ÖREBRO UNIVERSITY Department of Behavioural, Social and Legal Sciences Program of social work Social Work C C-essay in Social Work, 15 credits Autumn term 2013 The family is the only way back home – A qualitative study on staff’s view on family involvement in the treatment of adolescents Authors: Cakici, Nahrin and Claesson, Sandra Abstract The aim of this study is to investigate how the staff at residential treatment centers works to involve the family and the social network in youth’s treatment and how they experience that the involvement affects the young person. The aim is also to study the difficulties the staff experience in their work to involve the family and the social network. In this study, staff from two residential treatment centers in Sweden participated. The study is conducted based in on qualitative method in which four semi-structured telephone interviews and one group interview have been conducted. The result was analyzed using general system theory, attachment theory and social representations. The result shows that family involvement in treatment will have a positive impact on the young person and the treatment. This may facilitate a positive way to move home. The social network has also an impact on the young person, and then as a support during and after treatment. One difficulty for staff to involve the social network is that they must relate to confidentiality laws which may limit the social network’s participation in the treatment. Keywords: residential treatment center, youth, family, social network, involvement, difficulties.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.

The study explores and describes the satisfaction that clients placed at Trinity Children and Family Services have with the agency's therapeutic services. Therapeutic services in this case refers to the therapy that the residents receive from their individual and group therapists, and their interactions with the unit case manager/dorm supervisor and unit counselors.

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Background: Despite most studies have long term and repeatedly confirmed that the prevalence of smoking among individuals treated with other primary addiction is two to four times higher than in the general population, most services do not provide some form of smoking cessation. Smoking cessation is not clearly grounded in these services. An important aspect for the integration and implementation of smoking cessation programs in addiction treatment services are opinions and attitudes of the workers themselves. These opinions and attitudes are very often ambivalent and perceived as controversial. Attitudes and opinions can determine the possibilities and limits of working with the smoking cessation during the treatment of other primary addictions. Aims: The study has four research objectives that reflect the results of theoretical-critical analysis. To map the opinions and attitudes of employees of medium-term institutional treatment of addiction to the smoking cessation within the issue of other primary addiction. To find out whether workers in medium-term institutional treatment for addiction perceive smoking as less harmful than the use of other addictive substances. To determine whether workers in medium-term institutional treatment for addiction perceive smoking cessation as part of the...

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how using the integrated treatment model in the MH RRTP impacted depression, anxiety, and sobriety protective factors among 1,136 veterans who completed the program between 2016 and 2017, and if there were any significant differences in outcomes among various age groups and lengths of stay in the program. Outcome measures taken at pre and post treatment, using BDI-II, BAI, and BAM, were analyzed by using six one-within one-between (mixed-model) Analysis of Variance (ANOVA) tests. Significant interaction effects were noted for protective factors in length of stay and age group categories and for depression and length of stay. Significant main effects for within-subjects factors were consistently noted for all categories, indicating a reduction in depression and anxiety symptoms, while increasing protective factors for the veterans in this study. The results demonstrated that veterans responded favorably without regard to potential differences in age groups and lengths of stay.

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Thesis (MEdPsych)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: High-risk behaviour among adolescents places heavy burdens on the public health, social welfare and criminal justice systems of many countries. Today, Equine-Assisted Learning (EAL) is increasingly used as an adjunct and experiential intervention programme to support the learning and personal development of adolescents at risk. It combines counselling and educational programmes with interactive activities involving horses (Thomas, 2009). The aim of this investigation was to conceptualize the experiences of these at-risk adolescents in residential care (AIRC), since gaps exist in both international and national research pertaining to studies which focus on exploring adolescents' experiences of taking part in EAL programmes (Holder, 2011). An interactive, qualitative and multiple case study design was employed in this study. The research was conducted at a Western Cape residential care facility with five adolescents between the ages of 12 and 18, after they had completed a three-week EAL programme. The programme comprised five sessions of one hour each. Data was collected through a projective technique (collage), semi-structured individual interviews, and a focus group interview. The research findings suggested that the at-risk adolescents experienced this Equine-Assisted Learning programme as positive and that it contributed to strengthening their relationships, enhancing attachment, self-esteem, empathy, communication, social competence, and a sense of mastery, as well as opening up future possibilities for them. As a relatively new field of study in South Africa, Equine-Assisted Learning can make a significant contribution to fostering the learning and development of adolescents in residential care. / AFRIKAANSE OPSOMMING: Die hoë-risiko gedrag van adolessente plaas 'n swaar las op lande se openbare gesondheid, maatskaplike welsyn- en kriminele regstelsels en sodoende word 'Equine Assisted Learning' (EAL) toenemend gebruik as 'n aanvullende en ervarings-intervensieprogram om die leer en persoonlike ontwikkeling van adolessente in nood te ondersteun. In EAL, word berading en opvoedkundige programme met interaktiewe aktiwiteite wat perde betrek, gekombineer (Thomas, 2009). Die doel van die studie was om hoë-risiko adolessente in residensiële sorg se ervarings van 'n EAL intervensieprogram te konseptualiseer, aangesien daar op beide internasionale en nasionale vlak 'n gebrek aan navorsing is wat fokus op die verkenning van adolessente se ervaring van deelname aan EAL programme (Holder, 2011). 'n Interaktiewe, kwalitatiewe en veelvuldige gevallestudie ontwerp is in hierdie studie ontplooi. Die navorsing is uitgevoer in 'n Wes-Kaapse residensiële sorg fasiliteit met die hulp van vyf adolessente tussen die ouderdomme van 12 en 18, nadat hulle drie weke lank aan 'n EAL program deelgeneem het. Die program het bestaan uit vyf sessies wat elk een uur geduur het. Data is ingesamel deur gebruik te maak van projektiewe tegniek (collage), semi-gestruktureerde individuele onderhoude asook 'n fokusgroep-onderhoud. Navorsingbevindings het voorgestel dat adolessente wat risiko beloop, die EAL program as positief ervaar. Dit blyk ook dat dit bygedra het tot die bevordering van sekere aspekte soos verhoudings, hegting, selfbeeld, empatie, kommunikasie, sosiale bevoegdheid, 'n gevoel van bemeestering en die daarstel van toekomstige moontlikhede. 'Equine Assisted Learning' is 'n relatiewe nuwe studieveld in die Suid-Afrikaanse konteks, en kan daarom betekenisvol bydra tot die bevordering van leer en ontwikkeling van adolessente in residensiële sorg.

Introdução: O treinamento físico melhora a capacidade funcional e a qualidade de vida em pacientes com insuficiência cardíaca (IC) crônica. Entretanto, a aderência ao treinamento físico supervisionado é baixa por diversas razões. Como alternativa, o treinamento domiciliar tem sido proposto. Objetivo: Comparar os efeitos de um programa de treinamento domiciliar (domiciliar) com um programa de treinamento supervisionado (supervisionado) sobre a capacidade funcional, comportamento sedentário e qualidade de vida em pacientes com IC crônica ao longo de 12 semanas. Métodos: Este estudo incluiu 23 pacientes com IC (classe funcional da New York Heart Association II e III, fração de ejeção do ventrículo esquerdo 31±6%) randomizados em grupos de treinamento domiciliar (n=11) ou supervisionado (n=12). Durantes 12 semanas os pacientes exercícios aeróbicos (60-70% da frequência cardíaca de reserva): caminhadas para o grupo domiciliar e exercício em cicloergômetro para o supervisionado, combinados ao exercício resistido (50% de uma repetição máxima). No momento basal e após 12 semanas mensuramos variáveis do teste cardiopulmonar, teste da caminhada de seis minutos (TC6M), pressões respiratórias máximas, força muscular do quadríceps e de preensão palmar, atividade física e comportamento sedentário por meio de acelerometria, qualidade de vida e aderência. Resultados: Os grupos domiciliar e supervisionado tiveram altas taxas de adesão, com aumentos (p=0,037) similares no consumo de oxigênio pico (0,8 e 3,7 ml/kg/min, respectivamente, p=0,085), ventilação máxima (11,5 e 15,6 l/min, respectivamente, p=0,775), distância percorrida no TC6M (9% e 5%, respectivamente, p=0,805), força muscular do quadríceps (21% e 11%, respectivamente, p=0,155) e qualidade de vida avaliada por meio do questionário Minnesota Living with Heart Failure (1 e 13, respectivamente, p=0,092). O comportamento sedentário reduziu (p=0,05) nos dois grupos (p=0,472). Entretanto, o treinamento supervisionado foi mais efetivo em melhorar a força muscular inspiratória (p=0,042), o número de passos/dia (p=0,001) e o componente de saúde mental do questionário SF-36 (p=0,001). Conclusões: O programa de treinamento domiciliar pode ser uma alternativa ao treinamento supervisionado para reduzir o comportamento sedentário e melhorar a capacidade funcional e qualidade de vida em pacientes com IC crônica. Entretanto, o treinamento supervisionado, além dos benefícios acima citados para o grupo domiciliar, é superior em aumentar a força muscular inspiratória, número de passos/dia e melhora de aspectos de saúde mental em pacientes com IC crônica, quando comparado ao treinamento supervisionado / Background: Exercise training improves functional capacity and quality of life in chronic heart failure (HF) patients. However, centre-based adherence is lower for several reasons. As an alternative, home-based training has been proposed. Objective: To compare the effects of home-based program (home-based) and centre-based (centre-based) training programs on functional capacity, sedentary behavior and quality of life in HF patients along 12 weeks. Methods: This study included 23 chronic HF patients (New York Heart Association functional class II and III, left ventricular ejection fraction 31±6%) randomized to home-based (n=11) or centre-based (n=12) training programs. Patients underwent a 12-week period of aerobic training (60-70% reserve heart rate): walking outdoor for home-based and supervised cycling for centre-based, both combined with resistance training (50% of one maximum repetition). At baseline and after 12 weeks of training, we assessed cardiopulmonary test measures, six minute walk (6MW) test distance, maximal respiratory pressures, quadriceps muscle strength, handgrip strength, physical activity and sedentary behavior (accelerometer), quality of life and adherence. Results: Home-based and centre-based had high adherence rate and similar improvements (p=0.037) in peak oxygen consumption (0.8 and 3.7 ml/kg/min, respectively, p=0.085), maximal ventilation (11.5 and 15.6 L/min, respectively, p=0.775), 6MW test distance (9% and 5%, respectively, p=0.805), quadriceps muscle strength (21% and 11%, respectively, p=0.155) and quality of life assessed by Minnesota Living with Heart Failure questionnaire (1 and 13, respectively, p=0.092). Sedentary behavior reduced (p=0.05) in both groups (p=0.472). However, centre-based program was markedly effective in improving inspiratory muscle strength (p=0.042), number of steps/day (p=0.001) and mental health component of SF-36 questionnaire (p=0.001). Conclusion: Home-based program can be an alternative to centre-based program to reduce sedentary behavior and to improve functional capacity and quality of life in patients with chronic HF. However, the centre-based training, in addition to the benefits mentioned above to home-based training, is superior in increasing the inspiratory muscle strength, number of steps/day and mental health in chronic heart faiure patients compared to home-based training