, from whom they received information about these services, duration of participation in services, as well as, their confidence in their independence skills. The study found that overall young adults felt prepared for independence and they agreed that EFC or the Aftercare Program contributed to their feelings. The study also found that their outcomes in the aforementioned areas were more positive than previous research indicates. These findings were evaluated through quantitative data analysis of a questionnaire. The significance of this study is that it will determine the programs’ abilities to fit the needs of foster youth in overcoming their obstacles to independence. The implications for social work practice, policy and research are discussed.

Bakgrund: I Sverige lever cirka 100 000 personer med någon typ av ätstörning och den mest omtalade är Anorexia Nervosa. Sjukdomen är allvarlig, långvarig och drabbar främst unga kvinnor. Ett flertal olika faktorer orsakar och påverkar utvecklingen av sjukdomen. Anorexia Nervosa är svår att behandla optimalt och kan kräva både psykiatrisk och somatisk vård. Även omvårdnaden av denna patientgrupp är problematisk, då vårdpersonalen uttrycker en svårighet att förhålla sig professionellt till patientgruppen som visar ambivalens kring sitt tillfrisknande. Syfte: Att beskriva upplevelser av att leva med Anorexia Nervosa hos unga kvinnor under de sex första månaderna efter utskrivning från slutenvården. Metod: En kvalitativ innehållsanalys tillämpades på fem bloggar från bloggportalen och Google. Bloggarna var skrivna av 18 till 21-åriga kvinnor som vårdats inom slutenvården för Anorexia Nervosa. Upplevelser av att leva med sjukdomen eftersöktes i deras bloggar de första sex månaderna efter utskrivning. 407 meningsenheter identifierades och grupperades efter likheter och skillnader i tre kategorier. Resultat: Kategorierna som framkom i analysen var Kampen mot beteendet, Kampen om självbilden och Kampens villkor. De tre kategorierna redovisar olika upplevelser av att leva med sjukdomen efter utskrivning från slutenvården. Slutsats: Positiva upplevelser, som att lyckas eller att få stöd var hälsofrämjande och upplevelser av utsatthet eller att misslyckas ledde till att beteendet relaterat till AN förstärktes. Klinisk betydelse: Studien kan leda till en större förståelse för personer med Anorexia Nervosa, vilket leder till att sjuksköterskan kan ge ett bättre bemötande och bättre omvårdnad. / Background: Approximately 100 000 people in Sweden are living with an eating disorder and the most frequently mentioned is Anorexia Nervosa. The disorder is severe, time consuming and primarily affects young women. Several factors affect the development of the disease. Anorexia nervosa is complex to treat and requires both psychiatric and somatic care. The nursing of the patients is found problematic, as health care staff expresses difficulties in meeting the group of patients, who are showing ambivalence about recovery. Aim: Describing the experience of living with Anorexia Nervosa in young women the first six months after discharge from inpatient care. Method: A qualitative content analysis was applied on five blogs that were found on bloggportalen and Google. The blog were written by 18 to 21 year old women who been treated for Anorexia Nervosa in inpatient care. The experiences of living with the disease were examined the first six months after discharge, 407 meaning units were identified and sorted on similarities and differences to three main categories. Results: The categories were; The fight with the behavior, The fight with the self-image and The conditions of the fight. The three categories represented the experience of living with the disease after patient discharge. Conclusion: Positive experiences, such as succeeding in the treatment or feeling social support were health promoting. Negative experiences on the other hand, such as feeling vulnerable, reinforced the behavior related to AN. Clinical implication: The result may be used to increase the understanding of patients with Anorexia Nervosa, which could improve the nurse’s approach and nursing.

The aim with our study was to understand former addict´s experience of social networks from the Lewi Pethrus foundation (LP foundation) aftercare. The method we have used is qualitative semi-structured interviews. We have interviewed eight persons, four men and four women. They have all been in contact with the LP foundation and are today drug free. The result of the study has shown that the fellowship, in the different social networks have been very important to maintain a drug free life. A feeling of affinity, being seen, feel supported and trusted, experience that someone believe in you, has been the most regarded in the social networks. The contact with the LP foundation and the church appeared to have a significant role in the LP foundation and the church appeared to have a significant role in the LP foundation aftercare to create new social networks. Having a job or study is also a key to build new relationships and is something that the LP foundations aftercare has contributed to. Our study also showed the necessity to break up with old friends from the time when they were addicts, who had a negative influence. Furthermore it was vital to re-establish the relationship with their children and also with their siblings.

Lic.-avh. (sammanfattning) Stockholm : Karolinska institutet, 2009.

Thesis (M.S.)--University of Michigan, 1977.

This thesis is focused on the revitalization of public green areas in the municipality Adamov, near České Budějovice in area "Babský vrch". This work is divided into two parts, the first part is literature review, which is generally discusses history of the landscape, the landscape structure, the notion of a revitalized green, the planting and about aftercare of course. The first part of this thesis is finished with a chapter about use of the subsidy policy in this area. The second part is focused on the project itself, therefore revitalization of public green area. In this part are new planting of green area, which is followed aftercare, as well as the creation of quiet zones for citizens of Adamov.

Background: Within the Stockholm County Council returned in 2013 around 68 percent of the women to the antenatal clinic for a check-up after childbirth. Earlier studies show that new mothers want greater support from maternal health care and do not always know where to seek care. Aim: The aim of this work was to investigate whether the use of a standard model describing midwifery care and procedures for the postpartum check-up could affect the number of women who return to Södermalms clinic. A further aim was to compare the midwife and the patient's perspective, about what were included and discussed at this postpartum check-up. Method: This study had a descriptive quantitative research approach. How and when the woman contacted, and what topic the midwife discussed with the woman during the postpartum visit, was well described in a flowchart. 112 women were enrolled in the study and the project could be evaluated on the basis of data from the Pregnancy Registry and a control group corresponding to the intervention group was appointed. Results: Registered data showed an increased number of women who returned to Södermalms clinic postpartum, in the control group, there was no increase in the percentage of women who came to postpartum visits. There was a difference between the midwife and the woman's perception of what was discussed at the postpartum visit, particularly around the   information about the ruptures and the pelvic floor muscle, there was a discrepancy.  The midwives participating in the study preferred after completion of the study a more structured working model, where the postpartum visits were clarified. Conclusion: There may be advantages to use a standard model describing the midwifery care and procedures for the postpartum visits. The midwives preferred to book in the woman's postpartum check-up during her last pregnancy visit and were more satisfied with the new approach.

I Sverige drabbas årligen cirka 9000 människor av hjärtstopp där hjärt- och lungräddning (HLR) påbörjas. Sannolikheten att överleva ett hjärtstopp ökar om någon annan är närvarande vid händelsen och påbörjar HLR. Att vara närstående till någon som drabbas av hjärtstopp har en stor påverkan på livet och akut allvarlig sjukdom kan innebära en kris för individen. Vårdpersonal har en viktig roll genom att stödja närstående som befinner sig i en kris.  Syftet med uppsatsen är att belysa upplevelser och erfarenheter efter hjärtstopp hos en vuxen anhörig.  Metoden är en litteraturöversikt med systematisk sökning. Datainsamlingen utfördes via databaserna Cinahl och PubMed. Totalt inkluderades 15 artiklar varav 12 var kvalitativa, en kvantitativ och två av mixad kvalitativ och kvantitativ metod. Samtliga artiklar kvalitetsgranskades med hjälp av ett bedömningsformulär. Dataanalys genomfördes som en integrerad analys.  Litteraturöversiktens resultat presenteras i fyra huvudkategorier: “upplevelse av den akuta händelsen”, “upplevelse av den kritiska tiden på sjukhus”, “upplevelse av att återgå till vardagen” och “behov av stöd från sjukhuspersonal”. Resultatet visar att vara närstående till någon som drabbats av hjärtstopp genererar i en rad olika känslor både då hjärtstoppet inträffar och en tid efteråt. Närstående upplevde behov av information och kommunikation från sjukvårdspersonal och beskrev att det var en utmaning att återgå till vardagen.  Slutsatsen var att vara närstående till någon som drabbas av ett hjärtstopp är en traumatisk upplevelse. Närstående har ett behov av att känna sig inkluderade och sedda av vårdpersonalen under alla delar av vårdkedjan. Efter utskrivning upplever närstående saknad av stöd från vården. / In Sweden, approximately 9000 people suffer cardiac arrest each year where cardiopulmonary resuscitation (CPR) is started. The probability of surviving a cardiac arrest increase if someone else is present during the event and begins CPR. Being close to someone who suffers a cardiac arrest has a big impact on life and acute serious illness can mean a crisis for the individual. Nursing staff has an important role when it comes to supporting relatives who are in crisis.  The aim was to illustrate the experiences after cardiac arrest in an adult relative.  The method was a literature review with systematic search. Database searches were performed in Cinahl and PubMed. A total of 15 articles were included, of which 12 were qualitative, one quantitative and two of mixed qualitative and quantitative method. All articles were reviewed using an assessment form. Data analysis was conducted with an integrated analysis.  The results of the literature review are presented in four main categories: “experience of the acute event”, “experience of the critical time in hospital”, “experience of returning back to normal” and “need for support from healthcare professionals”. The results show that being close to someone who has suffered a cardiac arrest generates a range of different emotions, both when the cardiac arrest occurs and afterwards. The relatives experienced a need for information and communication from healthcare professionals and it was a challenge to return to everyday life.  The conclusion is being a relative to someone who suffers a cardiac arrest is a traumatic experience. Relatives have a need to feel included and seen by the healthcare professionals during all parts of the care process. After discharge, relatives experience a lack of support from care.

Thesis advisor: Thomas M. Crea / Thesis advisor: Scott D. Easton / This qualitative study collected and analyzed original interview data with mental health clinicians and survivor mentors exploring their perspectives on and experiences in aftercare/recovery work with survivors of domestic and international sex trafficking in the United States, through multidisciplinary and multisystemic contexts. This study addresses the significant gap of research on mental health recovery support with survivors of sex trafficking, which exists despite disturbing prevalence rates of sex trafficking, especially amongst girls and women of Color living in the United States. The study examined mental health providers’ perspectives on treatment approaches they employ, the processes they find to be effective, and their views on emancipatory approaches in recovery work. This study collected, transcribed, and analyzed semi-structured interview data with 13 mental health providers (including clinicians and peer/survivor mentors), and employed qualitative conventional content analysis. The study is the first to explore mental health providers’ experiences with service provision/accompaniment with a focus specifically on their work within multidisciplinary and multisystemic environments. It aims to increase understanding about the perspectives and approaches held by multidisciplinary therapists and survivor mentors, who specialize in accompanying survivors of sex trafficking, and may hold important insights into this complex work. The study found that therapists and peer mentors are challenged by barriers, and leverage key opportunities in their work through multidisciplinary and multisystemic contexts, and benefit from partnering with each other in survivor recovery work. It also found that survivor community and peer mentors are central to aftercare/recovery work, and that providers work to employ an intersectional/emancipatory healing lens. Analyses identified fifteen approaches to recovery work, organized into four categories: 1) integrated structural and trauma-sensitive emotional support; 2) community and emancipatory healing approaches; 3) peer mentor as a critical role; and 4) multiple systems challenge recovery. Implications for future research, clinical practice and policy are discussed. / Thesis (PhD) — Boston College, 2021. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

Bakgrund: Hjärtstopp är ett komplext fenomen som drabbar tusentals personer årligen i Sverige. De flesta hjärtstopp föranleds av hjärt- kärlsjukdom men oavsett bakomliggande orsak är händelsen plötslig och går inte att förbereda sig på. Då ett hjärtstopp inträffar är ett snabbt återupprättande av hjärtrytm och cirkulation livsavgörande vilket kan uppnås med hjälp av hjärt-lungräddning. Vid hjärtstopp som inträffar på sjukhus har sjuksköterskor en viktig roll i det akuta omhändertagandet men faktumet att överlevnadsprevalensen vid hjärtstopp ständigt ökar innebär även att högre krav ställs på sjuksköterskor när det kommer till utformandet av eftervården.  Syfte: Syftet var att beskriva patienters erfarenheter av att ha överlevt hjärtstopp.  Metod: Begränsad litteraturöversikt utifrån tio stycken kvalitativa vetenskapliga artiklar som har analyserats i enlighet med Fribergs fyra steg. Datainsamlingen gjordes i databaserna CINAHL complete och PubMed.  Resultat: Fyra kategorier framkom: Kroppsliga erfarenheter, Känslomässiga erfarenheter, Existentiella erfarenheter och Bristande stöd från sjukvården.  Sammanfattning: Resultatet visade att livet hos de som överlevt hjärtstopp påverkades på flera plan, såväl kroppsligt som känslomässigt och existentiellt. Den huvudsakliga orsaken till att många hade svårt att hantera de livsomvälvande förändringar som hjärtstoppet innebar var bristande stöd från sjukvården. / Background: Cardiac arrest is a complex phenomenon that affects thousands of people annually in Sweden. Most cardiac arrests are caused by cardiovascular disease, but regardless of the underlying cause, the event is sudden and impossible to prepare for. When a cardiac arrest occurs, a rapid restoration of heart rhythm and circulation is vital, which can be achieved with the help of cardiopulmonary resuscitation. In the case of cardiac arrest that occurs in hospitals, nurses have an important role in the acute care, but the fact that the survival prevalence in cardiac arrest is constantly increasing also means that higher demands are placed on nurses when it comes to the construction of aftercare. Aim: The aim is to describe patients’ experiences of surviving cardiac arrest. Method: A limited literature review based on ten qualitative scientific articles that has been analysed in accordance with Friberg’s four steps. The data collection was done in the databases CINAHL complete and PubMed. Results: Four categories emerged: Bodily experiences, Emotional experiences, Existential experiences and Lack of support from the health care. Summary: The results of this study showed that the lives of thos who survived cardiac arrest were affected on several levels, physically as well as emotionally and existentially. The main reason why many had difficulties in coping with this life changin event that the cardiac arrest entailed was a lack of support from the health care.