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The internet has become very central to today’s society. The aim of this scoping review was to map internet use among people with an intellectual disability (ID) in Sweden, and to scrutinise the phenomenon from a critical perspective. The concepts of digital divide, digital inequality, social construction of intellectual disability, and power relations were applied to conceptualise the empirical material. The results showed that people with ID have limited access to the internet. A discrepancy in approaches towards internet use was identified. Generally, people with ID subscribe to a positive view of the internet. Among professionals a generally pessimistic view was instead identified. People with ID are described as a vulnerable and naive group, who presumably cannot protect themselves from the risks the internet entails. From a critical perspective, control of internet access could strengthen asymmetric power, and human rights of social participation are withheld from people with ID.

This article focuses on the stock of accommodation service units for people with psychiatric disabilities in Sweden and the classification of supported accommodation. We examined 122 units in 12 municipalities in Sweden and classified them according to the Simple Taxonomy for Supported Accommodation (STAX-SA). We found an obvious variation in the field and a movement into a recovery-oriented direction and towards individuality. There is an emphasis on Move-On that seems to expand into and beyond floating outreach support, and there is a relaxation of service units’ boundaries concerning commitment and target groups. The correspondence to STAX-SA was quite low (48%), and the applicability to ‘real world’ services was not satisfactory. When capturing variation and change in a rich dataset, STAX-SA is too reductive. However, STAX-SA was a successful point of departure in the analysis that opened up for identifying diversities and movement. We suggest some adjustments to increase its applicability.

Bakgrund: psykisk ohälsa beskrivs som en växande samhällsutmaning. År 2016 initierades något som kan tolkas som ett perspektivskifte i svensk policy inom området.

Syfte: i denna rapport utforskas regionala och lokala aktörers respons på nationell styrning inom området psykisk hälsa. Ett särskilt fokus läggs på samverkansinsatser som rör främjande av barn och ungas psykiska hälsa.

Metod: en fallstudie genomfördes. En policyanalys av 127 nationella och regionala policydokument kombinerades med en intervjustudie där tre exempel på samverkansinsatser strategiskt valdes ut och nitton nyckelpersoner intervjuades.

Resultat: i länsgemensamma handlingsplaner för psykisk hälsa identifierades insatser med ett starkt fokus på individuella faktorer. Beträffande lokala samverkansinsatser för barn och ungas psykiska hälsa visade det sig att den insats som hade stark koppling till den nya policyn hade svag förankring i den egna organisationen. Den insats som var mest integrerad saknade helt koppling till den nya policyn.

Slutsatser: (i) psykisk ohälsa beskrivs som ett problem som ska hanteras genom att påverka individuella faktorer. Detta trots att aktuell forskning visar att även familjerelaterade, samhällsrelaterade och strukturella bestämmelsefaktorer behöver adresseras för att uppnå psykisk hälsa. Fokuset på individuella faktorer kan innebära en risk att människor förstår psykisk ohälsa som ett individuellt problem och ansvar, och (ii) det tar tid att implementera samverkan mellan olika aktörer som arbetar med barn och ungas psykiska hälsa och ohälsa. Långsiktiga styrstrategier behövs.

Background: Suicide is a serious public health problem. All 194 member states of the World Health Organization have signed the Comprehensive Mental Health action plan 2013–2030 which tasks governments with implementing evidence-based interventions in community settings to prevent suicide at all stages of life. This study aims to map the priorities in suicide prevention policy in community-settings in Sweden, one of the World Health Organization's member states. Method: A document study, using data from suicide prevention policy documents in the 21 counties in Sweden. Data was analyzed using qualitative content analysis. Results: Suicide prevention interventions at the universal, selective and indicated prevention levels were prioritized. Most of the suicide prevention interventions intended to be implemented at each prevention level was evidence-based. Most of the suicide prevention interventions at all prevention levels did not prioritize any specific age group, however when age groups were targeted there were some emphases on children and adolescents. Conclusion: There is a need to improve suicide prevention interventions prioritizing age-groups who have high suicide rates. As educational interventions that encourage young people to develop their ability to face life challenges related to adolescence are found to be appropriate suicide prevention interventions, so too could educational interventions aimed at other age-groups be developed, to enable them to develop their ability to face life challenges related to their age. © 2023

The movement towards deinstitutionalisation of mental health services has created a space for new and community-based solutions in western countries, but the field still seems to lack coherent ideological and practical features. This is also evident for issues related to housing. The aim of this article is to examine the characteristics of supportive accommodation services for people with psychiatric disabilities in Sweden, according to the experiences of local service providers. The focus is placed on the services’ organizational setting, main orientation, and conceptual content. This article is based on a multiple case study of ten Swedish municipalities, purposely selected regarding size, location, and demographic features. Data mainly consist of interviews with key informants in the social service organisation. The results indicate the emergence of a new generation of service users with complex needs, who challenge both the organisation and the content of the service offered. Group homes and mobile housing support appeared as pillars in the service supply, but several local and pragmatically oriented solutions were also identified, as well as ambitions to scale down the extent of institutional settings. The guiding idea present at most sites is a strive towards increased autonomy among service users. 

There is broad consensus among policymakers about the urgency of developing healthy, inclusive, and socially sustainable cities. In the Swedish context, social services are considered to have knowledge that needs to be integrated into the broader urban development processes in order to accomplish such ends. This article aims to better understand the ways in which social service officials collaborate in urban development processes for developing the social dimensions of healthy cities. We draw from neo‐institutional theories, which set out actors (e.g., social service officials) as acting according to a logic of appropriateness, which means that actors do what they see as appropriate for themselves in a specific type of situation. Based on semi‐structured interviews with social services officials in 10 Swedish municipalities on their experiences of collaboration in the development of housing and living environments for people with psychiatric disabilities, we identified that they act based on (a) a pragmatic rule of conduct through the role of the problem solver, (b) a bureaucratic rule of conduct through the role of the knowledge provider, and (c) activist rule of conduct through the role of the advocator. In these roles, they have little authority in the development processes, and are unable to set the agenda for the social dimensions of healthy cities but act as the moral consciousness by looking out for everyone’s right to equal living conditions in urban development.

When addressing child and youth mental health, policy makers around the world call for collaboration between welfare providers. Research shows, however, that cross-sector collaboration is challenging. This article aims to scrutinize the issue of sustainability in the collaborative work undertaken between welfare providers to jointly support and promote child and youth mental health. In a qualitative interview study, 19 key officials involved in collaborative mental health work in three Swedish municipalities were interviewed, 13 individually and 6 in three small groups. Data were analyzed through content analysis and the application of practice-oriented collaboration theories. The results show that informants feel collaboration is beneficial for child and youth mental health. The results also show that five aspects of this collaborative work can affect its sustainability: (1) how the collaborative work was set up: if it was a special project or part of existing organizational structures; (2) what model of funding was used; (3) how many organizational levels were involved; (4) if goals were common, concurrent or contradictive; and (5) if important stakeholders were seen to be 'missing'. Collaboration members felt their collaborative work had caused them to drift away from important non-participant stakeholders. This article concludes that to develop long-term sustainable collaborations addressing child and youth mental health, key features of collaborative work need to be taken into consideration.

BAKGRUND  Denna folder är framtagen inom det fyra-åriga tvärvetenskapliga forskningsprojektet LEX-projektet. Hållbara livsmiljöer för psykiskt funktionshindrade. Att integrera bostadsplanering och välfärdsservice genom nya kollaborativa praktiker. Projektet startade startade 2019 och finansieras med medel från de två statliga forskningsråden Formas och Forte. Vi som jobbar i LEX är forskare inom fysisk planering, byggd miljö och socialt arbete från fyra olika lärosäten i Sverige - Blekinge tekniska högskola, Högskolan Dalarna, Sveriges Lantbruksuniversitet SLU samt Umeå universitet. Till projektet hör även en referensgrupp med företrädare från Boverket, Socialstyrelsen, Sveriges Kommuner och Regioner (SKR) och Nationell Samverkan för Psykisk Hälsa (NSPH) samt forskare från Karolinska Institutet (KI) och Kungliga tekniska högskolan (KTH).

En framtidsverkstad är en metod som syftar till att förändra genom att kartlägga och diskutera hur en situtation ser ut idag, vad problemet är med den, hur det skulle kunna vara på ett annat sätt, dvs vad krävs för att nå detta andra sätt samt hur ansvaret för att genomföra förändringen bör fördelas.

Den här framtidsverkstadens bestod av en stadsvandring och en workshop med tjänstepersoner från olika förvaltningar från Umeå kommun  De bilder och citat som presenteras i denna folder hade vi med som inspel till den första dagens stadsvandring. Dessa är framarbetade genom metoden PhotoVoice tillsammans med tolv personer med egen erfarenhet av psykiskohälsa, psykiatri och socialtjänst i tre grupper från tre olika städer. Deltagarna förmedlade erfarenheter av sin livsmiljö genom att fotografera olika platser och berätta om dem. Under den andra dagen träffades framtidsverkstadens deltagare föratt genomföra en workshop kring problem och möjligheter kringboende och livsmiljö för personer med psykisk ohälsa. Även samverkansfrågoroch stödinsatser behandlas.