The overall aims of this research were to develop methods of identifying adolescents with unhealthy and/or risk-taking behavior with special reference to sexuality, and to evaluate support measures for young people in need of such interventions. A further aim was to assess strategies for preventing unhealthy and/or risk-taking behavior. Data were obtained by questionnaires (studies I, III, IV and V) and interviews (study II). The results showed that young men involved in unintended pregnancies would benefit from active participation in the decision making regarding continuation or termination of the pregnancy, and from support at Outpatient Clinics for Adolescents in Sweden, including information together with the partner (I). It was also concluded that consideration should be paid to questions and problems, e.g. feelings, apprehensions, moral issues and psychosocial factors, that require individual support from personnel with knowledge and resources to help young men in this difficult situation (II). Among the most important findings regarding young men who had been involved in an unplanned pregnancy were that in this group a high percentage had previously considered suicide and that anabolic steroids were frequently used, compared with young men without experience of pregnancy (III). The finding that unprotected intercourse occurred in a fairly high frequency among 13- to 18-year-olds, despite massive education and easy access to contraceptives, gives reason for further considerations regarding appropriate ways of providing information to young people (IV). Girls and boys in vocational programs in Swedish high schools exhibit more risk-taking behaviors than those in theoretical programs and these two groups differ in clustering and accumulation of these behaviors. This means that preventive interventional strategies need to be elaborated with regard to these differences, with the aim of improving health maintenance among adolescents (V). Child-and-youth centers with a developmental and research capacity need to be established with the broad purpose of drawing up health prevention programs for children and young people.

Teenage pregnancies are currently a social problem in South Africa and in the rest of the world. Social workers are involved with teenage girls by providing guidance during their pregnancies and face many challenges by accepting this role. The objective of this qualitative study was to identify and describe the needs of social workers when guiding pregnant teenage girls. A conceptual framework with the Gestalt approach as the theoretical framework for the study was stated after which an empirical study took place. In-depth interviews took place with nine social workers. Results were then verified in a focus group discussion. From the empirical data themes and sub themes were identified and verified with relevant literature. These themes and sub themes were then interpreted through the Gestalt approach. Conclusions and recommendations were made to social workers and interdisciplinary teams, which form part of the network that are involved with pregnant teenage girls. / Thesis (M.Diac. (Spelterapie)

Teenage pregnancies are currently a social problem in South Africa and in the rest of the world. Social workers are involved with teenage girls by providing guidance during their pregnancies and face many challenges by accepting this role. The objective of this qualitative study was to identify and describe the needs of social workers when guiding pregnant teenage girls. A conceptual framework with the Gestalt approach as the theoretical framework for the study was stated after which an empirical study took place. In-depth interviews took place with nine social workers. Results were then verified in a focus group discussion. From the empirical data themes and sub themes were identified and verified with relevant literature. These themes and sub themes were then interpreted through the Gestalt approach. Conclusions and recommendations were made to social workers and interdisciplinary teams, which form part of the network that are involved with pregnant teenage girls. / Thesis (M.Diac. (Spelterapie)