Client satisfaction is recognized as an important indicator in performance monitoring and evaluation. The Silver Chain Grief Support Service was evaluated using client satisfaction as a performance indicator. Data were collected via mailed, telephone and personal interviews utilizing the Client Satisfaction Questionnarie-8, dimensions of the Evaluation Ranking Scale, and open-ended questions. Results indicate high levels of satisfaction with the service. Findings and limitations of the evaluation are discussed. Recommendations for improvement of the service are presented.

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The research on bereaved children’s outcomes is mixed, with the course of grief in young people prone to variation. Each child’s reaction following a loss is unique and should be considered in relation to psychological, academic, familial, social, environmental, and a number of additional factors. However, what is known is the important role that a supportive environment, stable adult figures, and early intervention may have for grieving youth. Teachers could be considered the first line of defense in identifying youth who are struggling with a loss, as they are significant adults with whom students have consistent contact on a daily basis. However, very little is known about the teacher’s role in the identification and support of grieving students. Therefore, the purpose of this project was to explore the teacher’s role in the grief support process at school, as well as teacher perceptions of childhood grief and the ways in which a teacher’s own early experiences with death may affect the provision of services. These factors were explored through the administration of an online mixed-methods survey to a random sample of 225 Kindergarten through 12th grade teachers in the state of Kentucky. The findings of this study were supportive of the hypothesis that having a bereaved student in class is nearly universal. The majority of teachers in this study reported receiving no training related to death and grief issues pre-service, with minimal training offered at the school level. Teacher perceptions about grief were not found to differ significantly overall between teachers of various school levels, counties, or early-bereaved status. Additional findings, limitations, implications, as well as directions for future research are discussed.

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Tidigare forskning gällande barn som förlorat en förälder genom dödsfall pekar på att det finns tydliga tendenser att fokus ofta läggs på den kvarvarande föräldern och att barnet många gånger kommer i skymundan eller glöms bort. Syftet med studien är att undersöka professionellas uppfattningar och yrkeserfarenheter om barns behov av stödinsatser då en förälder avlidit. Studiens teoretiska ansatser är; det salutogena perspektivet, ”den nya barndomssociologin” samt den konstruktivistiska struktureringsteorin. Metoden fenomenografi har använts för att fånga professionellas uppfattningar och materialet har samlats in genom sju semistrukturerade intervjuer. Resultatet och slutsatserna visar att professionella utgår från någon form av modell i sitt arbete och modellen vägleder den professionelle i hur barnet kan få information, råd och stöd. Barnets behov av stöd är oftast att finna nya strategier, för att hantera sin vardag och för att skapa en identitet utan ena föräldern. Olika stödinsatser kan hjälpa barnet att avdramatisera och normalisera sina känslor då en förälder avlidit. Ambitionen för de professionella är att lyssna till det enskilda barnet och dennes familjesituation. Detta eftersom barn inte är en homogen grupp och för att på bästa sätt tillmötesgå det behov av stöd det enskilda barnet har. Det viktigaste är att barnet inte upplever att denne även förlorar närvaron och omsorgen från den kvarvarande föräldern genom förälderns egen sorgebearbetning. / Previous research of children with parental loss shows visible tendencies that focus is on remaining parent and that the child easily tends to fall in shadow or becomes forgotten. The study aims to investigate professional´s views and experiences of children´s needs for support when losing a parent. The theoretical views of the study are; the perspective of salutogenic, ”the new sociology of childhood” and the theory of structuration in a constructive perspective. The study was performed with a phenomenographic methodological approach to capture professional´s views and experiences and the material consists of seven semi-structured interviews. The result and conclusions shows that professionals proceed from some kind of model in their work and the model then guide the professionals in giving information, support and advice to the child. The child´s needs of support is mainly to find new strategies to deal with everyday life and the creation of identity when losing a parent. Different inputs of supports can help the child to defuse and normalise their expression of emotions in losing a parent. The ambition of the professionals is to listen to the child in order to meet each individual child and his/hers family situation, since children are not an homogenous group, their needs also vary. Most important is that the child doesn´t feel that he/she also is losing the remaining parent´s attendance and caring for him/her, through the parent´s own grieving process.

This doctoral dissertation's topic is mourning in people with intellectual disabilities who have lost a loved one. The research focuses mainly on the loss of parents, but also includes the loss of other people, such as grandparents. By loss we mean death, but the results of the work can also be used for losses of a different nature. The aim of this work is to understand grief in people with intellectual disabilities and to suggest appropriate ways to support their grieving process, with emphasis on grief support groups. As part of the research, we set up and implemented 2 support groups for grieving people with intellectual disabilities, each lasting at least 2 months and meeting once a week. At the very beginning of our research, we carried out one support group of the same length as a pilot study. The pilot study was first evaluated and the proposal of the support group according to the original foreign script was modified to better meet the needs of Czech citizens with intellectual disabilities. After the pilot study, we enriched the research with a questionnaire test of our own design, capturing a possible change in process of mourning in people involved in our support groups. We presented the questionnaire test to the participants before the start of the support groups and immediately after...