| 1. |
- Agevall Gross, Lotta, 1976-, et al.
(författare)
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Brottsoffer i indikatorland : Öppna jämförelser inom socialtjänstens brottsofferstödjande arbete
- 2015
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Ingår i: Socialvetenskaplig tidskrift. - : Socialhögskolan, Lunds universitet. - 1104-1420 .- 2003-5624. ; 22:3-4, s. 341-358
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Tidskriftsartikel (refereegranskat)abstract
- Crime victims in Indicatorland – Open comparisons in the social services’ work with victim supportSince the 90s there have been extensive changes in the public sector, such as rationalization and increasing demands for documentation and review. The changes have also affected the social services’ victim support work that has increasingly been subject to various forms of regulation, such as requirements for monitoring, evaluation and quality assurance. This article aims to examine one of the monitoring systems applied in the victim support work: the instrument of open comparisons. This article is based on an exploratory study of the local organization of crime prevention in two municipalities and analyses how the processes of open comparisons are organized at local, regional and central levels. The empirical data consists of documents such as legal sources and handbooks from e.g. the National Board of Health and Welfare and the Swedish Association of Local Authorities and Regions, as well as documents obtained locally in the two municipalities. Furthermore, interviews were conducted with professionals working on different organizational levels. Analytically the study has been inspired by programme theory, which made it possible to concentrate on clarifying the operational idea in which open comparisons are based and capturing the consequences in the two cases. The study shows that open comparisons have been implemented without support from existing research. However, strong normative support for open comparisons exists within governmental agencies and the Swedish Association of Local Authorities and Regions. They are included as one of many elements of New Public Management and result in changes in the victim support work. In contrast to present visions, the performance is not affected to any significant extent. In contrast, a comprehensive administration is created, where employees of municipalities are supposed to collect data, register information and analyse the results generated by the open comparisons.
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| 2. |
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| 3. |
- Denvall, Verner, et al.
(författare)
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Lost in comparison: a program theory analysis of performance measurement in social work
- 2021
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Ingår i: Nordic Social Work Research. - : Taylor & Francis Group. - 2156-857X .- 2156-8588. ; 11:3, s. 249-263
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Tidskriftsartikel (refereegranskat)abstract
- Since the 1990s, social work has been subject to requirements for monitoring and quality assurance. Here we examine one of the monitoring systems: Open Comparisons (OC). Gradually expanded and published online by a national agency, the OC now has around 350 indicators that cover major areas within social work in Sweden. We use program theory to clarify the operational idea in which OC is based. To do this, we analyse domestic violence data gathered from two social service organizations, from the regional level and from governmental agencies. The results show a strong normative support for OC within national level. However, OC is time consuming, its data are questionable, and its reliance on name-and-shame seems dubious. OC represents a trend in social work that may influence changes in routines and provide new kinds of performance measurements that affect how social work is organized.
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| 4. |
- Kjellgren, Cecilia
(författare)
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A six year follow-up of a clinical sample of sexually offending adolescents. Exploring the outcome on health, sexuality, social adjustment, and sexual reoffending.
- 2011
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Risk assessment protocols have been taken into practice during the last fifteen years. Further research is needed to validate the assessment practice. Some follow up studies have used solely data from registers as outcome variables. Individual follow up of clinical samples may contribute further to our knowledge.Method: A sample of previously risk assessed males aged 12-18 years was used for this study. ERASOR (Worling & Curwen, 2001) was used to support the structured clinical assessments.To explore outcome on health, sexual reoffending and social adjustment among assessed males, 78 young adults were invited to participate in the follow-up study, at least four years past assessment. Their mean age by assessment was 14.9 years (SD 1.6) and by follow-up 21.59 years (SD 2.4). Respondents were seen for a face-to-face interview and for completing six questionnaires.Result: Thirty-nine males (50%) agreed to participate. As index-offence the majority sexually targeted children. Twelve young males were assessed being of high risk of sexual reoffending. The remaining 27 were assessed being of moderate or low risk.One-fifth of the sample (n=8) had sexually reoffended by follow-up. Those who had sexually reoffended by follow up were significantly more likely by index offense to be assessed in high risk of sexual reoffending. Four of the suggested risk factors of ERASOR were significantly associated with sexual reoffending. The total of correct predictions was 62.0%. Those who sexually reoffended were significantly more likely to have learning disabilities, to self rate a risk of sexual reoffending by follow-up, and to report being a victim of sexual abuse than the non-reoffenders. The reoffenders vs non-reoffenders did not differ on the extent of received specialized treatment interventions.Discussion: We examined the validity of using a structured risk assessment (ERASOR) and identified 62% correct predictions by follow up, which confirms previous promising results. Further learning disabilities emerged as a risk factor for sexual reoffending together with previously suggested risk factors. Those who sexually reoffended received specialized treatment to the same extent as non-reoffenders of the sample. The findings underline the importance of adjusted interventions for the group of young people with impairment.Results on a number of variables will be presented and discussed as well as clinical implications.
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| 5. |
- Kjellgren, Cecilia, et al.
(författare)
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Adolescent sexual offenders: a total survey of referrals to social services in sweden and subgroup characteristics.
- 2006
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Ingår i: Sexual Abuse. - 1079-0632 .- 1573-286X. ; 18:4, s. 357-372
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Tidskriftsartikel (refereegranskat)abstract
- Sampling methodology (e.g. population-based vs. clinical samples, anonymous self-reports vs. data collected as part of mandated treatment) affects the validity of conclusions drawn from research addressing the etiology of adolescent sexual offending. Studies of unselected samples allow testing of the generalizability of etiological models suggested from investigation of selected clinical or forensic populations. Further, representative epidemiological data on adolescent sexual offending is needed for policy-making and the planning of services. We conducted a national survey of all adolescent sexual offenders (ASOs, 12-17 years) referred to Social Services during 2000. Social workers at all child and adolescent units in Social Service authorities throughout Sweden (N=285, 99% response rate) completed a questionnaire about new ASO referrals in 2000. The National Board of Health and Welfare commissioned the survey and questionnaire items tapped offender, offence, and victim characteristics. A total of 197 boys and 2 girls aged 12-17 years were referred to Social Services because of sexually abusive behavior in 2000. Focusing specifically on males, this yielded a one-year incidence of .060% (95% confidence interval = .052-.068). Forty-six percent of male ASOs abused at least one child younger than age 12 years (child offenders) whereas the rest had abused peer or adult victims (peer offenders). Forty-two percent of male ASOs had ever committed sexual offences together with at least one other offender (group offenders). Child- vs. peer offenders and group vs. single offenders, suggested typologies in the literature, were compared to explore potential subtype-specific risk factors and correlates. The results suggested a higher proportion of group ASOs than previously reported and stronger support for subdividing ASOs into child vs. peer offenders than into group vs. single ASOs.
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| 6. |
- Kjellgren, Cecilia
(författare)
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Adolescent sexual offending. Prevalence, risk factors and outcome.
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The purpose of this thesis is to explore the prevalence of sexually offending behaviour among female and male adolescents in Sweden. One aim is to identify potential risk factors associated with sexually offending behaviour and a further aim to examine the outcome in early adulthood for a sample of sexually offending adolescent males. Three different samples were used for this thesis. A sample of Norwegian and Swedish female and male high school students (more than 9,000) participated in a population based study and responded to a number of items concerning sexual interests and behaviours, conduct problems, health, peer and parental variables. Five percent of male and one percent of female students reported sexually coercive behaviour defined as penetrative sexual behaviours and masturbation. Risk factors in particular associated with sexual coercion were identified by contrasting the sexually coercive youth with those who reported non-sexual conduct problems as well as with controls. A number of general risk factors as well as sexuality specific risk factors were identified among sexually coercive females as males. The male sample was used to further explore the link between being sexually abused and being sexually abusive. The association was confirmed also when controlling for other potential influencing factors. The second sample was used to examine the one-year incidence of all reports to Social Services in Sweden on sexually offending adolescents. The total incidence rate was .06% among the 12-17 year old male population. Comparing the findings of self-reports and cases reported to authorities it could be concluded that the underestimation of adolescent female and male sexual offending is substantial. A third sample of clinically assessed sexually offending male adolescents (M=15 years) was used for a follow up study. They were on average 21 years old by follow up, six years after assessment. One fifth reported sexually reoffending since the assessment. Risk assessments carried out in connection with the index offence were good in identifying those at high risk of sexually reoffending. One third of the males of the sample reported learning disabilities or neuropsychiatric disorders, and this was particularly prevalent among those who sexually reoffended. In addition more than half of the males had been convicted of a non-sexual crime by the time of follow up.
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| 7. |
- Kjellgren, Cecilia, 1951-, et al.
(författare)
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Child Physical Abuse—Experiences of Combined Treatment for Children and their Parents: A Pilot Study
- 2013
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Ingår i: Child Care in Practice. - London : Routledge. - 1357-5279 .- 1476-489X. ; 19:3, s. 275-290
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Tidskriftsartikel (refereegranskat)abstract
- This paper reports on the results of treatment for families where child physical abuse has occurred. The Combined Parent Child Cognitive Behavioral Therapy for Families at Risk for Child Physical Abuse (CPC-CBT) model includes parent and child interventions. Four teams (within child protection and child and adolescent psychiatry services, based in Sweden) were trained to run the treatment. CPC-CBT is a 16-session programme where children and parents receive treatment in parallel groups and joint family sessions. A pilot study, with pre and post measures for both children and parents, was carried out to evaluate the treatment effects (18 families, 26 adults and 25 children). Significantly decreased symptoms of depression among parents, less use of violent parenting strategies and less inconsistent parenting were reported after treatment. Children initially reported high levels of traumatic experiences and symptoms of posttraumatic stress disorder. After treatment, trauma symptoms and depression among children were significantly reduced. Children also reported that parents used significantly less violence and increased positive parenting strategies after completion of the treatment. The implications of the findings are discussed.
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| 8. |
- Kjellgren, Cecilia, 1951-, et al.
(författare)
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Experiences with crisis management when child sexual abuse was perpetrated by staff in early childhood education : A Swedish case study
- 2022
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Ingår i: Cogent Social Sciences. - : Taylor & Francis Group. - 2331-1886. ; 8:1
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Tidskriftsartikel (refereegranskat)abstract
- Institutional child sexual abuse is a concern for children, families, and society. Limited research has explored how school leaders and municipalities handle cases of sexual abuse in educational settings. This case study examines how a municipality managed the suspicion that 19 toddlers were sexually abused by an educator at several Early Childhood Education and Care institutions (ECEC). A nine-member crisis management team was formed that included key persons from the department of education and social welfare. During the initial phase of the investigation, only the team members were informed about the suspected abuse. In individual interviews, team members were asked how the team was organised and how their plans were implemented. In addition, they were asked about their experiences of participating in the crisis management. Three themes were identified: the set-up of the crisis management, the implementation of the crisis management plan, and important experiences. The crisis team emphasised that a child perspective rather than a general crisis perspective was applied and this approach was operationalised by key people in the educational and social welfare sectors. This paper highlights the impact of this case on the respondents as well as implications for the educational sector.
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| 9. |
- Kjellgren, Cecilia, et al.
(författare)
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Female Youth Who Sexually Coerce : Prevalence, Risk, and Protective Factors in Two National High School Surveys
- 2011
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Ingår i: Journal of Sexual Medicine. - : Elsevier. - 1743-6095 .- 1743-6109. ; 8:12, s. 3354-3362
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Tidskriftsartikel (refereegranskat)abstract
- Introduction. Sexual coercion is recognized as a serious societal problem. Correlates and risk factors of sexually abusive behavior in females are not well known. Aim. Etiological theory and empirical study of female perpetrators of sexual coercion are usually based on small or highly selected samples. Specifically, population-based data are needed to elucidate risk/protective factors. Main Outcome Measures. Main outcome measures include a self-report questionnaire containing 65 items tapping socio-demographic and health conditions, social relations, sexual victimization, conduct problems and a set of normative and deviant sexual cognitions, attitudes, and behaviors. Methods. We used a 2003-2004 survey of sexual attitudes and experiences among high school students in Norway and Sweden to identify risk factors and correlates to sexually coercive behavior (response rate 80%); 4,363 females participated (Mean = 18.1 years). Results. Thirty-seven women (0.8%) reported sexual coercion (ever talked someone into, used pressure, or forced somebody to have sex). Sexually coercive compared with non-coercive women were similar on socio-demographic variables, but reported less parental care and more parental overprotection, aggression, depressive symptoms, and substance misuse. Also, sexually coercive females reported more sexual lust, sex partners, penetrative sexual victimization, rape myths, use of violent porn, and friends more likely to use porn. When using the Swedish subsample to differentiate risk factors specific for sexual coercion from those for antisocial behavior in general, we found less cannabis use, but more sexual preoccupation, pro-rape attitudes, and friends using violent porn in sexually coercive compared with non-sex conduct problem females. Conclusions. Sexually coercive behavior in high school women was associated with general risk/needs factors for antisocial behavior, but also with specific sexuality-related risk factors. This differential effect has previously been overlooked, agrees with similar findings in men, and should have substantial etiological importance. Kjellgren C, Priebe G, Svedin CG, Mossige S, and Langstrom N. Female youth who sexually coerce: Prevalence, risk, and protective factors in two national high school surveys. J Sex Med 2011;8:3354-3362.
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| 10. |
- Kjellgren, Cecilia, et al.
(författare)
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How did women exposed to domestic violence experience support provided by social work and woman's shelters during the pandemic?
- 2023
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Ingår i: European Conference on Domestic Violence. - 9789935468277 ; , s. 42-43
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Konferensbidrag (refereegranskat)abstract
- In this study we explore to what extent COVID-19 affected victims of domestic violence regarding the quality of support received. Thirty help seeking women receiving support from a specialized department or a women's shelter were interviewed. The analysis revealed that the experiences of receiving support was dependent on access to digital solutions, treatment phase and relationship with the therapist. Varied experiences among the respondents were identified. Some experienced that contact with helpers became more distant, that trust was affected as a consequence of the pandemic, and conversely, others expressed that the quality of contact was very good and was not affected by the pandemic. Quotes from respondents will be presented and implications of the findings discussed during the session.
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