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Publications (10 of 11) Show all publications
Lyrberg, A., Jess, K. & Forinder, U. (2024). Barns upplevelser av en intervention i familjer där vuxna har ett problematiskt bruk av alkohol och droger. Nordic Studies on Alcohol and Drugs, 41(3), 275-291
Open this publication in new window or tab >>Barns upplevelser av en intervention i familjer där vuxna har ett problematiskt bruk av alkohol och droger
2024 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 41, no 3, p. 275-291Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate children's experiences of the intervention Me and my Family. Me and my Family is an intervention, for families with parental substance use problems (SUP) provided by Swedish social services outpatient care, includes eight weekly sessions where family members communicate how the SUP affects the family. Method: Data consists of 17 qualitative interviews with children, 7 to 19 years old. The qualitative data were analysed using a thematic approach, initially inductively and then discussed by adding salutogenic perspective. Results: The results are presented in three themes. Regardless of the children's varying ages, the results indicate that participating in the intervention has helped the family break the taboo surrounding parental substance use and enabled the young participants to communicate with their family members differently. The intervention also contributed to stronger bonds between children and their parents.

Place, publisher, year, edition, pages
Sage Publications, 2024
Keywords
health promotion, family intervention, parental substance use problems, children's sense of coherence, child participation
National Category
Social Work
Identifiers
urn:nbn:se:du-47969 (URN)10.1177/14550725231219845 (DOI)001143367800001 ()38903892 (PubMedID)
Note

Översatt titel: Children's experiences of an intervention in families where adults have a problematic use of alcohol and drugs

Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-06-24Bibliographically approved
Jess, K. & Petersén, A. C. (2023). From “What Works” to “Why it Works” – From a Humean to an Aristotelian Understanding of Causality. Research on social work practice, 33(6), 686-694
Open this publication in new window or tab >>From “What Works” to “Why it Works” – From a Humean to an Aristotelian Understanding of Causality
2023 (English)In: Research on social work practice, ISSN 1049-7315, E-ISSN 1552-7581, Vol. 33, no 6, p. 686-694Article in journal (Refereed) Published
Abstract [en]

Purpose: Authors of this theoretical article are questioning Hume's view on causality by arguing for Aristotle’s pluralistic view as an alternative strategy for social work research and practice. Methods: Aristotle's notion of causality is applied to discuss its relevance, and then tested on a real case, thereby illustrating how it can contribute to explain why something works. Results: Different types of causes can reveal characteristics that are preconditional for professional's and service user's mutual roles in enhancing outcomes. They can further reveal the architecture of the intervention; the underlying processes for actions to reach a desired goal. Discussion: To deliver knowledge of relevance in social work, one needs to explain the results of an intervention through causal analysis as well as understanding the content and processes of it. Aristotle's forms of causality make it possible to take the contextual historicism of social phenomenon into consideration and give knowledge beyond effects. © The Author(s) 2023.

Keywords
article, human, social work, Aristotle, Causality, evaluation, evidence, programme theory
National Category
Social Work
Identifiers
urn:nbn:se:du-45452 (URN)10.1177/10497315231154493 (DOI)000922104200001 ()2-s2.0-85147498561 (Scopus ID)
Available from: 2023-02-14 Created: 2023-02-14 Last updated: 2023-09-22Bibliographically approved
Jess, K., Lyrberg, A. & Nehlin Gordh, C. (2023). Interventionen Jag & min familj: Ett familjeorienterat öppenvårdsprogram. Falun: Högskolan Dalarna
Open this publication in new window or tab >>Interventionen Jag & min familj: Ett familjeorienterat öppenvårdsprogram
2023 (Swedish)Report (Other academic)
Abstract [sv]

Jag och min familj är ett kunskaps- och motivationsbaserat program som omfattar åtta träffar och som ges inom socialtjänstens öppenvård för familjer där någon vuxen har problem med missbruk av alkohol eller droger. Syftet med studien var dels att utvärdera programmets resultat i termer av barns och föräldrars välbefinnande, familjeklimat och föräldrarnas alkohol- och droganvändning, men också att fånga deltagarnas, barn och föräldrars, upplevelser av att delta i programmet.

Utfallsstudien omfattade 59 barn i åldrarna 5–20 år och 67 föräldrar, av vilka cirka två tredjedelar fullföljde programmet. Utfallet redovisar självrapporterade data före intervention, efter avslutad intervention och tre månader efteravslutad intervention. Utfallen för både barnen och de vuxna visade en signifikant ökning av närhet i familjen och en signifikant minskning av familjekaos från före intervention till efter interventionen, vilket kvarstod tre månader efter interventionen. Barnen rapporterade också en minskning av beteendeproblem, medan föräldrar rapporterade en liknande minskning av symtom på ångest och depression. Föräldrar rapporterade också mindre alkohol- och drogkonsumtion efter interventionen i förhållande till utgångsvärdena. Dessa resultat bekräftas av intervjuresultaten där både barn och vuxna berättar om hur kommunikationen ökat i familjen, att familjen lärt känna varandra bättre, och att tabut kring att prata om missbruket avlastat barnen från känslor av skuld och skam. Därmed har också föräldrarnas ångest och oro minskat. Resultaten tyder på att programmet Jag och min familj stöder barnen och familjernas välbefinnande och potentiellt skulle kunna skydda barn från senare skadliga effekter.

Place, publisher, year, edition, pages
Falun: Högskolan Dalarna, 2023. p. 27
Series
Arbetsrapport / Högskolan Dalarna, ISSN 1653-9362 ; 2023:04
Keywords
Familjeintervention, missbruk, barns psykiska hälsa, föräldrars psykiska hälsa
National Category
Social Work
Identifiers
urn:nbn:se:du-46141 (URN)978-91-88679-66-6 (ISBN)
Available from: 2023-06-09 Created: 2023-06-09 Last updated: 2023-06-09Bibliographically approved
Jess, K., Lyrberg, A., Isaksson, J. & Nehlin, C. (2023). Me & my family: a programme for children and parents in families with parental substance use problems–an outcome study. Nordic Social Work Research
Open this publication in new window or tab >>Me & my family: a programme for children and parents in families with parental substance use problems–an outcome study
2023 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed) Epub ahead of print
Abstract [en]

Me & my family is a knowledge- and motivation-based programme that includes eight weekly sessions provided by the social services for families in which there are parental substance use problems (SUPs). The aim of this study was to evaluate the programme outcomes in terms of child and parental well-being, family climate, and parental alcohol and drug use. The study involved self-reported ratings from 59 children, aged 5–20 years, and 67 parents, of whom approximately two-thirds completed the programme and provided the self-ratings before, on completing, and three months after the intervention. Findings included a significant increase in family closeness and a significant reduction in family chaos after the intervention, which persisted three months post-intervention. Children also reported a reduction in self-rated conduct problems, whereas parents reported a similar reduction in self-rated symptoms of anxiety and depression. Parents also reported less alcohol and drug consumption post-intervention relative to baseline ratings. The findings suggest that the Me & my family programme supports child and family well-being and could potentially protect children from later detrimental outcomes. The results need to be replicated to evaluate the effectiveness of this programme compared with other programmes within the social services. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Routledge, 2023
Keywords
child mental health, Family intervention, parental mental health, parental substance use
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:du-45813 (URN)10.1080/2156857X.2023.2192223 (DOI)001160309300001 ()2-s2.0-85150881987 (Scopus ID)
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2024-02-22Bibliographically approved
Anderberg, M., Jess, K. & Forkby, T. (2023). Reinventing the wheel?: Children’s wellbeing in the journey along the GIRFEC stream. Nordic Social Work Research
Open this publication in new window or tab >>Reinventing the wheel?: Children’s wellbeing in the journey along the GIRFEC stream
2023 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed) Epub ahead of print
Abstract [en]

The Wellbeing Wheel is a tool used for early detection, assessment, and planning around children. This study examines how this artefact has been translated from Scotland to Sweden and what that process involved in relation to transformation from the original ideas when travelling from one specific context to another. The analysis was based on three graphic wheels and their supporting documentation, interviews, and field notes. The results reveal great similarity in the overall ‘spirit’ of the work performed to introduce the Wellbeing Wheel to the Swedish context, but on several points significant differences can also be noted, with some content being removed or relocated, and new content being added. These changes were conscious and intentional in some instances, while others arose spontaneously and ad hoc during the development processes. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Routledge, 2023
Keywords
Child welfare, GIRFEC, Implementation, Wellbeing
National Category
Social Work
Identifiers
urn:nbn:se:du-46072 (URN)10.1080/2156857X.2023.2207087 (DOI)001159700000001 ()2-s2.0-85158854002 (Scopus ID)
Available from: 2023-05-22 Created: 2023-05-22 Last updated: 2024-02-23Bibliographically approved
Jess, K., von Ahlefeld Nisser, D., Ericson, J., Olsson, M. & Randell, E. (2022). Tillsammans för varje barn i Falu kommun: Ett pilotprojekt 2018-2021. Falun: Högskolan Dalarna
Open this publication in new window or tab >>Tillsammans för varje barn i Falu kommun: Ett pilotprojekt 2018-2021
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2022 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Falun: Högskolan Dalarna, 2022. p. 57
Series
Arbetsrapport / Högskolan Dalarna, ISSN 1653-9362 ; 2022:03
Keywords
Implementering, Förändringsarbete, Tidiga insatser
National Category
Social Work
Identifiers
urn:nbn:se:du-41667 (URN)978-91-85941-75-9 (ISBN)
Funder
Dalarna University
Available from: 2022-06-20 Created: 2022-06-20 Last updated: 2023-03-17Bibliographically approved
Jones, A., Jess, K. & Schön, U.-K. (2021). How do users with comorbidity perceive participation in social services?: A qualitative interview study. International Journal of Qualitative Studies on Health and Well-being, 16(1), Article ID 1901468.
Open this publication in new window or tab >>How do users with comorbidity perceive participation in social services?: A qualitative interview study
2021 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 16, no 1, article id 1901468Article in journal (Refereed) Published
National Category
Nursing Social Work
Identifiers
urn:nbn:se:du-36779 (URN)10.1080/17482631.2021.1901468 (DOI)000631651700001 ()33752576 (PubMedID)2-s2.0-85103038886 (Scopus ID)
Available from: 2021-05-05 Created: 2021-05-05 Last updated: 2023-04-14Bibliographically approved
Jess, K., Lyrberg, A. & Nehlin Gordh, C. (2021). Jag & min familj: En studie av programmets effekter. Falun: Högskolan Dalarna
Open this publication in new window or tab >>Jag & min familj: En studie av programmets effekter
2021 (Swedish)Report (Other academic)
Abstract [sv]

Programmet Jag & min familj, som riktar sig till familjer där någon vårdnadshavare har problem med missbruk av alkohol eller droger, tycks ha effekter. Effekterna visar sig framförallt på ett bättre familjeklimat och bättre psykisk hälsa för barn och vuxna. Detta bekräftas även av intervjusvar. Det behövs dock fler deltagande familjer och längre uppföljningstider för att kunna presentera robusta resultat. En utmaning har varit att få ett inflöde av familjer till programmet, ett resultat av alltmer specialiserade organisationer som arbetar i ”stuprör”.

Abstract [en]

The program Me & My Family, which is aimed at families where a parent has problems with alcohol or drug abuse, seems to have effects. The effects are mainly reflected in a better family climate and better mental health for children and adults. This is also confirmed by interview answers. However, more participating families and longer follow-up times are needed to be able to present robust results. One challenge has been to get an influx of families into the program, a result of increasingly specialized organizations working in "downpipes".

Place, publisher, year, edition, pages
Falun: Högskolan Dalarna, 2021. p. 16
National Category
Social Work
Identifiers
urn:nbn:se:du-37278 (URN)
Funder
Public Health Agency of Sweden , 03806-2019
Available from: 2021-06-04 Created: 2021-06-04 Last updated: 2023-04-14Bibliographically approved
Jess, K. & Bergman Bruhn, Å. (2019). Patienten i centrum: Hemsjukvården i tre kommuner i Dalarna 2018. Falun: Högskolan Dalarna
Open this publication in new window or tab >>Patienten i centrum: Hemsjukvården i tre kommuner i Dalarna 2018
2019 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Falun: Högskolan Dalarna, 2019. p. 30
Series
Arbetsrapport / Högskolan Dalarna, ISSN 1653-9362 ; 2019:02
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-30799 (URN)978-91-85941-69-8 (ISBN)
Available from: 2019-09-27 Created: 2019-09-27 Last updated: 2021-11-12Bibliographically approved
Nehlin, C., Arinell, H., Dyster-Aas, J. & Jess, K. (2017). Alcohol habits and health care use in patients with psychiatric disorders. Journal of Dual Diagnosis, 13(4), 247-253
Open this publication in new window or tab >>Alcohol habits and health care use in patients with psychiatric disorders
2017 (English)In: Journal of Dual Diagnosis, ISSN 1550-4263, E-ISSN 1550-4271, Vol. 13, no 4, p. 247-253Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: It is more common for persons with psychiatric disorders to also have alcohol problems. Studies in the general population as well as in clinical samples have found hazardous or harmful alcohol habits to be particularly prevalent in the presence of psychiatric disorders. This study sought to explore the relationships between drinking habits and health care utilization (psychiatric as well as general medical) in persons seeking psychiatric treatment and to investigate the associations between age, sex and type or number of diagnoses and health care use and costs. For the planning of targeted interventions, we also sought to identify subgroups with high prevalence of hazardous drinking habits.

METHODS: From a psychiatric clinic for affective disorders at a university hospital in Sweden patients who had been screened for hazardous drinking (N = 609) were selected. Patients with primary psychosis or substance use disorder are treated at other clinics and did not participate. Medical records data were grouped and compared. The ICD-10 was used for diagnoses and the Alcohol Use Disorders Identification Test for screening. Patients were grouped by drinking habits, sex-, age- and diagnosis group and their psychiatric as well as general medical health care use was compared.

RESULTS: Abstainers used psychiatric care more than all other drinking groups (p < 0.001). Psychiatric health care costs were higher in abstainers and low-risk drinkers (1.64 to 1). No differences in general medical care could be identified between drinking groups. Specific subgroups with higher rates of hazardous drinking could not be identified (44% of all males and 34% of all females reported such habits). Inconclusive results from previous research are most likely due to different methods used to classify drinking problems.

CONCLUSIONS: Abstainers and low-risk drinkers used psychiatric health care to a higher cost than the other drinking groups. Possible explanations are discussed from a clinical and scientific perspective. This study clarifies the need for uniform measures when classifying alcohol use in studies of relationships between alcohol use and health care use. There is also a need to separate former drinkers from abstainers in future studies.

Keywords
drinking habits, health care use, psychiatric treatment
National Category
Health Sciences
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
urn:nbn:se:du-25644 (URN)10.1080/15504263.2017.1347307 (DOI)000423373400003 ()28665254 (PubMedID)2-s2.0-85029418886 (Scopus ID)
Available from: 2017-07-25 Created: 2017-07-25 Last updated: 2021-11-12Bibliographically approved
Projects
Tillsammans för varje barn; Publications
Olsson, M. (2024). Multiprofessional Collaboration - for whom and for what?. In: : . Paper presented at NERA. Olsson, M. (2024). Risk eller frisk? Tvärprofessionell samverkan för att förebygga att barn i förskola och skola hamnar i svårigheter. Utbildning och Lärande / Education and Learning, 18(1), 1-18Randell, E., Olsson, M., von Ahlefeld Nisser, D. & Ericson, J. (2023). A Qualitative Study of Professionals’ Experiences and Challenges in the Early Identification of Psychosocial Concerns in Children. Health & Social Care in the Community, 2023, Article ID 9645306. Olsson, M., Ericson, J., Randell, E. & von Ahlefeld Nisser, D. (2023). Between an educational task and an idea for treatment: multiprofessional collaboration for supporting children “at risk” – a coordinator role in pedagogical practice. Scandinavian Journal of Educational Research
SveNN: Svenskt Nätverk för Normalization Process Theory-relaterad implementeringsforskning
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0098-7346

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