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  • 1. Aartsen, Marja
    et al.
    Valtorta, Nicole
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    van Regenmortel, Sofie
    Waldegrave, Charles
    Corrigan, Trudy
    Exclusion from social relations in later life: Briefing paper2018Report (Other academic)
  • 2. Abellan, A.
    et al.
    Perez, J.
    Pujol, R.
    Sundstrom, G.
    Jegermalm, Magnus
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Malmberg, B.
    Partner care, gender equality, and ageing in Spain and Sweden2017In: International Journal of Ageing and Later Life, ISSN 1652-8670, E-ISSN 1652-8670, Vol. 11, no 1, p. 69-89Article in journal (Refereed)
    Abstract [en]

    We used national surveys to study how older persons’ changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services.

  • 3.
    Ahola, Malin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sundell, Annika
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Vi jobbar inte med själva barnen": En kvalitativ intervjustudie av socialsekreterares beaktande av barnperspektivet i ekonomiskt bistånd2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the essay is to investigate how the child perspective is taken into consideration in the social services' management of financial assistance. The method used is a qualitative interview study. Six social workers within financial assistance have been interviewed. The study is based on the theory of discretion, and is of relevance to social work since children in families who receive financial assistance constitute a vulnerable group who is at risk of ending socially vulnerable even in adulthood.

    The results of the study show that most of the social workers perceive the child perspective as unclear. The study also shows that children tend to be invisible in financial assistance, and that the social workers perceive that they do not have sufficient conditions to work from a child perspective. The study further shows that most of the social workers have a request to work more from a child perspective.

  • 4. Alexanderson, Karin
    et al.
    Jess, Kari
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Stuprör, hängrännor och rännkrokar: Utvärdering av projektet Samordnat stöd till barn och föräldrar i familjer med missbruk 2013–20142015Report (Other academic)
    Abstract [sv]

    Sammanfattning

    Socialstyrelsen har initierat ett utvecklingsarbete i fem kommuner i syfte att samordna stödet till barn under 18 år och föräldrar i familjer där föräldrar har problem med riskbruk/missbruk. Arbetet skulle särskilt stärka helhetssynen och samverkan mellan enheter i kommunen som har ansvar för barn, ungdom och familj respektive missbruk och beroende. Med helhetssyn avses här att se barns och vuxnas individuella behov, men även som familj, när det gäller socialtjänstens arbete med att upptäcka missbruk bland föräldrar, utreda, ge insatser och följa upp. Utvärderingen, som om avser tiden november 2012 till september 2014., avser såväl själva utvecklingsarbetet (processen) som dess resultat. Det kan med utvärderingstermer benämnas programteoriutvärdering och som genererat tre övergripande frågeställningar: Har kommunerna genomfört vad de föresatt sig göra? Har de uppnått de mål som de satt upp? Vilka förhållanden hindrar alternativt befrämjar ett familjeperspektiv i socialtjänstens arbete med barn och vuxna? För analys och tolkning av resultaten har implementeringsteori och teorier kring organisation och samverkan använts. Två år är en kort tid för att ett utvecklingsarbete av den här omfattningen ska ge några synbara avtryck i verksamheterna och framförallt innebära något för brukarna/ klienterna. I två kommuner har arbetet fått ett sådant genomslag att även klienterna kunnat tillfrågas om upplevelsen av samordningen samt om och hur arbetet inneburit någon förändring för dem. I en kommun har arbetet inte gett några större avtryck vare sig i organisationen eller för klienterna. I två kommuner har det inneburit viss utveckling av samarbete och samordning på professions- och verksamhetsnivå. Alla fem kommuner har fullföljt projektet och har en ambition att fortsätta utvecklingsarbetet. Målsättningen att pröva de samordnande insatserna i större skala har omsatts i en av de deltagande kommunerna. Det kan konstateras att de i teorin beskrivna hindren även förekommer i detta projekt. Det gäller exempelvis brister i kommuniceringen, hur samordnandet och uppföljningen med familjen faktiskt ska gå till, hög personalomsättning, hög arbetsbelastning och brister i ledningsstöd. Att enheterna är lokaliserade på olika ställen eller organiserade i olika förvaltningar är andra hinder. Framgångsfaktorer har varit fungerande arbetsledarskap och förankring på flera nivåer. Ledare som tar aktiv del och lyssnar och lär. Att det finns mottagningsfunktioner på bägge enheterna inom respektive kommun banar vägen för samverkan när det gäller upptäckt och utredning. Att testa en samordningsmodell i några pilotärenden förefaller vara ett bra sätt att förbereda sig innan implementering sker i större skala. Att utbyta erfarenheter med andra kommuner har visat sig verkningsfullt. Det finns flera exempel på hur kommunerna av lärt varandra och även använt varandra i utvecklingsarbetet. Optimistiska, erfarna och uthålliga projektmedarbetare med tydliga mandat som leder implementeringen är en framgångsfaktor, liksom att utgå från faktiska behov av förändringar i organisationen. Tre förhållanden som identifierats som hindrande eller försvårande av ett samordnat arbetssätt kan sammankopplats med lagstiftning och organisationsformer. Utredning och insats går inte alltid i fas med varandra tidsmässigt på vuxenheten och enheten för barn och unga. Enligt socialtjänstlagen ska en barnutredning vara slutförd inom fyra månader och en förhandbedömning ska vara gjord inom 14 dagar (SOL 11:2). Sådana tidsgränser formuleras inte för vuxenärenden. Barnutredningen kan avslutas utan insats med hänvisning till att det finns en fungerande förälder och vuxenutredningen likaså, därför att den vuxne inte är motiverad att göra något åt sitt missbruk. Själva arbetets organiserande gör att det finns flera ärenden i en familj som inte synkroniseras. Slutligen diskuteras resultatet utifrån den vedertagna metaforen stuprör. De flesta kommuner i Sverige har en specialiserad organisation. I en sådan organisation flyter barnärendena i ett stuprör och vuxenärenden i ett annat. Utöver detta införs här metaforerna hängrännor och rännkrokar. Hängrännor behövs för att möjliggöra ett helhetsperspektiv på familjen, i hängrännorna blandas ärendena. Rännkrokar slutligen ses som strukturerna i organisationen som underlättar de blandade ärendeflödena. De samordningsmodeller som kommunerna prövat kan liknas vid försök att montera upp hängrännor. 

  • 5. Alexandersson, Karin
    et al.
    Nyström Svensk, Ingrid
    Olsson, Helén
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Försörjningsstöd som leverbröd - Det ekonomiska biståndets utveckling 2007-2008, i sex kommuner i Dalarna, i relation till förändringar i det svenska välfärdssystemet.2008Report (Other academic)
  • 6.
    Aljebouri, Sally
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Samverkan i ärenden med våld i nära relationer: Socialsekreterares och polisers erfarenheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate social workers and police investigators perceptions and experiences of cooperation between the two authorities in cases of violence against women and children by men in a close relationship. The method used was qualitative with semi-structured interviews. Three social workers in the social services and two police investigators were interviewed. Cooperation was used as a theoretical frame. The result showed that cooperation is perceived as more extensive and structured when children are involved, compared to when women without children are abused. Collaboration is affected by different work methods, procedures, rules of confidentiality, lack of resources and time. Results showed further that personal relationships affect cooperation and there is knowledge and awareness of violence in close relationships in both authorities. Cooperation between social services and the police is necessary and contributes to help abused women and children to get the support they need.

  • 7.
    Andersson, Cecilia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Hatula, Mimmi
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Mäns våld mot kvinnor under graviditet: En litteraturstudie om våldets påverkan på kvinnans livssituation2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This literature review investigates how pregnant womens’ life situations are affected by mens’ violence. The data material consists of twelve articles which aims to present the womens’ own stories. The articles/studies have been analysed and categorised into four themes and subthemes, which represents the result of the literature review. The result has been discussed with the theory of gender power, radical feminism and the four levels of inequality for a greater understanding of the womens’ life situations. The discussion illustrates how social workers can be inspired to work with women, who are exposed to violence during pregnancy, with a perspective of empowerment. The literature review shows the importance for social workers to have an overall picture and understanding about how the womens’ home situation, ambivalence, self images and the difficultness with leaving creates a complex life situation where the women and their children are in need of support and help to be able to act on their own needs and increase their power.

  • 8.
    Andersson, Maria
    Umeå universitet, Institutionen för socialt arbete.
    Digital images as part of an implementation process: patterns in digital representations of community mental health service providers2014Conference paper (Other academic)
    Abstract [en]

    Background: Systems for freedom of choice have been implemented as an organizational structure in public welfare in several western countries. The aim of the market model is to increase citizens’ freedom of choice, conduce diversification in service and providers of service, while contribute higher quality of service and facilitate efficient use of public funds. In Sweden “Act of Free Choice Systems” (2008:962) was introduced in 2009, and optional for municipalities to use. Several municipalities have opened up for both public and non-public providers for citizens’ to choose from in different welfare sectors. Mental health care was one of them. The implemented competitive market logic meant providers needed to promote themselves to attract users to be able to stay on the market.

    Aim: The aim of this study is to describe and analyse how public and non-public providers’ of community mental health care use digital pictures during the time of an implementation of a competitive market system in Sweden.

    Methods: A case study was conducted. A municipality was strategically selected because a free choice system was implemented in their community mental health care in 2010. Day centres, a common community mental health care support was selected to constitute the focus of the study. All providers had a digital space of their own at the municipality’s website. Digital pictures from each homepage were collected in 2012, when the new system had been running for a while. All pictures were included in the study. Pictures were transcribed using the semiotic model. Transcribed data was analysed with content analyse and categorized into themes. A frequency analysis was conducted to show similarities and differences in content.

    Results: Homepages showed between 0 and 88 digital pictures. Public providers displayed less pictures than non-public providers. The content analyse identified three main categories: 1. Presenting pictures 2. Illustrative pictures 3. Emotional intermediating pictures. The frequency analyse showed three main recurring contents: pastries (10 providers), flowers and trees (10 providers) and the building’s exterior (9 providers). Distinguishing pictures were; mountain climber (one provider), dogs at the Coffey table (two providers).

     Analyse/Discussion: Digital pictures seemed to fulfil different purposes; to present activities such as buildings and persons, to illustrate text and to convey feelings of growth, inclusion, participation and friendship. The most recurring picture content was interpreted as follows: pastries, as appealing to the sense of sweetness, something tasting good, homely, attractive; flowers and trees as appealing to growth, literal and symbolic; building’s exterior as representing the place physically. Mountain climber pictures were interpreted as appealing to adventure and excitement, dogs at the Coffey table as appealing to a wish for non-demanding fellowship, a wish for pets.

    Conclusion: Most providers used digital pictures in their promotion of themselves. Pictures were used in different ways and with different intentions. Non-public providers displayed more pictures than public providers. This might implicate non-public providers were more adjusted to the new competitive system where promotion was part of the game.

  • 9.
    Andersson, Maria
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Eklund, Mona
    Sandlund, Mikael
    Umeå universitet, Psykiatri.
    Markström, Urban
    Umeå universitet, Institutionen för socialt arbete.
    Frames for choice and market characteristics - a Swedish case study of community mental health services in change2015In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 5, no 3, p. 227-243, article id 1059772Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe and analyse structural frames for choice, as well as characteristics of a free-choice market, implemented in community mental health services in Sweden. Day centres were focused. A case study was conducted. Documents were collected and semi-structured interviews were conducted with twenty-eight agents involved in the implementation process. Content analysis of data showed that users’ freedom of choice was influenced by detailed regulation. Freedom of choice was extended, but it was also substantially reduced. The gain or loss of freedom of choice depended on which aspects of the system were emphasised. Features, which could be interpreted as paternalistic, were once again structurally embedded, despite a system addressing individual freedom of choice. Further, the market did not seem to be adjusted for the average user of community mental health services.

  • 10.
    Andersson, Maria
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Eklund, Mona
    Lunds universitet.
    Sandlund, Mikael
    Umeå universitet, Psykiatri.
    Markström, Urban
    Umeå universitet, Institutionen för socialt arbete.
    Freedom of choice or cost efficiency?: the implementation of a free-choice market system in community mental health services in Sweden2016In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 18, no 2, p. 129-141Article in journal (Refereed)
    Abstract [en]

    This case study investigates the implementation of a free-choice market system in community mental health services using the example of day centres for people with psychiatric disabilities. It was conducted in a major city that was about to implement a free-choice market system due to a new legislation that made it feasible. Eighteen semi-structured interviews were conducted. Agents situated in different parts of the organization were interviewed one year before and two years after the free-choice system was launched in 2010. Data showed a top–down political process. A majority of the intentions of the legislation advocated individual autonomy as the market system's main purpose; only one concerned organizational efficiency. Data reflected, however, that financial efficiency dominated the agents' experiences of the implemented system. The twofold market purpose was clearly reflected in the interviews. Front-line staff hoped for improvements mainly for the users, whereas managers mainly focused on the market as a resource allocator.

  • 11.
    Andersson, Maria
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Markström, Urban
    Umeå universitet, Institutionen för socialt arbete.
    Extended freedom attained?: A case study of a free-choice market system in community mental health care.2013Conference paper (Other academic)
    Abstract [en]

    Background/Objectives Systems for freedom of choice within mental health has been implemented in several western countries to increase citizens’ freedom of choice, conduce diversification in service and providers of service, reduce inequalities by providing equitable choice to all users while contribute higher quality of service and facilitate efficient use of public funds. In Sweden “Act of Free Choice Systems” (2008:962) was introduced in 2009, and optional for municipalities to use. Community mental health is organized within the municipalities. The aim of this study is to describe the process of designing and constructing a market of free choice within community mental health, and analyse what kind of freedom of choice the citizen in need of community mental health have, in the example of Daily occupation.

    Methods A case study was conducted in Stockholm, the capital of Sweden, where free choice was implemented in January 2010. The study consists of semi-structured interviews with twenty-eight actors’ involved in the process, complemented with political documents. Interviews were conducted 2009 and 2012. To analyse the material direct content analysis was used, and theories regarding quasi-markets, market design and regulation of markets were applied.

    Results The design and construction of the market of community mental health have determined the degree of clients’ freedom of choice. The volume of the market was regulated by national legislation, but sometimes influenced by the local political budget, and users sometimes appealed their decisions in court to have their rights assessed by law. Admission rules set by authorities concerning management and staff qualifications, financial stability and technical documentation equipment, determined which providers could enter the market. Many user-led organisations were not able to enter due to the admission rules. Quality regulation was developed by authorities to examine providers within the system. The client should be provided neutral and rich information, though full information was hard to access.

    Discussion/Conclusion Freedom of choice seems to have been both extended and reduced by the design and construction of the new system. All users theoretically had the same possibilities to choose providers in the system. However the construction limited the actual client choice significantly.

  • 12.
    Andersson, Maria
    et al.
    Umeå universitet, Institutionen för socialt arbete.
    Markström, Urban
    Umeå universitet, Institutionen för socialt arbete.
    Eklund, Mona
    Lunds universitet.
    I valet och kvalet: implementering av valfrihetssystem inom svensk socialpsykiatri genom exemplet meningsfull sysselsättning2014Report (Other academic)
  • 13.
    Anme, Tokie
    et al.
    University of Tsukuba, Tokyo, Japan.
    Henning, Cecilia
    Högskolan i Jönköping, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Jegermalm, Magnus
    Ersta Sköndal högskola.
    Lowenstein, Ariela
    Haifa University, Israel.
    McCall, Mary
    St mary's College, San Fransisco, USA.
    Scharlach, Andrew
    University of California Berkeley, San Fransisco, USA.
    Supposting Elders in various Cultural Contexts: The Role of Governments, markets and Civil Society in israel, japan, Sweden and the United States2009Conference paper (Refereed)
  • 14.
    Arderbäck, Joline
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Gundersen, Bibbi
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Att vilja väl och att våga fråga": En kvalitativ studie om socialsekreterares arbete med barn som lever med missbruk i sin primärfamilj2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Many children in society live in families where one or both parents have drug-addiction prob- lems. Early life conditions for these children may result in a need of support, which may be a requirement for a more favourable psycho-social development. The study purpose was to in- vestigate social worker’s experience of work with children with drug addiction problems in their primary family, based on the criticism of social service assistance. The study was based on a qualitative approach with semi-structured interviews. Six social workers in central Swe- den were interviewed about their experience of structural and individual preconditions and difficulties in the work. The study shows that the majority of the difficulties are experienced on the structural level within the organization while the majority of the preconditions are ex- perienced on the individual level. The structural difficulties are not experienced to affect the respondent’s own individual preconditions in their work and neither the feeling that they in their profession are able to do a good job. In addition, all the respondents feel that the support for the children and young people meet the current needs.

  • 15. Austin, CA
    et al.
    McKee, Kevin
    Dalarna University, School of Health and Social Studies, Social Work.
    Why did I fall? Older people’s perceptions of the cause of their fall predict outcomes at 6 month2009In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 38, no Suppl. 3, p. 41-Article in journal (Refereed)
  • 16. Austin, CA
    et al.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Cheung Chung, M
    Posttraumatic stress disorder in older people after a fall2009Conference paper (Refereed)
  • 17.
    Ayoub, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Shawali, Shada
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Heder: En gråzon mellan makt, kön och kultur: En kvantitativ studie om socialarbetares upplevda kunskap och förståelse för hedersrelaterat våld och förtryck2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Swedish community and social services face major challenges regarding the management of honor-related violence and oppression. Lack of knowledge and an ambiguous understanding of violence affect the work of social services and may complicate the situation of vulnerable individuals. The main purpose of this study was to investigate social workers, within the section of children and family in a Swedish municipality, perceived knowledge and confidence in honor-related cases and the need for support in their work. The social workers’ views on honor-related violence and oppression were also investigated. The survey was based on a quantitative approach and questionnaires were used for data collection. The main results demonstrate that the social workers to some extent perceive themselves as having expertise in the field of honor. Nevertheless, they feel insecure in the work with honor-related cases. Furthermore, it appears that social workers are in need of specific support from the organization such as education and case supervision. Regarding the view of honor violence, a majority indicated that a gender perspective and a cultural perspective were important to understand the problem.

  • 18.
    Ayoub, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Randell, Eva
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Promoting social engageent for young adults living in social isolation: Social workers and health care professionals' perceptions of success factors2019Conference paper (Other academic)
    Abstract [en]

    Background: Today the global number of young adults not in employment, education or training seem to increase. A large proportion of the group are unemployed and disengaged and have not been in contact with any authority. Thus, they are invisible to many community services and official agencies. The situation standing outside the society may have negative long-term health effects and statistics shows that more than a third of the target group after ten years still not work or study. Socially withdrawn youth is a complex phenomenon and very few young adults seek help, often due to their lack of motivation. For this reason, unemployed and inactive young people are often described as being a difficult group to support and engage. Further, there is currently limited evidence on the effects of interventions directed to socially withdrawn youth not in employment or education and the use of evidence-based practice has to be improved.

    Aim: The aim of this study was to investigate social workers and health care professionals’ experiences of working with young adults living in social isolation, and to identify which interventions the professionals find most successful in supporting the young adults’ engagement in society.

    Methods: In this study a qualitative method was used. Ten semi-structured interviews were conducted that included thirteen employees from social services and outpatient psychiatric clinics in a Swedish county. Data were analyzed using thematic network analysis.

    Results: Analysis resulted in two general thematic networks: ”barriers of the transition into adulthood” and ”to manage complex needs”. Participants tended to associate the issues of young adults with difficulties related to transition into adulthood. Mental health problems, low self-esteem, school related problems and limited social networks also came out in the interviews as factors that characterized unemployed and disengaged socially withdrawn youths. Participants described that successful work to re-engage these young adults included an empowerment-oriented perspective with a focus on the individual strengths, integrated and coordinated interventions and a flexible working approach.

    Conclusion: Today the societal changes and the process of individualization place greater demands on individual resources and capabilities which might increase the risk of social exclusion. Participants indicated that the complex problems of socially isolated young adults and experiences of long-term disengagement may contribute to stable and persistent withdrawal from society. Early identification and support for youths at risk of social withdrawal, a holistic approach, multifaceted interventions and tailored and flexible activities is deemed crucial to help reintegrate these young people. Further investigation is required to examine the effects of interventions targeting socially withdrawn and inactive young adults.

     

  • 19.
    Baggström, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Carlsson Falk, Sofi
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Etnisk identitet i en föränderlig värld: Upplevelser av etnisk identitet hos unga vuxna med utländsk bakgrund2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to obtain an understanding of whether and how young adults, with foreign background, feel that their views of their ethnic identity have been affected by growing up in a society where they are both part of a majority and minority population. This study also seeks to examine whether and how their view of their ethnic identity has affected their relationship with their family. Qualitative methods were used in this study, in terms of one focus group interview and four individual interviews. The material has been analyzed based on sociological theories of ethnic identity. Based on the collected empirical data, and the analysis of the results, the conclusion is that the perception of ethnic identity depends highly on the situation. The majority of respondents express a sense of double identity, where they experienced two ethnic identifications. They then switch between these identities depending on what is most appropriate based on the current situation. Another conclusion is that the family seems to play a significant role in the individuals views of their ethnic identities.

  • 20. Barnes, S
    et al.
    Torrington, J
    Darton, R
    Holder, J
    Lewis, A
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Netten, A
    Orrell, A
    Does the design of extra care housing meet the needs of the residents?: a focus group study2012In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 32, no 7, p. 1193-1214Article in journal (Refereed)
    Abstract [en]

    The study objective was to explore the views of residents and relatives concerning the physical design of extra-care housing. Five focus groups were conducted with residents in four extra-care schemes in England. One focus group was carried out with relatives of residents from a fifth scheme. Schemes were purposively sampled to represent size, type, and resident tenure. Data were analysed thematically using NVivo 8. Two over-arching themes emerged from the data: how the building supports the lifestyle and how the building design affects usability. Provision of activities and access to amenities were more restrictive for residents with disabilities. Independent living was compromised by building elements that did not take account of reduced physical ability. Other barriers to independence included poor kitchen design and problems doing laundry. Movement around the schemes was difficult and standards of space and storage provision were inadequate. The buildings were too hot, too brightly lit and poorly ventilated. Accessible external areas enabled residents to connect with the outside world. The study concluded that, while the design of extra-care housing meets the needs of residents who are relatively fit and healthy, those with physical frailties and/or cognitive impairment can find the building restrictive resulting in marginalisation. Design across the dependency spectrum is key in meeting the needs of residents. Inclusive, flexible design is required to benefit residents who are ageing in situ and have varying care needs.

  • 21.
    Berg, Karin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kalliokoski, Maria
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Från möjlighet till tvång?: Biståndshandläggarnas upplevelser av förändringar i tillämpningen av kvarboendeprincipen2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of our study was to shad a light on case makers possibilities to apply the remain living principle based on its origin purpose and what they experience this lead to.

    We performed our study through qualitative approach and conducted six semi structured interviews with case makers who worked at least five years as case makers for older people according to Socialtjänstlagen. The result shows that the remain living principle is applied in a different way today than before, because of the organisations and the municipality´s guidelines and directives based on the municipality´s economy and resources are increasingly restricting the case makers discretion. Which according to the case makers leads to their professional judgment being disregarded and that the elderly does not always have a choice if they want to stay at home or not.

  • 22.
    Berg, Madelene
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Jensen, Ida
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Äldres delaktighet vid flytt till särskilt boende: En intervjustudie utifrån undersköterskors perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This qualitative study has aimed to highlight the nurses experience of elderly people´s participation and the possibility of influencing the establishment of action plans when moving to special housing. In the study, semi-structed interviews were conducted with eight nurses. Data were then analyzed using qualitative content analysis. The result demonstrated that communication and relationship as central starting points in the participation of the elderly. Furthermore, barriers to participation were revealed, such as lack of time, lack of commitment and approach in the profession. Finally, it was found that the working of nurses, where participation in action plan of the elderly, were heavily weighted, which is contrary to previous research.

  • 23.
    Bergquist, Marie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Petrilä Ekholm, Anne
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Förebyggande socialt arbete: Fullständiga betyg från grundskolan minskar risken förutanförskap2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The society today is challenged with many difficult issues, such as how to manage health

    and social care, and the unemployment that makes it difficult for young people to

    establish themselves in the labor market. The responsibility for welfare initiatives rests on

    county councils and municipalities. The children and adolecents who are having difficulty

    in achieving the goals in school are likely to end up in alienation.

    The purpose with this study was to investigate the latitude of special educateors and

    special teachers in their work with pupils at risk of alienation. The qualitative study was

    conducted with semistructured interviews. The material for the study was based on the

    experiences of special educators and special teachers, the answers was evaluated with

    thematic analysis. The analyzed material was linked to previous research, action theory

    and the ecological systems theory. Our conclusion was that the latitude is affected by

    creativity and knowledge as well as time and finances, but the most crucial factor is the

    will and commitment of management, those who have the power.

  • 24. Bichard, J
    et al.
    van den Heuvel, E
    Gilhooly, M
    Parker, S.G.
    Long, A.
    Ratcliffe, N.
    McKee, Kevin
    Dalarna University, School of Health and Social Studies, Social Work.
    Gaydecki, P.
    Tackling ageing continence through theory, tools & technology (TACT3)2012In: International journal of aging in society, ISSN 2160-1909, Vol. 1, no 2, p. 83-98Article in journal (Refereed)
  • 25.
    Bień, Barbara
    et al.
    Medical University of Bialystok, Department of Geriatrics, Poland.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Döhner, H.
    3 University Medical Centre Hamburg-Eppendorf, Centre for Psychosocial Medicine, Department of Medical Sociology and Health Economics, Germany.
    Triantafillou, J.
    50plus Hellas Athens, Member of the Administrative Council, Greece.
    Lamura, G.
    INRCA, Department of Post-Acute and Transitional Care, Centre for Socio-Economic Research on Ageing, Ancona, Italy.
    Doroszkiewicz, H.
    Medical University of Bialystok, Department of Geriatrics, Poland.
    Krevers, B.
    Linköping University, Department of Medical and Health Sciences, Linköping, Sweden.
    Kofahl, C.
    University Medical Centre Hamburg-Eppendorf, Centre for Psychosocial Medicine, Department of Medical Sociology and Health Economics, Germany.
    Disabled older people’s use of health and social care services and their unmet care needs in six European countries2013In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 23, no 6, p. 1032-1038Article in journal (Refereed)
    Abstract [en]

    Background: The national health and social care systems in Europe remain poorly integrated with regard to the care needs of older persons. The present study examined the range of health and social care services used by older people and their unmet care needs, across six European countries. 

    Methods: Family carers of older people were recruited in six countries via a standard protocol. Those providing care for disabled older people (n = 2629) provided data on the older person’s service use over a 6-month period, and their current unmet care needs. An inventory of 21 services common to all six countries was developed. Analyses considered the relationship between older people’s service use and unmet care needs across countries. 

    Results: Older people in Greece, Italy and Poland used mostly health-oriented services, used fewer services overall and also demonstrated a higher level of unmet care needs when compared with the other countries. Older people in the United Kingdom, Germany and Sweden used a more balanced profile of socio-medical services. A negative relationship was found between the number of different services used and the number of different areas of unmet care needs across countries. 

    Conclusions: Unmet care needs in older people are particularly high in European countries where social service use is low, and where there is a lack of balance in the use of health and social care services. An expansion of social care services in these countries might be the most effective strategy for reducing unmet needs in disabled older people.

  • 26.
    Bjerneby, Sanna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Davidsson, Anna
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    “Den viktigaste faktorn är att våga prata om det”: En kvalitativ studie av arbetet kring psykisk ohälsa ur enhetschefers perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden, absence from work related to mental health issues rose with 129 % between

    2011 and 2017. Dalarna county reported the highest increase. The majority of absence was

    that of women, specifically women working within the public sector. The aim of the study

    was to describe heads of departments experiences of which factors may prevent or shorten

    absence of work related to mental health issues among personnel within social service. A

    qualitative study with semistructured interviews was completed. The empirical data was

    analysed using a thematic analysis method and then related to pre-existing studies and the

    theoretical perspectives gender and SOC.

    Bachelors of social work often hold leading positions within the public sector.

    Studies concerning factors of importance for preventing mental health issues and factors of

    importance for easing a return to work are viewed as a necessity. The conclusion of our

    study shows the importance of a open work climate, participation, early efforts, distinct

    leadership, and a need of further education concerning mental health.

  • 27.
    Björndahl, Linda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Saxe, Cecilia
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    När hjälp och stöd blir till bojor och hinder: En kvalitativ studie om socialsekreterares arbete med att återintegrera våldsutsatta kvinnor med skyddade personuppgifter i samhället.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the society of today there is a gender power order where men are parent of women. This

    superiority tends to permeate and affect institutions and organizations of the society. The responsibility

    of abused women in Sweden lies with the social services and is controlled by the

    social services act. Together with the national guidelines and common advice of the social board

    the idea is for the business to form strategies and actions to provide help and support for abused

    women.

    The purpose of our investigation is to see how social workers are working to reintegrate

    women who live with protected personal data in the society based on the right to be self sufficient

    and independent. A qualitative study using semi-structured interviews were conducted.

    The empirical data, based on six social secretary experience, evaluated through a thematic

    analysis and linked to previous research and theoretical perspectives SOC and gender power.

    The conclusions we have reached are that the work is affected by both experience, way

    of work, as well as guidelines and limitations in the legislation. The activities offered are helping

    women in the acute phase but the long termed work have several limitations mainly for

    protected women.

  • 28.
    Björndahl, Linda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Saxe, Cecilia
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    När hjälp och stöd blir till bojor och hinder: En kvalitativ studie om socialsekreterares arbete med att återintegrera våldsutsatta kvinnor med skyddade personuppgifter i samhället.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the society of today there is a gender power order where men are parent of women. This

    superiority tends to permeate and affect institutions and organizations of the society. The responsibility

    of abused women in Sweden lies with the social services and is controlled by the

    social services act. Together with the national guidelines and common advice of the social board

    the idea is for the business to form strategies and actions to provide help and support for abused

    women.

    The purpose of our investigation is to see how social workers are working to reintegrate

    women who live with protected personal data in the society based on the right to be self sufficient

    and independent. A qualitative study using semi-structured interviews were conducted.

    The empirical data, based on six social secretary experience, evaluated through a thematic

    analysis and linked to previous research and theoretical perspectives SOC and gender power.

    The conclusions we have reached are that the work is affected by both experience, way

    of work, as well as guidelines and limitations in the legislation. The activities offered are helping

    women in the acute phase but the long termed work have several limitations mainly for

    protected women.

  • 29.
    Blomberg, Pernilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Lund, Johanna
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Äldre med alkoholmissbruk – hur bemöts de inom svensk hemtjänst?2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    According to research, alcohol consumption among people aged 65 and over increases. This is supposed to mean that homecare staff will encounter alcohol addiction more and more frequently at work. The purpose of this study is to contribute to an increased knowledge of how work on elderly patients with problematic alcohol consumption is conducted within homecare.

    As a theoretical basis for the study, power, ageism, the view of man as object / subject, and approach to alcohol abuse were used. A qualitative method consisting of eight interviews with homecare staff was conducted.

    The result shows that the respondents find it important to be value-free at work. They also take into account the patients’ right to privacy. According to the Social Services Act, activities within social work must be based on respect for people's self-determination and integrity, something that the respondents consider in their work. Difficulties encountered by the respondents in the work are solved, among other things, by discussing with colleagues, something that was mentioned as strategies.

    It also emerged that the respondents believe that they sometimes don’t have the conditions required to meet the relevant group.

  • 30.
    Blomstrand, Lisa
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Mattsson, Josefin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Olika informationskällors betydelse för kunskap inom sexoch samlevnadEn kvantitativ enkätstudie om ungdomars inhämtande av kunskap: inom sex och samlevnad2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The whole society is affected by the lack of knowledge and poor attitudes about sexuality and

    sexual health. The purpose of the study was to describe young people's use and experience of

    information sources among different areas of knowledge in sexuality and sexual health, with

    a questionnaire. The result showed that friends/partners are the most valuable source of information.

    Pornography is a valuable source of knowledge about ways of having sex, and social

    media is a valuable source of knowledge for LGBTQ+. The most reliable sources of information

    are parents, youth clinics and friends/partners. The perceived knowledge of sexuality

    and sexual health in general achieved the level “moderate”, with the best knowledge

    about contraception and safer sex, and the most important knowledge areas were perceived as

    relationships. The most significant results showed that young people's perceived level of

    knowledge in one area and perceived reliability of a source correlate with how valuable

    young people experience the information source, not to what extent the source of information

    is used.

  • 31.
    Bäck, Cecilia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Ericson Lindmark, Leni
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Att peka med hela handen": En studie om omsorgspersonals upplevelser av makt och kommunikation.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In a report of the National Board of health and welfare they statethat the chief's role in the health care profession, plays a major role in, among other things, their psychosocial work environment and that communication is carrying for the prerequisite to achieve this. In this paper a qualitative study has been made of how protective services workers feel that their work environment is affected by the power situation in relation to the head. This data has been analyzed based on theories of power, communication and sense of context (SOC). The results show that informants feel that the manager's way of communicating is important partly for sense of context (SOC) of their work, but also that it is dependent on communication for power visible or not.

  • 32.
    Bäcklund, Erica
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Olsson, Elin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Det krävs 12 wienerbröd": Biståndshandläggares upplevelse av möjligheten till självbestämmande för personer med demenssjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this qualitative study was to investigate how care managers find it possible to assure the self-determination of older people with dementia. The study employed a cross-sectional survey design with semi-structured interviews of six purposively sampled care managers. Through a thematic analysis, two main themes emerged,

    the work role’s everyday routine and a long process. The main themes containeds sub-themes which further elaborated the care managers’ experience. The results of the study were interpreted from the perspective of Lipsky’s theory of street-level bureaucrats. Assuring self-determination was experienced by the care managers as time-consuming, challenging and problematic. While the path to self-determination was tortuous and varied, the care managers found similar ways to act in order to achieve self-determination. Despite the impression of the work as complex and difficult it was experienced as an exciting and satisfying job.

  • 33.
    Carnö, Camilla
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Renklint, Kristin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sundkvist, Linda Marie
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Sker en avhumanisering av flyktingar?: En studie över medierapportering om flyktingar i svensk dags- och kvällspress2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to contribute with increased knowledge of the report of refugees in daily and evening newspapers, to find out in what extent refugees are being ascribed attributes which could indicate a possible dehumanization or infrahumanization. Further this study analyzes possible change in the agenda setting’s description of refugees during 2015-2016. The aim is responded with a qualitative content analysis. The study’s empiric material consists of 645 articles from the largest national daily and evening newspapers with different political orientations to get a nationwide context and a representative figure of what is described in the agenda. The months researched were randomized. The result indicates two themes occurring in the media’s description of refugees. These are indicators of humanization in 10% of the articles and indicators of possible dehumanization or infrahumanization in 88% in 2015 and 86% in 2016. No apparent differences appear in the description of refugees during 2015-2016.

  • 34.
    Cederberg, Christina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kjellgren, Erika
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Många ser det omöjliga istället för det som är möjligt.": En kvalitativ intervjustudie om framgångsfaktorer för ett vård- och omsorgsboende2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Our understanding of what factors contribute to the success of human service organisations is limited. Social workers often occupy leadership roles in such organisations, and so research is needed on how leadership influences success. This study explored how staff at a care home for older people perceive factors important for creating success, and the function of leadership. A case study design was adopted employing a qualitative approach, with data collected using semi-structured interviews. A care home identified as something out of the ordinary was chosen as the field site and three care staff and the care home manager selected as participants. A qualitative analysis indicated that a work environment characterized by solidarity generated resilience and satisfaction among staff. A focus on the residents, an innovative work approach and a visible, honest and accommodating manager were factors perceived as vital for creating success.

  • 35.
    Cederlöf, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Man, Isabelle
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    "Men shit, hur fan har vi kunnat glömma bort det?": Falu kommuns socialtjänsts arbete gällande prostitution2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine whether and how the social services in the municipality of Falun is managing social work related to prostitution. It is a qualitative study based on three focus group interviews conducted in parts of the social services organization in the municipality of Falun. The empirical data collected was analyzed from an intersectional perspective.

    Several distinct findings emerged from the study. Social work against prostitution does not exist in the social services organization in the municipality of Falun. The organization possesses no procedures or guidelines for this kind of work, and no preventive work or cooperation with other organizations is carried out.

    It also emerged, that several social work officers had a stereotype image of who a potential sex- seller could be. This fact may influence who would be able to get any support from social services regarding to this social problem.

  • 36. Cheung Chung, M
    et al.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Austin, C
    Barkby, H
    Brown, H
    Cash, S
    Ellingford, J
    Hanger, L
    Pais, T
    Posttraumatic stress disorder in older people after a fall2009In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 24, no 9, p. 955-964Article in journal (Refereed)
  • 37. Dag, Munir
    et al.
    Kullberg, Christian
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Can they work it out and do they get any satisfaction?: Young Swedish physically disabled men’s and women’s work involvement and job satisfaction2010In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 12, no 4, p. 287-303Article in journal (Refereed)
  • 38.
    Dahl, Rebecca
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Gillström, Josefine
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Integrering och inkludering genom föreningslivet: En intervjustudie om föreningslivets möjligheter till integration av nyanlända och ensamkommande barn och ungdomar2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Over the past few years, children and youths have been forced to escape their homes. On arrival in Sweden it is important that they become included into the Swedish society. The organization ‘Save the Children’ has developed a project to include these newly arrived children through organized sport activities. The main purpose of this study is to examine whether the leaders involved in this project experience that sport can promote integration for these newly arrived children. This qualitative study is based on 5 semi-structured interviews with the leaders. The main results are as follows: Most of the leaders find that this contributes to a certain level of integration in the society, the project contributes with knowledge despite some obstacles and the leaders have gained a greater cultural understanding and are assisting these children and youths in their everyday life.

  • 39.
    Dahlberg, Lena
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    De äldre och ensamheten2013In: Äldre i Centrum, ISSN 1653-3585, no 1, p. 46-46Article in journal (Other (popular science, discussion, etc.))
  • 40.
    Dahlberg, Lena
    Dalarna University, School of Health and Social Studies, Social Work.
    Older people’s perspectives on the causes of social exclusion2009Conference paper (Other academic)
  • 41.
    Dahlberg, Lena
    Dalarna University, School of Health and Social Studies, Social Work.
    Risk för ensamhet2013In: Äldre i Centrum, ISSN 1653-3585, no 3, p. 20-21Article in journal (Other (popular science, discussion, etc.))
  • 42.
    Dahlberg, Lena
    Dalarna University, School of Health and Social Studies, Social Work.
    Social exclusion and care receipt in old age2010Conference paper (Other academic)
  • 43.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska Institutet.
    Agahi, Neda
    Karolinska Institutet.
    Lennartsson, Carin
    Karolinska Institutet.
    Lonelier than ever?: Loneliness of older people over two decades2018In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 75, p. 96-103Article in journal (Refereed)
    Abstract [en]

    To live with feelings of loneliness has negative implications for quality of life, health and survival. This study aimed to examine changes in loneliness among older people, both with regard to prevalence rates, and socio-demographic, social and health-related correlates of loneliness. This study had a repeated cross-sectional design and was based on the nationally representative Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD). Analyses of trends in loneliness covered the years 1992, 2002, 2004, 2011 and 2014, and included people aged 77 years or older (n=2 572). Analyses of correlates of loneliness covered 2004 and 2014, and included people aged 70 years or older (n=1 962). Logistic regression analyses were conducted with findings presented as average marginal effects. Contrary to what is often assumed, there has been no increase in loneliness among older people over time (1992-2014). Regression analyses for 2004 and 2014 showed that social and health-related correlates were more strongly associated with loneliness than socio-demographic correlates. Psychological distress was most strongly associated with loneliness, followed by widowhood. Most associations between the correlates and loneliness were stable over time.

  • 44.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Agahi, Neda
    Karolinska Institutet & Stockholms universitet.
    Schön, Pär
    Karolinska Institutet & Stockholms universitet.
    Lennartsson, Carin
    Karolinska Institutet & Stockholms universitet.
    Planned and unplanned hospital admissions and their relationship with social factors: Findings from a national, prospective study of people aged 76 years or older2018In: Health Services Research, ISSN 0017-9124, E-ISSN 1475-6773, Vol. 53, no 6, p. 4248-4267Article in journal (Refereed)
    Abstract [en]

    Objective

    To examine the relationship between social factors and planned and unplanned hospital admissions among older people.

    Data Sources/Study Setting

    2011 data from the Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD) and data from the Swedish National Patient Register until December 31, 2012.

    Study Design

    The study had a prospective design. Data were analyzed via Cox proportional hazard regressions with variables entered as blocks (social factors, sociodemographic and ability factors, health factors).

    Data Collection

    Data were collected via interviews with people aged 76+ (n = 931).

    Principal Findings

    Living in institutions was negatively associated with planned admissions (hazard ratio (HR): 0.29; confidence interval (CI): 0.09–0.88), while being in receipt of home help was positively associated with unplanned admissions (HR: 1.57; CI: 1.15–2.14). Low levels of social contacts and social activity predicted unplanned admissions in bivariate analyses only. Higher ability to deal with public authorities was positively associated with planned admissions (HR: 1.77; CI: 1.13–2.78) and negatively associated with unplanned admissions, although the latter association was only significant in the bivariate analysis.

    Conclusions

    Hospital admissions are not only due to health problems but are also influenced by the social care situation and by the ability to deal with public authorities.

  • 45.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Andersson, Lars
    Linköpings universitet.
    Lennartsson, Carin
    Karolinska Institutet & Stockholms universitet.
    Long-term influences on loneliness: Results of a nationally representative study with follow-up after 20 years2016Conference paper (Refereed)
  • 46.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Andersson, Lars
    Linköping University.
    Lennartsson, Carin
    Karolinska Institutet & Stockholms universitet.
    Long-term predictors of loneliness in old age: Results of a 20-year national study2018In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, no 2, p. 190-196Article in journal (Refereed)
    Abstract [en]

    Objectives: There is a general lack of longitudinal research on loneliness in old age. Drawing on life course theory and the convoy model, this study aimed to examine whether there is an association between loneliness in old age and social engagement 20 years earlier.

    Method: Data from the nationally representative Swedish Panel Study of Living Conditions of the Oldest Old (2002 and 2011 data collection waves) and the Swedish Level of Living Survey (1981 and 1991 data collection waves) were used, including 823 individuals with an average age of 82.4 years at follow-up.

    Results: Each form of social engagement in old age was associated with the same form of social engagement 20 years earlier. Close forms of social engagement were negatively associated with loneliness in old age; as were more distant forms of social engagement, but only when they were considered solely in old age.

    Conclusion: Patterns of social engagement in old age were established at least 20 years earlier. Close forms of social engagement are long-term predictors of loneliness, although current social engagement tended to be more influential on loneliness. The study underlines the importance of interventions targeted at close relationships that can provide social support in old age.

  • 47.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Andersson, Lars
    Linköpings universitet.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Lennartsson, Carin
    Karolinska Institutet ; Stockholms universitet.
    Predictors of loneliness among older women and men in Sweden: A national longitudinal study2014Conference paper (Other academic)
    Abstract [en]

    Objectives: To examine the extent to which older women and men (70+) report feelings of loneliness with a focus on: a) changes in reported loneliness as people age, and b) which factors predict loneliness.

    Methods: Data from the 2004 and 2011 waves of SWEOLD, a longitudinal national survey study, was used. The prediction of loneliness in 2011 by data collected in 2004 was examined in three logistic regression models for the total sample (n=587), for women and for men.

    Results: Older people moved in and out of frequent loneliness over time, but there was a general increase in loneliness as they aged. Recent widowhood and depression increment were associated with loneliness in both women and men. Loneliness, widowhood, depression and mobility problems measured in 2004 predicted loneliness uniquely in women in 2011; whereas low level of education and social contact reduction predicted loneliness uniquely in men.

    Discussion: Loneliness is not always a stable condition, demonstrating the importance of longitudinal research. Gender differences in incidence and predictors make it important to look at women and men separately both when researching loneliness and when targeting interventions to prevent or reduce loneliness in older people.

  • 48.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work. Karolinska institutet.
    Berndt, Hanna
    Karolinska Institutet & Stockholm Universitet.
    Lennartsson, Carin
    Karolinska Institutet & Stockholms universitet.
    Schön, Pär
    Receipt of formal and informal help with specific care tasks among older people living in their own home: National trends over two decades2018In: Social Policy & Administration, ISSN 0144-5596, E-ISSN 1467-9515, Vol. 52, no 1, p. 91-110Article in journal (Refereed)
    Abstract [en]

    Sweden is seen as a typical example of a social-democratic welfare regime, with universal and generous welfare policies. However, in the last decades, there have been substantial reductions in the Swedish provision of care for older people. This study aimed to examine trends in sources of care-receipt in older people (77+) living in their own home and with a perceived need of help with two specific tasks: house cleaning or food shopping. Trends in care-receipt were examined in relation to gender, living alone, having children and socioeconomic position. Data from the 1992, 2002 and 2011 data collection waves of the national study SWEOLD was used. Response rates varied between 86 and 95 per cent, and the sample represents the population well. Trends and differences between groups were explored in bivariate and logistic regression analyses. There was a reduction in formal care-receipt regarding house cleaning and food shopping over the study period. It was more common for women than men to receive formal care, and more common for men than women to receive informal care. Reductions in formal care have affected older women more than older men. Still, living alone was the most influential factor in care-receipt, associated with a greater likelihood of formal care-receipt and a lower likelihood of informal care-receipt. It can be concluded that public responsibility for care is becoming more narrowly defined in Sweden, and that more responsibility for care is placed on persons in need of care and their families.

  • 49.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Berndt, Hanna
    Karolinska Institutet & Stockholms universitet.
    Lennartsson, Carin
    Karolinska Institutet & Stockholms universitet.
    Schön, Pär
    Karolinska Institutet & Stockholms universitet.
    Sweden’s changing welfare mix over two decades: Trends in care for community-based older people with perceived need2015Conference paper (Refereed)
  • 50.
    Dahlberg, Lena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    McKee, Kevin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Living on the edge: Social exclusion and the receipt of informal care in older people2016In: Journal of Aging Research, ISSN 2090-2204, E-ISSN 2090-2212, p. 1-10, article id 6373101Article in journal (Refereed)
    Abstract [en]

    Older people have been identified as being at risk of social exclusion. However, despite the fact that care is commonly required in later life and the majority of that care provided by informal carers, a connection between social exclusion and informal care-receipt has rarely been considered. The aim of this study was to examine how informal care-receipt is related to social exclusion.

    A face-to-face questionnaire survey on social exclusion and informal care-receipt was carried out among older people (n=1255) living in Barnsley, United Kingdom. Multivariable analyses examined the association between social exclusion and categories of informal care-receipt: care receiver; assurance receiver; non-receiver with no need; non-receiver with need.

    Compared to being a non-receiver with no need participants were more likely to be a care receiver or assurance receiver if they had higher levels of social exclusion. The highest level of social exclusion, however, was found in non-receivers with need. Despite a lack of informal care and support, formal practical support and personal care was also low in this latter group. Findings are discussed in relation to the conceptualisation of care-receipt and how contact with medical services could be an opportunity for identification and appropriate referral of non-receivers with need.

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