The aim with this study was to get an understanding of how social workers on treatment centers where substance abuse occur identify ADHD among the patients and how the social workers in their daily work treat and meet patients with ADHD. The study was based on eight interviews with social workers on three different treatment centers in Sweden. The result has been analyzed with a content analysis. The theories used in this study are Howard Becker’s labeling theory and equifinality and multifinality, which derive from the systems theory.   The result of the study was that the social workers do not identify ADHD among their patients, but they adjust the treatment after what needs the individual patient have. These needs are for instance need of security and predictability. These needs are being considered in the treatment in the daily work since the social workers use a treatment that consists of structure, routines and schedules. This treatment is used on every patient and is not adjusted whether a diagnosis exists or not. How the social workers meet the patients can however be different for patients with ADHD since the social workers find clearness, alliance and trust as important in the meeting with these patients. This can however differ depending on what the social workers focus on in the treatment. The social workers on one of the treatment centers focus on the substance abuse, the social workers on another treatment center focus on the disability and in one treatment center both of these are in focus.

<p>In this study have I examined how treatment of girls with neuropsychological impairments is functioning? I have looked at the theories and methods of treatment on the base of the care program and how it is put into practice. In addition I have interviewed four girls who have undergone the treatment program.</p><p>To gain perspective on institutional care as a social phenomenon, I have tried to give a brief historical retrospect in which particular care for women are described. I am also affecting certain gender aspects of institutional care. I have also tried to make a brief account of current research on the treatment.</p><p>The study is a qualitative study in which I am apart from literature studies used participant observation in depth interviews as a method.</p><p>My results indicate that a well structured treatment with CBT approach can work well to achieve lasting behavioural changes in students.</p>

In this study have I examined how treatment of girls with neuropsychological impairments is functioning? I have looked at the theories and methods of treatment on the base of the care program and how it is put into practice. In addition I have interviewed four girls who have undergone the treatment program. To gain perspective on institutional care as a social phenomenon, I have tried to give a brief historical retrospect in which particular care for women are described. I am also affecting certain gender aspects of institutional care. I have also tried to make a brief account of current research on the treatment. The study is a qualitative study in which I am apart from literature studies used participant observation in depth interviews as a method. My results indicate that a well structured treatment with CBT approach can work well to achieve lasting behavioural changes in students.

Sveriges ungdomsvård är både omfattande, kostsam och har i vissa hänseenden heller inte uppnått optimal effekt för att ungdomarna ska nå ett självständigt, fungerande liv. Placeringskostnaderna för ungdomar på HVB i Sverige har mellan 2014 till 2015 ökat med 451 miljoner kronor och det kan tänkas att det vore angeläget att fokusera på det som fungerar snarare än det som inte fungerar för att vända utvecklingen. Denna kvalitativa uppsats syftar till att undersöka bakomliggande orsaker till ungdomars vändpunkter som bott på HVB eller institutioner. Fem personer som bott på HVB-hem eller institution som idag lever självständiga liv utgör urvalet. Intervjuerna från dessa fem utgör materialet som har analyserats med hjälp av konventionell kvalitativ innehållsanalys. Resultatet visar på att viljan till att få hjälp och bakomliggande orsaker till vändpunkten är beroende av varandras existens. När dessa ligger i samklang till varandra tycks det leda till att vändpunkten leder till en förändrad livssituation. Resultatet bekräftar till viss del befintlig forskning på området men indikerar också på behov av ytterligare forskning.

There is compelling evidence that helping adolescents develop certain traits (especially related to resiliency) can mitigate the confounding effects of suicide. Specific demographics of youth appear to have higher rates of suicidal behavior including those with mental health diagnoses and educational disabilities that affect students' academic achievement. We looked at evidence based social and emotional learning programs (SEL) that fostered adaptive coping skills and resilience. We identified Strong Teens (Carrizales-Engelmann, Merrell, Feuerborn, Gueldner, & Tran, 2016) as a program that could be easily administered and adapted into traditional and nontraditional school settings. This study was conducted in a residential treatment center (RTC) for adolescent males. The RTC permitted one of their therapists to implement the Strong Teens over the course of two consecutively run groups. Group 1 included seven boys and Group 2 included four boys. We relied on the therapist's self-assessment of modifications made to the program; the researcher's field notes collected during observations; emails between the therapist and researcher; the researcher's notes taken during conversations between the therapist and researcher; monthly Youth Outcome Questionnaire Self Report (Y-OQ-SR) test scores; youth Strong Teens pre and post test scores; and youth exit surveys conducted in one-one interviews at the conclusion of the Strong Teens lessons. Fidelity of program implementation was measured by the therapist and researcher completing the Strong Teens fidelity checklist (included in the Strong Teens manual). Based on collected data, we make the following recommendations: Adapt the Strong Teens program to increase student participation and receptiveness; carefully consider the size of the group, taking into account the capacity of the group leader to manage the group's behaviors and attend to individual needs; consider conducting groups sessions in settings that help youth feel safe and comfortable--groups held outside may be preferable to groups held inside classrooms; mental health professionals and teachers who lead the Strong Teens lessons may consider learning about a variety of basic therapeutic strategies and how these strategies might fit participants' needs; when evaluating the effectiveness of Strong Teens, carefully gather, consider, and contextualize a variety of data (quantitative and qualitative) from a variety of sources (youth participants, group leaders, and others who interact with the youth); in addition to focusing on teaching information and skills, group leaders must consider motivational strategies; focus initial conversations on why one would use such strategies to benefit oneself--later conversations may expand to include how strategies benefit others.

Att arbeta inom missbruksvården med klienter med beroendeproblematik kan medföra vissa påfrestningar i arbetsmiljön för den anställda. Antalet studier rörande vilka krav respektive resurser anställda inom missbruksvården upplever i den sociala arbetsmiljön är dock få. Syftet med denna studie var att undersöka hur anställda inom missbruksvården upplever sin sociala arbetsmiljö, relaterat till krav samt resurser i arbetet. Semistrukturerade intervjuer genomfördes med 11 anställda inom missbruksvården och materialet bearbetades med hjälp av en tematisk innehållsanalys. Studiens teoretiska ramverk var krav- och resursmodellen. I studiens resultat återfanns tre arbetskrav: begräsningar i arbetet, emotionella krav samt interpersonella konflikter. Tre resurser i arbetet framkom i resultatet: inflytande på arbetsplatsen, utvecklingsmöjligheter i arbetet och socialt stöd. Resultatet visade att det förelåg en relativt god balans mellan kraven som upplevdes som påfrestningar och resurserna som motiverar och hjälper de anställda i arbetet. Studien kan bidra till en större förståelse kring arbetet inom missbruksvården samt dess utvecklingsmöjligheter.

This study primarily investigated factors which impact abstaining from drugs for adolescent men after finishing treatment at a specific treatment center in Sweden. The method chosen for this essay was quantitative, using surveys sent to males that finished a treatment period of a minimum time of 4 months at this therapeutic community. Of the 83 questionnaires that were originally sent, 23 responded. Further, the empirical data was tested in the computer program SPSS using gamma and lambda tests obtaining results for the factors to determine whether they correlated with one another other. The essay is based upon the theoretical framework of the salutogenic perspective, systems theory and therapeutic alliance theory. During this study results showed that factors such as relocation, post treatment programs were effective for the dis-continued use of drugs.

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.

xi, 246 p. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number. / This dissertation focuses on Latin American survivors of political violence and the staff members involved with one of the few torture treatment centers in the US. Relying primarily on life histories and semi-structured interviews, my research focuses on the social construction of suffering (Kleinman et al. 1997) created by the staff and participants over the course of three different eras of the center. While the clients of this center lead lives that are tremendously impacted by the violent histories of their home countries, they do so while living in a country where this history is almost completely invisible. As exiles, they are removed from the arena of collective memory reflected in debates in postwar transitional Latin American societies about the meaning of the past, the reasons for their suffering, and the need for historical truth. Consequently, I examine the torture treatment center as one arena where this history and the suffering of survivors is acknowledged. As such, I argue that the staff serves as a critical social network--indeed, perhaps the only one--that influences the individual interpretations, narratives, and actions of survivors about the meaning of trauma, the importance of the past, and how one best heals from violence. First, I illustrate how the biographies of staff shape their involvement with the center and the meaning the center has for them, which, in turn, leads to both the promise and predicaments of their work for social change. Second, this research illustrates the diverse forms that trauma can take and argues for a connection among structural, transitional, and political violence. Third, I explore how the meaning attributed to trauma and the past shapes notions held by the center's staff and participants regarding how one best heals from trauma. Throughout the exploration of these themes, my work identifies the presence of certain discourses and the absence of others--the frictions and fragments occurring in engagements between social service networks and those they serve (Tsing 2005)--that reflect the possibilities for and limitations of individual healing and collective change and that make this center a "fragile community." / Advisers: Dr. Lynn Stephen, Co-Chair; Dr. Philip Young, Co-Chair

Sammanfattning Syfte och frågeställningar Syftet med studien är att undersöka den fysiska aktivitetens betydelse för den psykiska och fysiska hälsan i samband med behandling hos personer i tidigare narkotikamissbruk kombinerat med samsjuklighet. - Hur påverkar fysisk aktivitet den upplevda fysiska och psykiska hälsan hos män i åldern 23-29 i tidigare narkotikamissbruk kombinerat med samsjuklighet(1)? - Hur upplever vårdarna att fysisk aktivitet påverkar klienternas generella mående efter utförd fysisk aktivitet? - Hur ser vårdarna på fysisk aktivitet som en del av behandling för tidigare narkotikamissbruk kombinerat med samsjuklighet? Metod I denna studie ingick 8 personer, fyra män i åldern 23-29 år som befann sig i behandling, och fyra anställda, varav två män och två kvinnor i åldern 27-76 år. Behandlingshemmet som studien genomfördes på erbjuder behandling för personer med olika former av missbruk och psykiska diagnoser. Den fysiska aktivitet som utförs på behandlingshemmet är gymträning och promenader. Semistrukturerade intervjuer genomfördes med både klienter och anställda om deras uppfattning kring fysisk och psykisk hälsa i samband med fysisk aktivitet i behandlingsprogrammet. Resultat Fysisk aktivitet kan positivt påverka främst den fysiska men också den psykiska hälsan hos män i åldern 23-29 år med tidigare narkotikamissbruk kombinerat med samsjuklighet. Enligt vårdarna påverkar den fysiska aktiviteten klienterna positivt till bland annat ett lugn och dämpad rastlöshet. Den fysiska aktiviteten ses även som en positiv faktor inom behandling då vårdarna anser att den kan tänkas hjälpa mot avhållsamhet, struktur i vardagen och mer samarbetsvilja. Slutsats Människor som tidigare haft narkotikamissbruk i kombination med samsjuklighet har uttryckligen beskrivit välmående, lugn och ett lättat sinne i samband med fysisk aktivitet. Dock kan studiens resultat inte alls appliceras på hela populationen i denna kategori. (1) Samsjuklighet saknar en tydlig definition, men kan innebära att klienten har komplexa vårdbehov och kan även innebära en funktionsnedsättning i kombination med missbruk, om somatiska sjukdomar finns hos klienten (Aleris 2017-05-07)