| 1. |
- Crepaldi, Chiara, et al.
(author)
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Cancer and in general long-term illnesses at workplaces : Study IP/A/EMPL/FWC/2006-05/SC3
- 2008
-
Reports (other academic/artistic)abstract
- Poor health represents a major factor of exclusion from the labour market due to the influenceit exerts on early retirement. A key issue for policy makers is how to maintain the worker withresidual potentialities in active life and at the same time cope with the difficulties the workerand employer come up with continued presence in the workplace.The aim of this study is to gain an understanding of the barriers but also of the facilitatorsenhancing reintegration outcomes for chronically sick and absent workers. Without such anunderstanding, it is difficult to design and develop appropriate and transferable interventionsand approaches. Cancer is addressed as a specific long-term illness throughout the study, inorder to delimit, and, at the same time, concretise issues and proposals. The study also intendsto highlight the characteristics of national legislations concerning support for workers withlong-term illnesses to regain, where possible, social inclusion and integration in the labourmarket. The different schemes and approaches applied across the Member States are analysedto point out the level and duration of social protection of sick workers as well as how differentcountries support the workers’ wages and previous standard of living during and after sickleave. The study also intends to analyse ‘return to job’ problems, policies and forms ofreintegration of workers.
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| 2. |
- Crepaldi, Chiara, et al.
(author)
-
Cancer and in general long-term illnesses at workplaces
- 2008
-
Reports (other academic/artistic)abstract
- Poor health represents a major factor of exclusion from the labour market due to the influenceit exerts on early retirement. A key issue for policy makers is how to maintain the worker withresidual potentialities in active life and at the same time cope with the difficulties the workerand employer come up with continued presence in the workplace.The aim of this study is to gain an understanding of the barriers but also of the facilitatorsenhancing reintegration outcomes for chronically sick and absent workers. Without such anunderstanding, it is difficult to design and develop appropriate and transferable interventionsand approaches. Cancer is addressed as a specific long-term illness throughout the study, inorder to delimit, and, at the same time, concretise issues and proposals. The study also intendsto highlight the characteristics of national legislations concerning support for workers withlong-term illnesses to regain, where possible, social inclusion and integration in the labourmarket. The different schemes and approaches applied across the Member States are analysedto point out the level and duration of social protection of sick workers as well as how differentcountries support the workers’ wages and previous standard of living during and after sickleave. The study also intends to analyse ‘return to job’ problems, policies and forms ofreintegration of workers.
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| 3. |
- Crepaldi, Chiara, et al.
(author)
-
The social situation of the Roma and their improved accessto the labour market in the EU : Study: IP/A/EMPL/FWC/2006-05/SC4
- 2008
-
Reports (other academic/artistic)abstract
- This study sets out to analyse the social and legal situation of the Roma and the policies of inclusion adopted in the European Countries with particular attention to those fostering accessto the labour market. To address these issues the study outlines the legal and socio-economic condition of the Roma Community across Europe, providing a brief overview of the maincharacteristics of a population composed of sub-communities with some common features butwith different historic and cultural backgrounds. The study focuses more on the differencesbetween the communities than on the similarities. As the aim of the study is to offersuggestions and policy options, it is worth pointing out that policies designed to take thesedifferences into account have better chances of being accepted by the communities, and soproving more effective, than ‘generic’ polices for ‘the Roma’. For example, policiesaddressing isolated and rural communities of illegal Roma have to consider specific issuesdifferent from those for urban Protestant Roma legally resident in the country and vice versa.Specific attention is paid to the legal status of the Roma, as it is highly differentiated acrossthe European Member States and within each country according to the specific group considered.
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| 4. |
- Crepaldi, Chiara, et al.
(author)
-
The social situation of the Roma and their improved accessto the labour market in the EU
- 2008
-
Reports (other academic/artistic)abstract
- This study sets out to analyse the social and legal situation of the Roma and the policies of inclusion adopted in the European Countries with particular attention to those fostering accessto the labour market. To address these issues the study outlines the legal and socio-economic condition of the Roma Community across Europe, providing a brief overview of the maincharacteristics of a population composed of sub-communities with some common features butwith different historic and cultural backgrounds. The study focuses more on the differencesbetween the communities than on the similarities. As the aim of the study is to offersuggestions and policy options, it is worth pointing out that policies designed to take thesedifferences into account have better chances of being accepted by the communities, and soproving more effective, than ‘generic’ polices for ‘the Roma’. For example, policiesaddressing isolated and rural communities of illegal Roma have to consider specific issuesdifferent from those for urban Protestant Roma legally resident in the country and vice versa.Specific attention is paid to the legal status of the Roma, as it is highly differentiated acrossthe European Member States and within each country according to the specific group considered.
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| 5. |
- Harsløf, Ivan, et al.
(author)
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Changing population profiles and social risk structures in the Nordic countries
- 2013
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In: Changing social risks and social policy responses in the Nordic welfare state. - Basingstoke, Hampshire : Palgrave Macmillan. - 9781137267184 - 1137267186 - 9781349443338 - 9781137267191 ; , s. 25-49
-
Book chapter (peer-reviewed)abstract
- he purpose of this chapter is to provide a comparative backdrop on changing societal structures and risk profiles in the Nordic countries. The chapter is guided by two questions. Firstly, we ask to what extent labour market systems, household and ethnic demographic structures of Nordic populations have changed in the transition towards postindustrialism, with an emphasis on the most recent phase from the 1990s and onwards. Secondly, we ask to what extent it is reasonable to talk about a distinctive Nordic pattern in terms of the characteristics and distribution of new social risks in the population. These questions are addressed by offering an empirical account and discussion of changes in the socio-economic, household and ethnic composition of the population of the four major Nordic countries: Denmark, Finland, Norway and Sweden. To provide a basis for comparison we include, where possible, data from countries approximating the liberal, the employment-centred and the sub-protective welfare models — the United Kingdom, Germany and Italy, respectively (cf. Gallie & Paugam 2000).
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| 6. |
- Lindner, Stephan R., et al.
(author)
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Addiction severity and re-employment in Sweden among adults with risky alcohol and drug use
- 2023
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In: Journal of Substance Use and Addiction Treatment. - : Elsevier. - 2949-8767 .- 2949-8759.
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Journal article (peer-reviewed)abstract
- Background: The Addiction Severity Index (ASI) assesses respondents' biopsychosocial problems in seven addiction-related domains (mental health, family and social relations, employment, alcohol use, drug use, physical health, and legal problems). This study examined the association between the seven ASI composite scores and re-employment in a sample of Swedish adults screened for risky alcohol and drug use who were without employment at assessment.Methods: We conducted a retrospective cohort analysis of employment outcomes among 6502 unemployed adults living in Sweden who completed an ASI assessment for risky alcohol and drug use. The study linked ASI scores to annual tax register data. The primary outcome was employment, defined as having earnings above an administrative threshold. We used Cox proportional hazard models to estimate the association between time to re-employment and ASI composite scores, controlling for demographic characteristics.Results: Approximately three in ten individuals in the sample regained employment within five years. ASI composite scores suggested widespread biopsychosocial problems. Re-employment was associated with lower ASI composite scores for mental health (estimate: 0.775, 95 % confidence interval: 0.629–0.956), employment (estimate: 0.669, confidence interval: 0.532–0.841), drug use (estimate: 0.628, confidence interval: 0.428–0.924), and health (estimate: 0.798, confidence interval: 0.699–0.912).Conclusions: This study suggests that several ASI domains may provide information on the complex factors (i.e., mental health, health, drug use) associated with long-term unemployment for people with risky substance use.
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| 7. |
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| 8. |
- Scarpa, Simone, 1976-, et al.
(author)
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Compulsory care of individuals with severe substance use disorders and alcohol- and drug-related mortality : a Swedish registry study
- 2023
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In: Frontiers in Psychiatry. - : Frontiers Media S.A.. - 1664-0640. ; 14
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Journal article (peer-reviewed)abstract
- Aim: This study used 17 year of Swedish registry data (2003–2019) for 25,125 adults assessed for their severity of substance use to identify the baseline factors predicting the risk of being court-ordered into compulsory care and examine the association between admission to compulsory care and mortality risks due to alcohol- or drug-related causes.Methods and materials: Addiction Severity Index (ASI) assessment data were linked to register data on demographic characteristics, compulsory care, and alcohol- and drug-related mortality. Cox regression models were used to identify baseline factors predictive of post-assessment admission to compulsory care in the 5 years post-substance use assessment. Discrete-time random-effect logistic regression models were used to examine the association between compulsory care duration and alcohol or drug-related mortality risks. Propensity score matching was used for validation.Results: The first models identified that younger age, female gender, and ASI composite scores for drug use, mental health and employment were significantly associated with the risk of placement in compulsory care for drugs other than alcohol. Female gender and ASI composite scores for alcohol, drug use and employment were significantly associated with compulsory care treatment for alcohol use. The second models showed that older individuals and men were more likely to die due to alcohol-related causes, while younger individuals and men were more likely to die due to drug-related causes. Length of stay in compulsory care institutions significantly increased the likelihood of dying due to substance use-related causes. Propensity scores analyses confirmed the results.Conclusion: In Sweden, a significant concern is the higher likelihood of women and young individuals to be court-ordered to compulsory care. Although compulsory care is often advocated as a life-saving intervention, our findings do not provide strong support for this claim. On the contrary, our findings show that admission to compulsory care is associated with a higher risk of substance use-related mortality. Factors such as compulsory care often not including any medical or psychological therapy, together with relapse and overdose after discharge, may be possible contributing factors to these findings.
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| 9. |
- Scarpa, Simone, 1976-, et al.
(author)
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Hur fungerade kursen Effektiv Planering av Insatser/EPI : Baslinje- och uppföljningsresultat
- 2023
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In: Socialmedicinsk Tidskrift. - 0037-833X. ; 100:5, s. 655-665
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Journal article (pop. science, debate, etc.)abstract
- Denna kvantitativa studie utvärderar kunskapsförändringar hos deltagare i EPI universitetskursen. Majoriteten av deltagarna var socialsekreterare inom miss-bruksområdet. Kursen resulterade i betydande förbättringar av deltagarnas kunskap, särskilt vad gäller insats- och vårdkontinuitetsmodeller samt använd-ning av motivationshöjande intervjutekniker. Kunskapen om äldre personer med beroendeproblem och fördelarna med ASI-uppföljningar för socialarbe-tare och klienter förbättrades också.
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| 10. |
- Scarpa, Simone, 1976-, et al.
(author)
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Immigrant background, incarceration history and recidivism among adults assessed for illicit substance use severity : findings from a Swedish registry study
- 2024
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In: International journal of drug policy. - : Elsevier. - 0955-3959 .- 1873-4758. ; 128
-
Journal article (peer-reviewed)abstract
- Background: In Sweden, as in other countries, individuals with immigrant backgrounds are disproportionately represented within the incarcerated population. This study examined the association between immigrant background and future incarceration for individuals assessed for illicit substance use severity, while considering their prior incarceration history.Methods: Using data from Swedish Addiction Severity Index (ASI) assessments linked to register data from Statistics Sweden, we employed Zero-Inflated Negative Binomial (ZINB) regression models to analyse differences in incarceration histories within five years before and after ASI assessments based on immigrant backgrounds. Additionally, Cox proportional-hazard models were used to assess the likelihood of post-assessment incarceration among these groups.Results: Immigrant background was positively associated with pre- and post-assessment incarceration. First- and second-generation immigrants from the Global South had longer periods of incarceration in the five years before assessments compared to native Swedes. Post-assessment, first-generation immigrants showed longer periods of incarceration. Survival analyses supported these findings, indicating a higher risk of prolonged post-assessment incarceration among all immigrant groups, particularly first-generation immigrants from the Global South.Conclusion: Among individuals assessed for illicit drug use within Swedish municipalities, those with immigrant backgrounds faced higher incarceration risks, even after controlling for substance use severity and prior incarceration. Tailored interventions and support systems are vital to prevent re-entry into the criminal justice system. Timely actions can break re-offending cycles, redirecting paths away from reoffending and towards legal reintegration, thereby reducing incarceration and recidivism rates.
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