| 1. |
- Arnesson, Kerstin, et al.
(författare)
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Socialtjänstens kris kräver lösningar
- 2016
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Ingår i: Svenska Dagbladet. - Stockholm : Hb Svenska dagbladets AB & Co. - 1101-2412. ; :2016-03-28, s. 05-05
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 2. |
- Ekström, Veronica, 1975-, et al.
(författare)
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Choosing internet-based treatment for problematic alcohol use - why, when and how? : Users’ experiences of treatment online
- 2020
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Ingår i: Addiction science & clinical practice. - : Springer Science and Business Media LLC. - 1940-0632 .- 1940-0640. ; 15, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Internet-based treatment has emerged as a cost-effective option for reaching people who for different reasons are not reached by traditional treatment. Internet-based treatment for problematic alcohol use, specifically, has been found to show results on par with other forms of treatment. However, in-depth knowledge of users’ experiences is required to understand what works, and what needs further development. The aim of this study is to investigate the help-seeking motives among users of an internet-based service for problematic alcohol use, as well as the users’ experiences of the support available through the service.Method: The study consists of a thematic analysis of interviews with 38 former users of the internet-based intervention Alkoholhjälpen.Results: The analysis shows that health and relationship factors, as well as feelings of shame, were important motives for the users’ decisions to reduce their drinking. Availability and anonymity seem to have been important reasons for choosing internet-based support. The different treatment components, i.e. ICBT program, therapist support and discussion forum, were each perceived as helpful by some users but not by others. Treatment components were described as more useful when users were able to personally identify with the content, and when it helped them reflect on their own alcohol consumption.Conclusions: There are several aspects that are relevant, beyond the comparison between components, if we want to understand what works and for whom in internet-based treatment. Internet-based treatment services should be generous in terms of options for the users.
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| 3. |
- Ekström, Veronica, 1975-, et al.
(författare)
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Mothering in the context of fathers’ problematic alcohol use
- 2021
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Ingår i: European Journal of Social Work. - : Informa UK Limited. - 1369-1457 .- 1468-2664. ; 24:4, s. 591-602
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to broaden the knowledge about how mothers are affected by the other parent’s problematic alcohol use. The study is qualitative and based on interviews with 23 mothers. Theories of motherhood are used in the analysis. Due to the fathers’ problematic alcohol use, the mothers are not only responsible for the child–father relationship, but also for all the practicalities concerning children and their safety. These responsibilities are, to a large extent, the same before and after a separation. For children growing up with a parent who has a problematic alcohol use, the other parent can be a protective factor. The results reveal how much stress and strain mothers face due to the other parents’ problematic alcohol use and also that they are in need of support to better handle their and their children’s situation. However, most of them experience lack of support. Support seems to be connected to the shared parenthood and therefore depending on fathers’ participation and social workers fail to acknowledge the mothers’ needs. Furthermore, the mothers’ ability to compensate for fathers’ flaws in fact plays a part in society not supporting the mothers.
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| 4. |
- Ekström, Veronica, 1975-, et al.
(författare)
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No other choice than to go on : Mothers’ experiences of sharing parenthood with someone who has a problematic alcohol use
- 2023
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Ingår i: Nordic Social Work Research. - : Taylor & Francis. - 2156-857X .- 2156-8588. ; 13:3, s. 380-392
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Tidskriftsartikel (refereegranskat)abstract
- Having someone with problematic alcohol use in one’s life is connected to reduced personal wellbeing. For children in such families, support from a parent without alcohol problems can be a protective factor. However, there is a limited body of research on the challenges facing parents who do not have a drinking problem of their own but have children with someone who does. This study investigates how mothers are affected by the other parent’s problematic alcohol use and how mothers’ need for support can be understood. The study uses a qualitative design and consists of interviews with 23 mothers who have children together with a man who has a problematic alcohol use. The Stress-Strain-Coping-Support model developed by Orford and colleagues, is used in the analysis. Even though most mothers in the study are separated, they describe a lot of stress and strain, caused by the father’s problematic alcohol use. Parenthood can be regarded as a special form of stress. Constant worrying for your children is also a special form of strain affecting the parent without problematic alcohol use. Three areas of support needs are identified: therapeutic support, information and help to manage the father. However, the study also reveals great difficulties in finding support.
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| 5. |
- Ekström, Veronica, 1975-, et al.
(författare)
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Sort of a nice distance : a qualitative study of the experiences of therapists working with internet-based treatment of problematic substance use
- 2019
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Ingår i: Addiction science & clinical practice. - : Springer Science and Business Media LLC. - 1940-0632 .- 1940-0640. ; 14, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Internet interventions have been developed and tested for several psychiatric and somatic conditions. Few people with substance use disorders receive treatment and many drug users say that they would prefer getting help from online tools. Internet interventions are effective for reducing alcohol and cannabis use. The aim of the current study is to understand differences between internet-based and face-to-face treatment of problematic substance use. The concept of alliance will be used as a theoretical frame for understanding differences between internet-based treatment and face-to-face treatment, as perceived by therapists.Method: The study has a qualitative design and is based on 3 focus group interviews with 12 therapists working with internet-based treatment for alcohol or cannabis use problems within five different programs.Results: The analysis revealed five themes in the differences between internet-based and face-to-face treatment: communication, anonymity, time, presence and focus. Treatment online in written and asynchronous form creates something qualitatively different from regular face-to-face meetings between patients and therapists. The written form changes the concept of time in treatment, that is, how time can be used and how it affects the therapist’s presence. The asynchronous (i.e. time delayed) form of communication and the lack of facial expressions and body language require special skills.Conclusions: There are important differences between internet-based treatment and face-to-face treatment. Different aspects of the alliance seem to be important in internet-based treatment compared to face-to-face.
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