This study is investigating what conditions can strengthen an alliance and which obstacles there are. Coercion aspects can also influence an alliance and are therefore also written about. The asymmetrical relationship between the social worker and the juvenile delinquent is investigated also with in regards to the tacit and explicit coercion when they are entering care. The study is focusing on the consequence/influence programs that the juvenile delinquents can be sentenced to because of their crimes. Counseling is a major part in these programs. For the definition of alliance I have used Bordin´s definition, it includes mutual agreement about the task and goal. It also includes bonding between the two parts. This study also uses Hill´s definitions sham alliance, mutual adaption and alliance breakdown. This study´s result shows that in order to achieve a strong alliance it is important for the social worker to handle the conditions in a non-judgmental way and be clear about the rules and regulations. It is also important to get the juveniles parents involved in the treatment.

The aim of this study is to illustrate, and analyze how social workers are able to more effectively pursue operative possibilities within their own particular organizations. The main question concerning this issue is: How are social workers, working within the same district organization able to realise any potential for co-operation with other social workers, in different locales and units, yet working within the same organization? Following on from this question, further issues arise such as: 1. How do the varying demands of the clients affect the workload of the social worker? 2. How does the organization facilitate or hinder co-operation between social workers? 3. How does the workload, staff turnover and delegation influence on the co-operation between social workers? To attempt to answer to the above set of questions a qualitative method was employed. A group interview was conducted bringing together a group of five social workers working within the same district administration of the city of Stockholm. The outcome of the interview has been examined using a theoretical framework based on organization theory, symbolic interactionism and social constructivism; all applied in accordance with post-modern research principles. The main result shows that the organization both hinders and facilitate co-operation through work load, staff turnover and delegation. The outcome of this particular study is associated to results of previous research within the same research field.

De flesta är överens om medarbetarnas viktiga roll i ett företag. Det är personalen som kan påverka företagets ekonomiska situation, då personalens välmående på arbetsplatsen påverkar företagets lönsamhet och effektivitet. Många ställer sig frågan varför inte personalen tas upp i redovisningen? Den här uppsatsens syfte är att undersöka vad som gjorts inom redovisning av personalhälsa samt diskutera en ny infallsvinkel i arbetet med hälsa i företag. / Most people do agree about the employee’s important role in a company. It is the workers who can influence the companies’ economic situation, when the personnel’s well-being effects the companies’ profitability and efficiency. Many people ask the question why not the employee’s are reported in the company’s account. The aim of this paper is to investigate what have been done in the area of health accounting and discuss a new approach in the work with health care in companies.

This essay reflects on the thoughts and experiences of social workers in child protection agencies when it comes to talking about sexuality with teenagers, age 13-20, who is being subjected to inquiry. The research is qualitative and based on five semi-structured interviews. It has a phenomenological position and has been analyzed hermeneutically through cognitive and gender theory. Previous research shows that youths who get in contact with child protection often have issues about their sexuality. This study show that social workers in the agencies lack knowledge about this issue and that they seldom talks about it with the teenagers or their own colleagues. They are however aware of risks involved with the youth’s sexual activities and the problems that may evolve from it. Despite this they sometimes avoid the subject. Their reason is that they are afraid of investigating more than necessary and by doing so offend the clients. Sexuality for them is a private area and they feel that they need motivation for asking certain questions. The study also shows that they find it easier to talk with teenagers of the same gender as themselves. The teenagers therefore get varied help and treatment.

The exposed position of a social worker entails serious demands to their working environment. The experience of the working environment is coherent with various circumstances such as physical, technical and psychosocial factors. The aim of this study is to investigate how social workers in Gotland experience their psychosocial working environment. As a theoretical ground we describe the working environment regulations and it´s framework. Previous national and international research enlighten issues such as definitions of threat and violence, the significance of education and policys within social work, social support and riskfactors. The research shows that there is no unanimity in how clientrelated threats or violence is manifested and the social worker´s experience is indivudual. With a qualitative method this study is based on interviews with socialworkers. The result of this study shows that the socialworkers in Gotland experience the psychosocial working environment as satisfying concerning their security and safety. The colleagues are significant factors for the outcome. A threatening or violent situation is characterized by the socialworkers feeling of being personally threatened or exposed. The result also discloses the socialworkers request for education in how to handle a threatening or violent situation. They ask for a more continuous discussion of the routins and policys regarding the working environment. / Det sociala arbetets natur och utsatthet ställer stora krav på socialsekreterarens arbetsmiljö. Upplevelsen av arbetsmiljön sammanhänger med olika omständigheter såsom fysiska, tekniska och psykosociala faktorer. Syftet med denna uppsats är att undersöka socialsekreterarens upplevelse av den psykosociala arbetsmiljön på Gotland. Tidigare forskning visar att den psykosociala arbetsmiljön är av stor betydelse för hur socialsekreteraren upplever sin arbetsplats. Centrala begrepp är arbetsmiljö, trygghet och säkerhet samt hot och våld. Arbetarskyddsstyrelsens författningssamling med lagar, paragrafer och föreskrifter är väsentliga i tolkningsramen. Gällande klientrelaterat hot eller våld visar tidigare forskning att det inte finns någon konsensus om hur en hot– eller våldsituation yttrar sig och forskningen värdesätter kontinuerlig utbildning och konkreta rutiner. Med en kvalitativ metod som redskap baseras denna uppsats på intervjuer med socialsekreterare verksamma inom socialtjänsten. Resultat som synliggörs i uppsatsen är att socialsekreterarna upplever sin psykosociala arbetsmiljö som trygg och säker i de mest väsentliga delarna, samt att kollegor och gemenskap är betydelsefulla faktorer. En hot- eller våldssituation präglas av att socialsekreteraren känner sig hotad för sin egen person eller arbetsgrupp. Resultatet åskådliggör en brist i utbildningen gällande hot- eller våldssituationer och socialsekreterarna efterfrågar en mer kontinuerlig genomgång av rutinerna på arbetsplatsen. Nyckelord: Socialsekreterare, arbetsmiljö, trygghet och säkerhet, hot och våld.

This essay describes social workers view on the action contact person. The study was qualitative and six social workers were interviewed on the topic. The effort contact person were chosen as the object for this study since it is the most common action given to young people, despite the lack of research about this subject. The result was analyzed out of conduct action theory and the theory of street level bureaucrats as well as scientific research in this area. The result of this study shows that most of the social workers consider the action as positive. The knowledge that they value the most in their work is gut feeling and their own experience. The young people that are assigned the action have a wide variation of different issues. The action was often used as a first step before placement outside the home. The action also functioned as a way to get a view of the life situation of the young people. The social workers in the study experienced that they have a great deal of freedom of action in their work with the young people. However the study shows that their freedom of action are in many ways restricted; for example they had few alternative actions and they were all limited by the budget.

This is a qualitative study based on two focus group interviews with a total of six social workers who work with assessing financial aid in two municipalities. The study aims to examine how the social workers experience and handle their ambiguous professional role, on the basis that they are expected to support and control the client. The theoretical framework is the theory about discretion and role theory. The results show that social workers find it difficult to combine these different approaches. Two different groups of strategies that social workers use to manage their professional role have been distinguished, the first is used to combine the different approaches (combination strategies), which are: empathy, to be distinct and to "blame" the organization. The second is used to manage the professional role (managing strategies) and are: support of work colleagues, support of manager, "squareness" and distance. / Detta är en kvalitativ studie som bygger på två fokusgruppintervjuer med totalt sex socialsekreterare som arbetar med att handlägga ekonomiskt bistånd i två kommuner. Studiens syfte var att undersöka hur socialsekreterare som arbetar med ekonomiskt bistånd upplever och hanterar sin dualistiska yrkesroll, utifrån att de förväntas stötta och kontrollera klienten på en och samma gång. Studiens teoretiska ram utgörs av teorin om handlingsutrymme samt rollteori. Resultatet visar att socialsekreterarna upplever det svårt att kombinera dessa olika förhållningssätt/roller och att svårigheterna främst uppstår då de tvingas fatta beslut som går klienten emot. Två olika grupper av strategier som socialsekreterarna använder sig av för att hantera yrkesrollen har kunnat urskiljas, den första används för att kombinera de olika förhållningssätten (kombinationsstrategier), vilka är: visa empati, tydlighet och “skylla” på organisationen. De andra används för att hantera yrkesrollen (hanteringsstrategier) och är: stöd av arbetskollegor, stöd av chef, “fyrkantighet” och distans.

The transmission and prevalence of Hepatitis C Virus (HCV) among those who use injection drugs is a major public health issue. Injection drug use has been identified as the main cause of transmission for HCV in Canada. Street youth are at risk for acquiring HCV due to injection drug use that is often a consequence of living in a street environment. Presently, research on prevalence trends, characteristics, and associated behaviors for injection drug use and HCV in street youth, is limited. <p>The purposes of this study were to determine prevalence of injection drug use and HCV in Saskatoon street youth, to identify demographic or other factors that may contribute to street youth using injection drugs, and to identify risk factors and other characteristics of street youth associated with HCV. This study utilized data from Phase III of the Enhanced STD Surveillance in Canadian Street Youth Study by Health Canada for those participants recruited from Saskatoon, Canada. Between February and July 2001, 186 Saskatoon street youth participants between the ages 14 and 24 years completed nurse-administered questionnaires and of these, 156 provided blood specimens. Analyses were conducted to compare population characteristics between street youth who have used injection drugs and those who had not. Similarly, population characteristics were analyzed among those street youth who were antibody-HCV positive and those that were antibody HCV negative.<p>In this study 32.3% of 186 participants had used injection drugs. Significant associations with injection drug use were found for older age (p = 0.01), having sexual partners that use injection drugs (p = 0.01), history of incarceration (p = 0.01), and history of living on the street (p = 0.02). Significant interactions were found for sex trade work by gender (p < 0.01) and by age (p = 0.03), and for living on the street by age (p = 0.02). A HCV prevalence rate of 9.3% of 156 participants was determined for Saskatoon street youth. Use of Ritalin by injection (p = 0.04) and history of living on the street (p = 0.05) were found to be significant risk factors associated with HCV. The interaction of living on the street by gender was also significantly associated with HCV (p = 0.05). <p>The relationship identified between HCV and injection drug use in Saskatoon street youth was a history of living on the street. This link between could serve as a valuable marker for use of injection drugs and developing HCV infection in street youth. Nurses are encouraged to seek out street youth social networks to provide health care and messages of health promotion and disease prevention. Strategies that are culturally, socially, and developmentally appropriate are needed to keep these youth off the streets in the first place.

The transmission and prevalence of Hepatitis C Virus (HCV) among those who use injection drugs is a major public health issue. Injection drug use has been identified as the main cause of transmission for HCV in Canada. Street youth are at risk for acquiring HCV due to injection drug use that is often a consequence of living in a street environment. Presently, research on prevalence trends, characteristics, and associated behaviors for injection drug use and HCV in street youth, is limited. <p>The purposes of this study were to determine prevalence of injection drug use and HCV in Saskatoon street youth, to identify demographic or other factors that may contribute to street youth using injection drugs, and to identify risk factors and other characteristics of street youth associated with HCV. This study utilized data from Phase III of the Enhanced STD Surveillance in Canadian Street Youth Study by Health Canada for those participants recruited from Saskatoon, Canada. Between February and July 2001, 186 Saskatoon street youth participants between the ages 14 and 24 years completed nurse-administered questionnaires and of these, 156 provided blood specimens. Analyses were conducted to compare population characteristics between street youth who have used injection drugs and those who had not. Similarly, population characteristics were analyzed among those street youth who were antibody-HCV positive and those that were antibody HCV negative.<p>In this study 32.3% of 186 participants had used injection drugs. Significant associations with injection drug use were found for older age (p = 0.01), having sexual partners that use injection drugs (p = 0.01), history of incarceration (p = 0.01), and history of living on the street (p = 0.02). Significant interactions were found for sex trade work by gender (p < 0.01) and by age (p = 0.03), and for living on the street by age (p = 0.02). A HCV prevalence rate of 9.3% of 156 participants was determined for Saskatoon street youth. Use of Ritalin by injection (p = 0.04) and history of living on the street (p = 0.05) were found to be significant risk factors associated with HCV. The interaction of living on the street by gender was also significantly associated with HCV (p = 0.05). <p>The relationship identified between HCV and injection drug use in Saskatoon street youth was a history of living on the street. This link between could serve as a valuable marker for use of injection drugs and developing HCV infection in street youth. Nurses are encouraged to seek out street youth social networks to provide health care and messages of health promotion and disease prevention. Strategies that are culturally, socially, and developmentally appropriate are needed to keep these youth off the streets in the first place.

Nursing is a high risk profession for injury. A Canadian survey reports many nurses are in poor physical and emotional health; they sustain more musculoskeletal and violence related injuries than other occupational groups. In Ontario, an injury management approach called Early Return to Work (RTW) requires injured workers, including nurses, to go back to work before full recovery. The Workplace Safety and Insurance Board cite this approach as beneficial to both the employer and employee. This study uses an institutional ethnographic approach to examine critically the RTW process from the standpoint of injured registered nurses. Through interviews and mapping activities with nurses, other health professionals and managers, a rendering of the social organization of hospital injury management emerges. The findings suggest that the implementation of RTW is complicated and difficult for nurses, their families and hospital employers. Injured nurses engage in significant amounts of domestic, rehabilitation and accommodation work in order to participate in the RTW process. When the returning nurse is unable to engage in full duties hospital operations become disorganized. Collective agreements and human resources procedures limit the participation of injured nurses in creative and/or new roles that could utilize their knowledge and skills. As a result, nurses are assigned to duties, which hamper them from returning to their pre-injury positions and cause their employment with the hospital to be reconsidered. The unsuccessful return of injured nurses to employment is counter to provincial retention initiatives, which seek to sustain an adequate cadre of nurses ready and able to care for the increasing health care needs of an aging population. Sites of change which could support and promote the successful return of these injured workers to nursing work are identified in this study.