| 1. |
- Andrée Löfholm, Cecilia, et al.
(författare)
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Treatment as usual in effectiveness studies : what is it and does it matter?
- 2013
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Ingår i: International Journal of Social Welfare. - Oxford : Blackwell Publishing. - 1369-6866 .- 1468-2397. ; 22:1, s. 25-34
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Tidskriftsartikel (refereegranskat)abstract
- A hallmark of an evidence-based practice (EBP) is the systematic appraisal of research related to the effectiveness of interventions. This study addressed the issue of interpreting results from effectiveness studies that use treatment-as-usual (TAU) as a comparator. Using randomised controlled studies that evaluate the effectiveness of multisystemic therapy as an illustrative example, we show that TAU includes a wide variety of treatment alternatives. Estimated treatment effects on recidivism suggest that TAU seems to contain a greater variation in underlying risk than experimental conditions, supporting the hypothesis that the content of TAU could affect outcomes. Implications for the realisation of an EBP are discussed.
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| 2. |
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| 3. |
- Olsson, Tina M., 1971
(författare)
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Intervening in youth problem behavior in Sweden: A pragmatic cost analysis of MST from a randomized trial with conduct disordered youth
- 2010
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 19, s. 194-205
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Tidskriftsartikel (refereegranskat)abstract
- Within the context of a randomized trial, this study assessed the costs of treating conduct disorder with multisystemic therapy (MST) or treatment as usual (TAU) for 156 youth in Sweden. From the perspective of the municipal Social Welfare Administration, all intervention costs were collected for the 6-month period starting at randomization. MST was found to cost, on average, US$8,847 per youth. A course of intervention including MST was found to cost significantly more (US$5,038 per youth) than TAU. Although MST was found to reduce the use of and costs associated with non-placement interventions, MST was not found to reduce the use of or costs associated with placement interventions. This is contrary to findings reported from studies undertaken in the USA. Intent-to-treat (ITT) and treatment-of-treated (TOT) analyses are presented. © 2009 The Author(s). Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare.
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| 4. |
- Ulrika, Järkestig Berggren, et al.
(författare)
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Traits of a representative welfare model - The Swedish example
- 2010
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 19:4, s. 402-411
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Tidskriftsartikel (refereegranskat)abstract
- The care manager reform and the case manager reform are new reforms in the social care services in Sweden, which are evolving during the 2000s. Together they shape the social care services introducing a new way of decision-making where representatives for the organisation (care manager) and the users (case manager) negotiate. The reforms have been analysed in two studies with results presented in this article. Using the concepts of role, orientation, function and assignments, it is argued that the managers come to the negotiations on rights from different positions that are both conflicting and complementary. They further mediate the development towards a welfare mix, where the market, social networks and users interact to obtain the public welfare provision. Through this negotiated rights model, it is argued that traits of a representative welfare state emerge, with the distinction of moving the focus to the administrative practices and their differences away from political ideologies.
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| 5. |
- Johansson, Stina, 1946-, et al.
(författare)
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Caring and the generation of social capital : two models for a positive relationship
- 2012
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Ingår i: International Journal of Social Welfare. - Oxford UK and Malden USA : Blackwell Publishing. - 1369-6866 .- 1468-2397. ; 21:1, s. 44-52
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Tidskriftsartikel (refereegranskat)abstract
- When caring is linked to social capital it is generally assumed that the nature of the relationship is that social capital is a resource that can be used for care work. When there is inadequate funding of aged care services by the State then social capital may be seen as a substitute for economic and human capital. Caring therefore is seen as a drain on capital. However, this does not have to be the case. Aged care services, if thoughtfully designed, can not only consume social capital but also generate it. Two models of elder care, one Swedish and one Australian, have been identified which specifically address the generation of social capital. In each case the services and facilities have been developed by third sector organisations with a strong community development focus often in the face of resistance from state run or medically oriented services.
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| 6. |
- Adolfsson, Margareta, 1950-
(författare)
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Applying the ICF-CY to identify children's everyday life situations: A step towards participation-focused code sets
- 2013
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 22:2, s. 195-206
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Tidskriftsartikel (refereegranskat)abstract
- With the long-term goal to create a screening tool with code sets for children’s everyday life situations (ELS), the purpose of the present study was to identify ELS for children and youth aged 0-17 years. The views of professionals and parents in Sweden, South Africa, and US were integrated based on linkages to ICF-CY. The chapters Self-care and Major life areas seemed most obvious include ELS. At 2nd ICF-CY level, eleven categories emerged as ELS with Hygiene (d510-d530) and Recreation and leisure (d920) as the most obvious. Two sets of ELS were identified for infants/preschoolers and school aged children/adolescents. Professionals and parents agreed on ELS for the older age-group. Findings suggested that ELS differ in context specificity depending on maturity and growing autonomy. The study have implications for the future tool intending to support children with disabilities in describing what matters most for them in intervention planning.
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| 7. |
- Brännström, Lars, 1972-
(författare)
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Neighbourhood effects on young people’s future living conditions : longitudinal findings from Sweden
- 2012
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 21:4, s. 325-337
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Tidskriftsartikel (refereegranskat)abstract
- Neighbourhood effects on young people's future living conditions: longitudinal findings from Sweden Using extensive longitudinal data for three Swedish birth cohorts born in the late 1970s, this study asked whether the social characteristics of the neighbourhood affect future outcomes that are important for their living conditions (labour-market participation, economic hardship and criminality). To assist decision-making about the balance between area-targeted policies and wider form of social interventions at the individual level, this study also assessed whether the estimated impact of neighbourhood context has any bearing on the effect of preventive interventions directed at distressed neighbourhoods. The overall findings suggest that there is no clear evidence that the impact of neighbourhood varies sufficiently between the different types of neighbourhoods when selection and other confounding factors have been taken into consideration. It is concluded that the estimated effect of neighbourhood on youth development does not underpin area-targeted policies directed at distressed neighbourhoods.
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| 8. |
- Cedersund, Elisabet, 1950-, et al.
(författare)
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Care management in practice: on the use of talk and text in gerontological social work
- 2010
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Ingår i: International Journal of Social Welfare. - Oxford, UK : Blackwell Publishing Ltd. - 1369-6866 .- 1468-2397. ; 19:3, s. 339-347
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Tidskriftsartikel (refereegranskat)abstract
- Int J Soc Welfare 2010: 19: 339-347 (C) 2010 The Author(s), Journal compilation (C) 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This is a study of encounters between social workers and citizens in one type of welfare organisation, the municipal elder care system. The article sheds light on how older peoples claims are dealt with in the processing of home care applications. Twenty encounters between social workers and older people were studied using discourse analysis. The findings reveal that discursive practices are part of the routine when the applications are processed. The application handling follows an agenda-bound pattern that is visible in the encounters. In these standardised procedures, oral discourse is embedded in routines that also include the use of texts. However, within this institutional order, there is also an important element of negotiation between the parties. It is therefore claimed that the encounters include a negotiated order that does not exist on its own, but is achieved in the ongoing interaction.
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| 9. |
- Daly, Tamara, et al.
(författare)
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Unheard voices, unmapped terrain : care work in long-term residential care for older people in Canada and Sweden
- 2012
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 21:2, s. 139-148
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Tidskriftsartikel (refereegranskat)abstract
- This article aims to contribute to comparative welfare state research by analysing the everyday work life of long-term care facility workers in Canadaand Sweden. The study’s empirical base was a survey of fixed and open-ended questions. The article presents results from a subset of respondents (care aides and assistant nurses) working in facilities in three Canadian provinces (n = 557) and across Sweden (n = 292). The workers’ experiences were linked to the broader economic and organisational contexts of residential care in the two jurisdictions.We found a high degree of country-specific differentiation of work organisation:Canada follows a model of highly differentiated task-oriented work, whereasSweden represents an integrated relational care work model. Reflecting differences in the vertical division of labour, the Canadian care aides had more demanding working conditions than their Swedish colleagues. The consequences of these models for care workers, for older people and for their families are discussed.
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| 10. |
- Espvall, Majen, 1956-, et al.
(författare)
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Can we count on each other? : Reciprocity and conflicts in financial support in Sweden
- 2010
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Ingår i: International Journal of Social Welfare. - Oxford : Blackwell. - 1369-6866 .- 1468-2397. ; 19:1, s. 84-94
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Tidskriftsartikel (refereegranskat)abstract
- This article explores the experiences of reciprocity and conflicts in social relationships, and how these experiences are related to financial support (loans and gifts) in the wider social network. The balance of exchange within the social network as a whole is considered in relation to socio-demographic features, financial conditions and the availability of social relationships. The data are drawn from a study of financial support exchange in Sweden based on a representative survey among Swedish citizens (N=500). The results reveal that people living in economic hardship and who have more problematic life circumstances appear to be at risk of receiving more limited informal financial support by experiencing more feelings of conflicts and nonreciprocal social relations.
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