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  • 1.
    Anderberg, Mats
    et al.
    Department of Social Work, Linnaeus University.
    Jess, Kari
    Dalarna University, School of Health and Welfare, Social Work.
    Forkby, Torbjörn
    Department of Social Work, Linnaeus University.
    Reinventing the wheel?: Children’s wellbeing in the journey along the GIRFEC stream2023In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    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.

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  • 2.
    Jess, Kari
    et al.
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Bergman Bruhn, Åsa
    Dalarna University, School of Technology and Business Studies, Occupational science.
    Patienten i centrum: Hemsjukvården i tre kommuner i Dalarna 20182019Report (Other academic)
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  • 3.
    Jess, Kari
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Lyrberg, A.
    Isaksson, J.
    Nehlin, C.
    Me & my family: a programme for children and parents in families with parental substance use problems–an outcome study2023In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    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.

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  • 4.
    Jess, Kari
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Lyrberg, Ann
    Nehlin Gordh, Christina
    Interventionen Jag & min familj: Ett familjeorienterat öppenvårdsprogram2023Report (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.

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  • 5.
    Jess, Kari
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Lyrberg, Ann
    FoU Gävleborg.
    Nehlin Gordh, Christina
    Uppsala universitet.
    Jag & min familj: En studie av programmets effekter2021Report (Other academic)
    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".

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  • 6.
    Jess, Kari
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    Petersén, A. C.
    From “What Works” to “Why it Works” – From a Humean to an Aristotelian Understanding of Causality2023In: Research on social work practice, ISSN 1049-7315, E-ISSN 1552-7581, Vol. 33, no 6, p. 686-694Article in journal (Refereed)
    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.

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  • 7.
    Jess, Kari
    et al.
    Dalarna University, School of Health and Welfare, Social Work.
    von Ahlefeld Nisser, Désirée
    Dalarna University, School of Teacher Education, Education.
    Ericson, Jenny
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Olsson, Maria
    Dalarna University, School of Teacher Education, Education.
    Randell, Eva
    Dalarna University, School of Health and Welfare, Social Work.
    Tillsammans för varje barn i Falu kommun: Ett pilotprojekt 2018-20212022Report (Other academic)
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  • 8.
    Jones, Amanda
    et al.
    Dalarna University, School of Health and Welfare, Social Work. Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Social Work.
    Jess, Kari
    Dalarna University, School of Health and Welfare, Social Work.
    Schön, Ulla-Karin
    Dalarna University, School of Health and Welfare, Social Work. Stockholm University, Stockholm.
    How do users with comorbidity perceive participation in social services?: A qualitative interview study2021In: 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)
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  • 9.
    Lyrberg, Ann
    et al.
    Gavle Univ, Dept Social Work & Criminol, Gavle, Sweden.;Uppsala Univ Reg Gavleborg, Ctr Res & Dev, Gavle, Sweden..
    Jess, Kari
    Dalarna University, School of Health and Welfare, Social Work.
    Forinder, Ulla
    Univ Gavle, Dept Social Work & Criminol, Gavle, Sweden..
    Barns upplevelser av en intervention i familjer där vuxna har ett problematiskt bruk av alkohol och droger2024In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 41, no 3, p. 275-291Article in journal (Refereed)
    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.

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  • 10. Nehlin, Christina
    et al.
    Arinell, Hans
    Dyster-Aas, Johan
    Jess, Kari
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Alcohol habits and health care use in patients with psychiatric disorders2017In: Journal of Dual Diagnosis, ISSN 1550-4263, E-ISSN 1550-4271, Vol. 13, no 4, p. 247-253Article in journal (Refereed)
    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.

  • 11. Nehlin, Christina
    et al.
    Nyberg, Fred
    Jess, Kari
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Brief intervention within primary care for at-risk gambling: a pilot study2016In: Journal of Gambling Studies, ISSN 1050-5350, E-ISSN 1573-3602, Vol. 32, no 4, p. 1327-1335Article in journal (Refereed)
    Abstract [en]

    Studies on interventions for at-risk gambling are scarce. This pilot study is the first step in a larger project aimed to develop methods to prevent more serious gambling problems. Drawing on experiences from the alcohol field, the brief intervention (BI) model was tested in a primary care setting. Primary care personnel was trained for 2 days. Patients were screened, and those with signs of problematic gambling were offered a return visit to discuss their gambling habits. Of the 537 screened, 34 (6.3 %) screened positive for problem gambling. Of those, 24 were at-risk gamblers whereof 19 agreed to participate. Six of those 19 took part in a 1-month follow-up. Important information for the planning of upcoming studies was collected from the pilot work. Given that the rate of at-risk gamblers was elevated in this setting we consider primary care a suitable arena for intervention. Staff training and support appeared essential, and questionnaires should be selected that are clear and well-presented so staff feel secure and comfortable with them. The BI model was found to be most suitable for patients already known to the caregiver. The number of participants who were willing to take part in the follow-up was low. To ensure power in future studies, a much larger number of screened patients is evidently necessary.

1 - 11 of 11
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