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Placerad utanför sitt sammanhang: en uppföljningsstudie av 46 institutionsplacerade ungdomars privata och formella relationer
Örebro University, Department of Behavioural, Social and Legal Sciences.
Örebro University, Department of Behavioural, Social and Legal Sciences.
2007 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

When young people are placed in residential treatment centres (RTCs), it is important that facility staff involve parents and other social network members (PSMs) (private relations) in the residential treatment program. This involvement process depends on both PSMs’ willingness and capability to take part in the youths’ treatment, as well as the residential staffs’ attitude towards promoting this process. The overall aim of the dissertation is to explore obstacles to and opportunities for involving PSMs in the youths’ treatment process. One key question is to investigate how the youths describe their parents’ emotional attitude, and support from other significant members of their network. At times of tension between youth and family, other formal relations with professional and non-professional support persons could serve as mediators between the youth and his or her family of origin. Accordingly, the aim is to investigate whether, and if so how, these support persons are included in the treatment process. Further, a positive treatment alliance between residential staff and the youth (resident) is important for the treatment outcome. Two further issues are to explore how the residents view the staffs’ personal involvement with the resident, and, from a gender perspective, to investigate the residents’ descriptions of the treatment received at the facility. Semi structured interviews, including a social network map and a Feeling word checklist, were conducted with 46 youths (23 girls/23 boys) placed at 10 different state RTCs run by the Swedish National Board of Institutional Care (SiS). The residents were interviewed three times, at approximately one-year intervals. This thesis is based on material from the first and second interview with the residents. Interviews were also conducted on one occasion with 23 support persons. Paper I deals with the PSMs’ involvement in the residents’ treatment process. Paper II explores obstacles to and opportunities for establishing a therapeutic alliance between key staff members and residents in a one year perspective. Papers III and IV investigate the residents’ (paper III) and support persons’ (paper IV) views of possibilities for the support persons to take part in the treatment program. Finally, Paper V aims, from a gender perspective, to study the residents’ descriptions of their psychosocial problems, their need for help, and their experiences of the help received from the staff at the facility. The main results show that the majority of the youths describe their parents as having a negative emotional attitude, with a desolate or family-oriented social network system. At the first interview the residents described the key staff members as mainly having little personal involvement, but this staff involvement had increased, according to the residents, by the one-year follow-up. Obstacles to and possibilities for involving PSMs as well as support persons is mainly related to staffs’ encouraging, or not encouraging attitude, attitudes of social welfare agency personnel (regarding support persons), and PSMs’ capability and willingness to participate in the program. With regard to gender, data indicate that there is reason to nuance the proposition of girls being more relationship oriented, and boys autonomous – at least in treatment settings – since, for example, the boys in the study to the same extent as the girls desired more trustful conversations with the staff. The importance of making an inventory of the youths’ social network and focusing on support persons’ involvement in the treatment program is discussed.

Place, publisher, year, edition, pages
Örebro: Örebro universitetsbibliotek , 2007. , p. 122
Series
Örebro Studies in Social work, ISSN 1651-145X ; 8
Keywords [en]
Residential treatment centres, parents’ emotional attitude, social network, therapeutic alliance, youth, young persons, support persons, gender, key staff member.
National Category
Social Work
Research subject
Social Work
Identifiers
URN: urn:nbn:se:oru:diva-1510ISBN: 978-91-7668-553-2 (print)OAI: oai:DiVA.org:oru-1510DiVA, id: diva2:135114
Public defence
2007-10-12, Hörsal L 1, Fakultetsgatan 1, Örebro, 13:00
Opponent
Supervisors
Available from: 2007-09-20 Created: 2007-09-20 Last updated: 2017-10-18Bibliographically approved
List of papers
1. Youths in coercive residential care: Perception of parents and social network involvement in treatment programs
Open this publication in new window or tab >>Youths in coercive residential care: Perception of parents and social network involvement in treatment programs
2007 (English)In: Therapeutic Communities, ISSN 0964-1866, Vol. 28, no 4, p. 416-432Article in journal (Refereed) Published
Abstract [en]

Involvement by parents and other significant social work members (PSMs) in the treatment program is important for positive treatment effects when youths are placed in residential treatment centres (RTC). The staffs of the RTCs  play a key role by either supporting or not supporting such involvement. By interviewing 23 boys and 23 girls in ten different RTCs using a milieu-therapeutic method, the present study explores obstacles to, and opportunities for the involvement of PSMs in the treatment program. The majority of the youths report non-involvement strategies from staff, a negative emotional attitude from parents, and desolate, non-supportive social networks. A small group of youths report encouraging staff and PSMs. Explanations such as staff turnover, facility rules, staff attitudes, and deficiencies in significant individuals' involvement are discussed.

Keywords
parents emotional attitudes, family involvement, residential care, social network
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-5875 (URN)2-s2.0-38849173170 (Scopus ID)
Available from: 2009-02-27 Created: 2009-02-27 Last updated: 2017-10-18Bibliographically approved
2. Youths in coercive residential care: attitudes towards key staff members' personal involvement, from a therapeutic alliance perspective
Open this publication in new window or tab >>Youths in coercive residential care: attitudes towards key staff members' personal involvement, from a therapeutic alliance perspective
2008 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, European Journal of Social Work, Vol. 11, no 2, p. 145-159Article in journal (Refereed) Published
Abstract [en]

A strong therapeutic alliance between staff and juveniles (residents) in institutional settings is considered to be important for a positive treatment outcome. The article focuses on residents placed in coercive care in Swedish residential treatment centres (RTCs), and the aim is to explore obstacles and opportunities for establishing a therapeutic alliance between key staff members (KSMs) and residents in a one-year perspective. The key question is how residents view their KSMs' personal involvement and active participation in their treatment process. Semi-structured interviews were conducted with twenty-thre girls and twenty-three boys placed in ten different RTCs, and follow-up interviews were conducted after one year. In accordance with the theoretical approach, it is hypothesized that the residents' view of KSM involvement will be more positive in the one-year follow-up. Results from the first data collection show that more than half of the adolescents perceived their KSMs' personal involvement as mainly negative. Between the two interviews, several had developed a more positive view of the KSMs' personal involvement, while a large group did not display any change in attitude. Positive and negative institutional conditions and processes affecting the prospects for the development of a therapeutic alliance between residents and KSMs are discussed.

Place, publisher, year, edition, pages
London: Routledge, 2008
Keywords
key staff; residential care; treatment alliance; youths
National Category
Social Work Social Work Social Sciences Social Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-5849 (URN)10.1080/13691450701531976 (DOI)
Available from: 2009-02-27 Created: 2009-02-26 Last updated: 2017-12-13Bibliographically approved
3. Youths in residential care: their view of support persons' involvment in the program, a 1-year follow-up study
Open this publication in new window or tab >>Youths in residential care: their view of support persons' involvment in the program, a 1-year follow-up study
(English)Manuscript (preprint) (Other academic)
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-15617 (URN)
Available from: 2011-05-19 Created: 2011-05-19 Last updated: 2017-10-17Bibliographically approved
4. Investing in a formal relationship: support persons' view of treatment involvment regarding young persons in residential care
Open this publication in new window or tab >>Investing in a formal relationship: support persons' view of treatment involvment regarding young persons in residential care
(English)Manuscript (preprint) (Other academic)
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-15619 (URN)
Available from: 2011-05-19 Created: 2011-05-19 Last updated: 2017-10-17Bibliographically approved

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Degner, JürgenHenriksen, Anna

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