| 1. |
- Nord, Catharina, 1956-
(författare)
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Free choice in residential care for older people– a philosophical reflection
- 2016
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Ingår i: Journal of Aging Studies. - : Elsevier. - 0890-4065 .- 1879-193X. ; 37:April, s. 59-68
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Tidskriftsartikel (refereegranskat)abstract
- Free choice in elderly care services is a debated issue. Using the theoretical support of philosophers of free will, this paper explores free choice in relocation to residential care. The three dominant perspectives within this field of philosophy, libertarianism, determinism and compatibilism, are applied from the perspective of the older individual to the process of moving. Empirical data were collected through qualitative interviews with 13 older individuals who had recently moved into residential care. These individuals had made the choice to move following either a health emergency or incremental health problems. In a deterministic perspective they had no alternative to moving, which was the inevitable solution to their various personal problems. A network of people important to them assisted in the move, making the choice possible. However, post-move the interviewees’ perspective had changed to a libertarian or compatibilist interpretation, whereby although the circumstances had conferred little freedom regarding the move, the interviewees reported a high degree of self-determination in the process. It appeared that in order to restore self-respect and personal agency, the older individuals had transformed their restricted choice into a choice made of free will or freer will.
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| 2. |
- Fjellfeldt, Maria, et al.
(författare)
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Fringe or Not Fringe? : Strategies for Localizing Supported Accommodation in a Post‐Deinstitutional Era
- 2021
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Ingår i: Social Inclusion. - Lisbon, Portugal : Cogitatio Press. - 2183-2803. ; 9:3, s. 201-213
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Tidskriftsartikel (refereegranskat)abstract
- Finding suitable locations for supported accommodations is crucial both for the wellbeing of individuals with psychiatric disabilities (PD) and to achieve the objectives of the mental health care reform in order to create opportunities for social inclusion. This article explores municipal strategies for localizing supported accommodations for people with PD. In a multiple case study, interviews with 20 municipal civil servants from social services and urban planning were conducted. Three strategies were identified and further analyzed with a public location theory approach: (1) re‐use, i.e., using existing facilities for a new purpose, (2) fill‐in, i.e., infilling new purpose‐built facilities in existing neighborhoods, and (3) insert, i.e., inserting new premises or facilities as part of a new development. The article shows that the “re‐use” strategy was employed primarily for pragmatic reasons, but also because re‐using former care facilities was found to cause less conflicts, as residents were supposedly used to neighbors with special needs. When the “fill‐in” and “insert” strategies were employed, new accommodations were more often located on the outskirts of neighborhoods. This was a way to balance potential conflicts between residents in ordinary housing and residents in supported accommodations, but also to meet alleged viewpoints of service users’ need for a quiet and secluded accommodation. Furthermore, ideas associated with social services’ view of social inclusion and urban planning’s notion of “tricky” tenants significantly influenced localization strategies. Finally, this article is also a call for more empirical research on the decision‐making processes, use of strategies (intended or not) and spatial outcomes, when localizing supported accommodation for people with PD and other groups in need of support and service.
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| 3. |
- Högström, Ebba, et al.
(författare)
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Boende och livsmiljö för personer med psykisk ohälsa : en forskningsrapport om stödinsatser, samarbete över förvaltningsgränser och bostadsförsörjning
- 2021
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I denna rapport har vi redovisat den första delen av två i det tvärvetenskapliga forskningsprojektet LEX-projektet. Hållbara livsmiljöer för psykiskt funktionshindrade. Att integrera bostadsplanering och välfärdsservice genom nya kollaborativa praktiker. Vår utgångspunkt var att ta reda på mer om vad som kännetecknar stödinsatser riktade till människor med psykisk funktionsnedsättning och hur dessa organiseras, samt undersöka tvärsektoriell samverkan i fråga om planering för bostadsförsörjning och inkluderande livsmiljöer. Vårt material visar att målgruppen för boende- och stödinsatser har förändrats. Personer med funktionsnedsättningar till följd långvarig psykossjukdom utgör fortfarande en central grupp, ofta med behov av insatser med hög servicenivå. Målgruppen för insatserna är dock stadd i förändring och detta har i några kommuner medfört en utveckling mot en mer generell organisation för stödinsatserna utan specialistfunktioner. Boendeinsatser beslutade i enlighet med SoL dominerar men en blandning av förhållningssätt kan ses, från enskilda undantag där LSS tillämpas till en kommun där alla beslut om bostad med särskild service tas enligt LSS. När det gäller verksamhetstyperna för stödinsatser dominerar det traditionella gruppboendet och boendestödet. Vissa menar att gruppboendet som typ kommer på sikt att försvinna, och bland verksamhetsansvariga finns det en samsyn att fältet i stort är på väg mot en inriktning att arbeta i riktning mot ökad självständighet och autonomi för brukarna inom verksamheterna. Hur socialtjänst och samhällsbyggnadsförvaltningar arbetar tillsammans med frågor som berör målgruppen skiljer sig åt mellan kommunerna. Arbetet organiseras ibland i nätverk, ibland handlar det om koordinering, i vissa fall samarbete eller samverkan vilket gör att den gemensamma spelplanen ser tämligen olika ut. I en del kommuner finns det fora för kontinuerligt gemensamt arbete, i andra anses det inte behövas alls. Hur möten mellan de båda förvaltningarna organiseras, på vems initiativ och ansvar hanteras på olika sätt. Det är en komplex bild som träder fram där frågor förs fram i olika instanser och på olika nivåer inom den egna förvaltningen såväl som mellan förvaltningarna. När det gäller det kommunala bostadsförsörjningsansvaret är arbetet med att ta fram bostadsförsörjningsprogrammet en viktig del. Tjänstepersoner från olika förvaltningar engageras på olika sätt i detta arbete, från samordning och koordinering till långsiktiga strategiska samarbeten. Olika typer av roller utvecklas, som initiativtagare, informationsgivare, expert eller språkrör med olika handlingsutrymmen.Socialtjänstens erfarenhetsbaserade kunskap om rådande situation för olika grupper tas inte alltid i bruk. Att frågan är politisk känslig och hellre förs fram som en bred målsättning om ’bostad för alla’ utan tydligare konkretisering framträder i materialet. De kommunala strategierna kring lokalisering av bostäder med särskild service handlar om omvandling av befintliga lokaler, bygga nya boenden i redan uppbyggda bostadsområden samt planering för nya boenden i stadsutvecklingsprocesser. Det övergripande mönstret för lokaliseringen av boenden är i bostadsområden men i utkanten, en kompromiss mellan socialförvaltningens idéer om social inkludering och samhällsbyggnadsförvaltningarnas tankar om integritet. Brukarnas möjligheter att skaffa sig positiva grannkontakter kan dock försvåras av sådana perifera lokaliseringar. Vad en inkluderande, ‘god’, livsmiljö skulle kunna vara för personer med psykisk funktionsnedsättning visar sig vara en ny frågeställning för våra informanter. Flera informanter från socialtjänsten inte tidigare funderat över hur boenden och sysselsättning förhåller sig till varandra geografiskt och på vilket sätt det påverkar upplevelser av livsmiljön. Att frågan om inkluderande livsmiljöer för vår målgrupp skulle kunna ses som en del i den bredare samhällsplaneringen var inte självklart för samhällsplanerarna. Det framkom också att det är svårare för kommunen att ställa krav på de som bygger boenden med särskild service och andra liknande omsorgsboenden än när det gäller kommunhus, bibliotek eller simhallar, något som avspeglas i lokalisering och arkitektonisk kvalitet.
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| 4. |
- Andersson, Katarina, 1963-, et al.
(författare)
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collaborative compexity in developing caring living arrangements for ageing people
- 2024
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Ingår i: Ageing in a transforming world.
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Konferensbidrag (refereegranskat)abstract
- The Swedish Social Services Act (SFS 2001:453) stipulates since 1982 that the municipal Social Committee should become well acquainted with the living conditions in the municipality. They should also participate in urban planning, and in cooperation with other public bodies, organizations, associations and individuals promote good living environments in the municipality. The development, planning and design of good living environments for older people is an endeavour of great complexity that demands collaboration between many actors. Housing and care for older people is an important area in which social servicesand urban planning could benefit from collaboration. Planning for older people has recently been indicated as urgent and necessary, especially in the light of changed demography in which the proportion of older people is increasing. A built environment that accommodates older people’s everyday needs embraces issues such as age-friendliness, care, socio-spatial inequality, inclusion, and innovation. This research program, CollAge, investigates cross-sectoral collaboration in Swedish municipalities between social eldercare, urban planning and Senior Citizens’ Councils as regards housing and care. With diverse qualitative methodologies the multidisciplinary team of scholars in social work, architecture and urban planning explore how eldercare interventions and services are managed and understood in municipal urban planning and development, and how older people’s preferences can contribute to improved quality of care in social services and housing provision. The ultimate aim of the programme is to develop a methodological tool – CollAge – to support, facilitate and structure collaboration between the three actors.
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| 5. |
- Berglund‐snodgrass, Lina, et al.
(författare)
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A Healthy City for All? Social Services’ Roles in Collaborative Urban Development
- 2022
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Ingår i: Urban Planning. - : Cogitatio Press. - 2183-7635. ; 7:4, s. 113-123
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Tidskriftsartikel (refereegranskat)abstract
- There is broad consensus among policymakers about the urgency of developing healthy, inclusive, and socially sustainable cities. In the Swedish context, social services are considered to have knowledge that needs to be integrated into the broader urban development processes in order to accomplish such ends. This article aims to better understand the ways in which social service officials collaborate in urban development processes for developing the social dimensions of healthy cities. We draw from neo‐institutional theories, which set out actors (e.g., social service officials) as acting according to a logic of appropriateness, which means that actors do what they see as appropriate for themselves in a specific type of situation. Based on semi‐structured interviews with social services officials in 10 Swedish municipalities on their experiences of collaboration in the development of housing and living environments for people with psychiatric disabilities, we identified that they act based on (a) a pragmatic rule of conduct through the role of the problem solver, (b) a bureaucratic rule of conduct through the role of the knowledge provider, and (c) activist rule of conduct through the role of the advo-cator. In these roles, they have little authority in the development processes, and are unable to set the agenda for the social dimensions of healthy cities but act as the moral consciousness by looking out for everyone’s right to equal living conditions in urban development. © 2022 by the author(s); licensee Cogitatio (Lisbon, Portugal).
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| 6. |
- Enander, Viveka, 1967, et al.
(författare)
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Bereaved by Intimate Partner Homicide: Consequences and Experiences of Support
- 2024
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Ingår i: Sage Open. - : Sage Publications. - 2158-2440. ; 14:2
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this qualitative study is to present the experiences of family members bereaved by intimate partner homicide (IPH). The focus is on immediate and long-term consequences of the killing, and on the participants' experiences of subsequently offered information and support. This includes interactions with healthcare, social services, the criminal justice system, and the media. Twenty-two interviews with parents, siblings, and adult children of IPH victims underwent thematical analysis. The bereaved mainly described the social support following the IPH as lacking or inadequate, and recounted that they had been left alone with handling practical and emotionally difficult tasks, such as cleaning up after the killing. More specifically, they felt that institutional responses had been lacking with regard to information, understanding, coordination between professionals, continuity, professionalism, and redress. These results indicate that a coordinated response to people bereaved by IPH is necessary and, if lacking, must be developed. Using thematic analysis, this interview study explores the experiences of family members who have been bereaved by intimate partner homicide. The focus is on the social support they were offered, which they found lacking or inadequate. In hindsight, they would have wanted some professional to reach out to the family and offer emotional and practical support, as well as information.
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| 7. |
- Grossi, Giuseppe, et al.
(författare)
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Toward outcome-based approaches in higher education in two nordic countries
- 2021
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Ingår i: Public sector reform and performance management in developed economies. - Kristianstad : Routledge. ; :23, s. 248-270, s. 248-270
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- In recent decades, modernization efforts by public sector organizations have been driven by neoliberalism principles, while simultaneously focusing on performance measurement and management systems (PMMS). These systems are expected to promote a stronger emphasis on effectiveness, quality, and outcomes. Based on a documentary analysis, this chapter investigates how PMMS within higher education in Finland and Sweden have defined, measured, and managed outcomes and effectiveness. The findings shed light on converging and diverging trends and the potentialities and challenges of outcome-based approaches and provide scholars and practitioners with insights into the current development and key features of such systems.
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| 8. |
- Lilliehorn, Sara, 1976-, et al.
(författare)
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Contemporary accommodation services for people with psychiatric disabilities : the simple taxonomy for supported accommodation (STAX-SA) applied and discussed in a Swedish context
- 2023
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Ingår i: Scandinavian Journal of Disability Research. - : Stockholm University Press. - 1501-7419 .- 1745-3011. ; 25:1, s. 92-105
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Tidskriftsartikel (refereegranskat)abstract
- This article focuses on the stock of accommodation service units for people with psychiatric disabilities in Sweden and the classification of supported accommodation. We examined 122 units in 12 municipalities in Sweden and classified them according to the Simple Taxonomy for Supported Accommodation (STAX-SA). We found an obvious variation in the field and a movement into a recovery-oriented direction and towards individuality. There is an emphasis on Move-On that seems to expand into and beyond floating outreach support, and there is a relaxation of service units’ boundaries concerning commitment and target groups. The correspondence to STAX-SA was quite low (48%), and the applicability to ‘real world’ services was not satisfactory. When capturing variation and change in a rich dataset, STAX-SA is too reductive. However, STAX-SA was a successful point of departure in the analysis that opened up for identifying diversities and movement. We suggest some adjustments to increase its applicability.
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| 9. |
- Mahrs Träff, Annsofie, et al.
(författare)
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Perceptions of physical activity among elderly residents and professionals in assisted living facilities
- 2017
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Ingår i: European Review of Aging and Physical Activity. - : Springer Science+Business Media B.V.. - 1813-7253 .- 1861-6909. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Physical activity is often described as being important for people of all ages, but what different people mean when they talk about physical activity is unclear. Method: A phenomenographic method was used to analyze how 13 older people and 17 professionals answer the question, “If I say physical activity, what does the concept mean to you?” as part of semi-structured interviews conducted in four assisted living facilities in two different municipalities. Results: We identified a number of different perceptions of physical activity, with the older people and professionals having different responses. Elderly and professionals alike, define physical activity as a requirement for life and as an opportunity to maintain the body although they define the concepts in different ways. Elderly define the concept as a way to create meaning and the professionals have the attitude that the concept means everyday activities. Conclusion: The concept of physical activity may be defined in many different ways. This study has shown that elderly and professionals do not define physical activity in the same way. Therefore, professionals need to be aware of these differences when talking with elderly about individual needs in everyday life.
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| 10. |
- Markström, Urban, et al.
(författare)
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Mental health supported accommodation services in a post-deinstitutionalised era : Experiences from Swedish service providers
- 2023
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Ingår i: Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap. - : ECOLE HAUTES ETUDES & SCIENCES SOC-EHESS, COLL FRANCE. - 1875-0672 .- 1875-0680. ; 17:3, s. 39-56
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Tidskriftsartikel (refereegranskat)abstract
- The movement towards deinstitutionalisation of mental health services has created a space for new and community-based solutions in western countries, but the field still seems to lack coherent ideological and practical features. This is also evident for issues related to housing. The aim of this article is to examine the characteristics of supportive accommodation services for people with psychiatric disabilities in Sweden, according to the experiences of local service providers. The focus is placed on the services' organizational setting, main orientation, and conceptual content. This article is based on a multiple case study of ten Swedish municipalities, purposely selected regarding size, location, and demographic features. Data mainly consist of interviews with key informants in the social service organisation. The results indicate the emergence of a new generation of service users with complex needs, who challenge both the organisation and the content of the service offered. Group homes and mobile housing support appeared as pillars in the service supply, but several local and pragmatically oriented solutions were also identified, as well as ambitions to scale down the extent of institutional settings. The guiding idea present at most sites is a strive towards increased autonomy among service users.
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