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| 2. |
- Almqvist, Anna-Lena, 1963-, et al.
(författare)
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Social Work Practices for Young People with Complex Needs : An Integrative Review
- 2018
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Ingår i: Child and Adolescent Social Work Journal. - : SPRINGER. - 0738-0151 .- 1573-2797. ; 35:3, s. 207-219
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Forskningsöversikt (refereegranskat)abstract
- The aim of this integrative review is to investigate research of social work practices for adolescents and young adults with complex needs. The research questions are: What are the major themes in studies of practices for young people with complex needs? How do studies suggest that complex needs can be met in ways that are beneficial for young people? A young person with complex needs is in this review defined as an adolescent or young adult who, due to mental ill-health in combination with different types of social vulnerabilities, is receiving assistance from multiple welfare services. Searches were conducted in seven databases. These searches resulted in a sample of 1677 records, published 2007-2016, which in the screening process were reduced to 24 publications, all peer-reviewed articles. The participants in the studies in the articles consisted of young people, parents and professionals from mainly Anglo-Saxon countries. The articles were analyzed with qualitative summative content analysis. Three empirically generated themes were found in studies of work practices targeting young people with complex needs: collaboration-, relationship- and empowerment-oriented practices. In conclusion, the practices contain a wide variety of features, but with the joint aim of acknowledging young people's needs. The results can be used by practitioners and policymakers to further the development of services for youth with mental ill-health and social vulnerabilities, who use multiple welfare services.
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| 3. |
- Almqvist, Anna-Lena, 1963-, et al.
(författare)
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Where Lies the Complexity? : Interviews with Swedish Young People who Receive Support from Social Services and Psychiatric Care.
- 2018
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Konferensbidrag (refereegranskat)abstract
- Mental ill-health among young people has increased in the past decades in Sweden as well as in other western countries. When mental ill-health is connected with social vulnerability such as difficulties in completing education, unemployment or substance abuse you may be considered to have “complex needs”. This paper presents findings from a project (2016-2018) in two municipalities. The data consists of semi-structured interviews from two sub studies. One with 13 young persons (15-25 years) who have been or are recipients of long-term support from social services as well as psychiatric care, and one with 24 professionals from social services and psychiatric care. The aim is to investigate young people’s and professionals’ experiences of work practices aiming at increased well-being for young people labelled as having complex needs. The research questions are: What barriers for work practices for sustainable support are there from the young people’s perspective? How to overcome work practice barriers for giving sustainable support, from the professionals’ perspective? The questions are reflected in three themes; empowerment, relationships and collaboration. Barriers mentioned by the young people are high employee turnover as well as too many professionals involved in activities. Professionals might have their own ideas about what should be done, not taking the wishes of the young person into consideration to a satisfying level. In collaboration between different organizations, the professionals consider it important with at least one person who has the influence in several of them. To take the young person seriously as well as staying on in difficult times are considered important. We argue that the expression complex needs, when used as a way to categorize young people, may obscure that the problem also lies with highly specialized and complex welfare state organizations. They do not always succeed in catering for the interconnected needs of their clients.
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| 4. |
- Almqvist, Anna-Lena, 1963-, et al.
(författare)
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Young people meet complex organisations : An interview study with Swedish service providers
- 2018
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Konferensbidrag (refereegranskat)abstract
- This paper presents findings from a Swedish interview study from 2016-2017 with 20 professionals working with young people, who suffer from a combination of mental ill-health and social vulnerability. They have been recipients of long-term support from multiple welfare service actors with the aim of promoting the young people’s wellbeing. The aim of the study is to investigate professionals’ experiences of work practices aiming at increased wellbeing for this group of young people. Mental ill-health among young people has increased in the past decades in Sweden as well as in many other western countries. Mental ill-health has also been connected with social vulnerability such as difficulties in completing education, unemployment, out-of-home care or substance abuse. This group of young people are sometimes referred to as youth with complex needs. Complex needs is a concept used to categorize people that have multiple interconnected needs that span medical and social issues, people that are considered as especially disadvantaged, or presenting challenges to welfare services. Categorizations of people and needs are prerequisites for legal, bureaucratic and professional systems within the welfare state. Welfare organizations construct knowledge and strategies regarding specific target groups according to these categorizations. In the paper we argue that the expression complex needs, when used as a way to categorize young people, not necessarily take into consideration that the problem instead may be the complex organizations that young people meet. These organizations may not always succeed in catering for the needs of young people.
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| 5. |
- Almqvist, Anna-Lena, 1963-, et al.
(författare)
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Young people with complex needs meet complex organizations : an interview study with Swedish professionals about sustainable work practices
- 2018
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Ingår i: Community, Work and Family. - : Routledge. - 1366-8803 .- 1469-3615. ; 21:5, s. 620-635
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Tidskriftsartikel (refereegranskat)abstract
- This paper concerns preconditions for the well-being of young people with mental ill-health combined with social vulnerabilities, also referred to as youth with complex needs. Research questions are: What barriers to sustainable work practices for young people labelled as having complex needs do professionals encounter? What do professionals identify as possible ways to overcome these barriers? Sustainable work practices are reflected in three themes: empowerment, relationships and collaboration. The findings are based on semi-structured interviews with 24 professionals, 3 men and 21 women, working in psychiatric care and the social services in two Swedish municipalities in 2016 and 2017. Major barriers are lack of continuity and co-ordination in staff and support, and fragmentation of work practices. As a consequence of the increased specialization of human service organizations, young people have to interact with many different professionals which could cause disparate interventions. Possible ways mentioned to overcome these barriers are supported through good interactional skills, using keyworkers as well therapeutic alliances, wrap-around services and case management. Complexity is linked to organizations and work practices rather than to young people. An often dysfunctional service delivery system in organizations with rigid boundaries may also affect professionals’ aim for sustainable support.
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| 7. |
- Andersson, Anna Karin, et al.
(författare)
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Patterns of everyday functioning in preschool children born preterm and at term
- 2017
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Ingår i: Research in Developmental Disabilities. - : Elsevier BV. - 0891-4222 .- 1873-3379. ; 67, s. 82-93
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Tidskriftsartikel (refereegranskat)abstract
- Background/Aim: Children born preterm are at risk of neonatal complications but the long-term consequences for everyday functioning is not well known. The study aimed to identify patterns of everyday functioning in preschool children born preterm and at term in relation to perinatal data, neonatal risk factors, behaviour, and socioeconomic status. Registry data and data from parent rated questionnaires were collected for 331 children.Method: A person-oriented approach with a cluster analysis was used.Results: A seven cluster solution explained 65.91% of the variance. Most children (n = 232) showed patterns of strong everyday functioning. A minority of the children (n = 99), showed diverse patterns of weak everyday functioning. Perinatal characteristics, neonatal risk factors and socio-economics did not predict cluster group membership. Children born preterm were represented in all clusters.Conclusion, implications: Most preschool children are perceived by their parents with strong everyday functioning despite being born preterm. However small groups of children are, for various reasons, perceived with weak functioning, but preterm birth is not the sole contributor to patterns of weak everyday functioning. More critical for all children's everyday functioning is probably the interaction between individual factors, behavioural factors and contextual factors. To gain a broader understanding of children's everyday functioning. Child Health Services need to systematically consider aspects of body function, activity and in addition participation and environmental aspects.
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| 8. |
- Appelgren Engström, Heléne, 1968-, et al.
(författare)
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Mothers in Same-Sex Relationships Describe the Process of Forming a Family as a Stressful Journey in a Heteronormative World : A Swedish Grounded Theory Study
- 2018
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Ingår i: Maternal and Child Health Journal. - : Springer. - 1092-7875 .- 1573-6628. ; 22:10, s. 1444-1450
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Tidskriftsartikel (refereegranskat)abstract
- Objectives The aim of this study was to gain insight into how women in same-sex relationships experience the process of forming a family through the use of assisted reproduction technique (ART), from planning the pregnancy to parenthood, and their experience of parental support from healthcare professionals. Methods The participants were 20 women in a same-sex relationship who had conceived through ART at a Swedish clinic. Semi-structured interviews including open questions about pregnancy, parenthood and support from healthcare professionals were conducted. The interviews were tape-recorded and transcribed verbatim. The data were analysed according to grounded theory. Results The core category, A stressful journey through a heteronormative world, emerged from the analysis, as did three subcategories: A journey fraught with difficulties and decisions; The nuclear family as the norm; and A need for psychological support. Same-sex parents expressed a need for more information about how to access ART in Sweden. Both the healthcare organization and treatment were perceived as heteronormative. In particular, these women lacked psychological support during the demanding process of utilizing a sperm donor to conceive. Conclusions for Practice Professionals in antenatal care should undergo mandatory cultural competency training to ensure cultural sensitivity and the provision of updated information, tailored brochures and early parental support for families with same-sex parents. All parents need guidance and support from competent, caring personnel throughout the entire process of forming a family.
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| 9. |
- Appelgren Engström, Heléne, 1968-, et al.
(författare)
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Mothers in same‐sex relationships—Striving for equal parenthood: : A grounded theory study
- 2019
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Ingår i: JOURNAL OF CLINICAL NURSING. - : Wiley Online library. - 0962-1067 .- 1365-2702. ; 28:19-20, s. 3700-3709
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Tidskriftsartikel (refereegranskat)abstract
- To get a deeper understanding of how mothers in same-sex relationships think and reason about their parenthood in terms of gender equality, and how they experience early parental support from child healthcare professionals. Background: There is an increasing amount of research on how women in same-sex relationships experience healthcare services when forming a family. Yet there is limited knowledge of what kind of early parental support these women may request. Design: Grounded theory. Follows guidelines for qualitative research (COREQ). Method: Twenty women ranging from 25 to 42 years of age participated in semi-structured interviews. Data collection and analysis took place in parallel, as recommended in grounded theory methodology. Results: The results are described by the core category Same-sex mothers request professional support to achieve equal parenthood, which includes five categories: (a) equality in everyday life, (b) diversity in mother and child attachment, (c) justification of the family structure, (d) ambivalent thoughts about their child's future and (e) a special need for networking and request for professional support. These findings provide a deeper understanding of how same-sex mothers experience their parenthood and the parental support that is offered. Conclusion: Child healthcare professionals need to be sensitive and recognise both mothers as equal parents and offer early parenting groups where two-mother families feel included and supported. Relevance to clinical practice: Healthcare professionals need to be aware of diverse family formations and meet each parent as a unique individual without heteronormative assumptions. Same-sex mothers must be treated as equal parents and acknowledged as mothers. Healthcare professionals should offer inclusive and supportive parental groups to same-sex families. They should also inform and support nonbirth mothers about the possibility to breastfeed.
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| 10. |
- Kaufman, G., et al.
(författare)
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The Role of Partners and Workplaces in British and Swedish Men’s Parental Leave Decisions
- 2017
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Ingår i: Men and Masculinities. - : SAGE Publications Inc.. - 1097-184X .- 1552-6828. ; 20:5, s. 533-551
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Tidskriftsartikel (refereegranskat)abstract
- Sweden has been long known for its early introduction of parental leave in the 1970s and the introduction of the first nontransferable “daddy month” in 1995 while the United Kingdom (UK) lagged behind with policies that reflected a strong male breadwinner model until the recent introduction of Additional Paternity Leave, which extended paternity leave up to twenty-six weeks. Our study examines parental leave decisions following the changes in policy, paying particular attention to the role of partners and workplaces. We draw on data from thirty-two interviews with Swedish parents conducted in 2008 and twenty-two interviews with British parents conducted in 2012. We find that mothers in both countries have great influence over parental leave decisions. However, this often perpetuates a much greater gendered division of parental leave in the UK than in Sweden. Furthermore, the British workplace continues to hold very different expectations for male and female employees regarding parental leave, while Swedish employers are generally accepting of men’s use of long parental leave.
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