• Summary: This article presents the CAIMeR theory, consisting of a conceptual framework and a theoretical model, which can help explain how results in social work practice arise from interventions and its contextual contingencies. The theory has been developed over several years in connection with empirical studies, and together with social workers. • Findings: The article starts from the meta-theoretical perspective critical realism and its notion of explanative knowledge as a stepping stone to open up the so-called black box. A fundamental concept in critical realism, generative mechanisms, is discussed and elaborated. • Applications : The CAIMeR theory can be used in several contexts: social work practice, and for evaluation of social work, and, moreover, for organization development in social work. We argue that social workers, evaluators and decision-makers need accurate theory about the core activity (work with clients) within its contextual conditions. The CAIMeR theory pays attention to generative mechanisms at different levels, which is necessary if one wants to understand what is going on in a certain agency, and explain the results in a more qualified way. The theory can also be useful for researchers and university students that need a comprehensive explanative framework when studying phenomena in social work practice.
Individ- och familjeomsorgen i Sveriges kommuner har under de senaste tjugo åren gått från ett mer generalistiskt orienterat arbetssätt till en organisation med specialiserade arbetsgrupper. I den här artikeln visar vi på olika former av specialisering och redovisar en kartläggning över hur det ser ut i kommunerna idag. Vi diskuterarockså möjliga anledningar till förändringen.
This article presents a study of working methods used by social workers within the personal social services (PSS), in their work with clients. The study is part of a larger research project with the aim of describing and analysing how specialized respectively integrated forms of organizations in the PSS condition social workers' interventions and client effects (outcomes). The study was carried out in three Swedish municipalities with different organizational models. Two of those represent 'extremes' as they have pure specialized (divided in different types of units) respectively integrated (generic) organizations. The third municipality has chosen a middle way with an organization that combines aspects of the two other models. All social workers within the PSS in those three municipalities were included in the study.Findings: Our findings among other things show 1) that the use of unspecific methods dominates, 2) that several methods that are reported as specific are definitely not specific, 3) that specific methods often are used in free and unspecific ways, 4) that there seems to be a compensating movement (regarding use of methods) with the aim of evening out limitations in the formal PSS organizations, 5) that there are two relatively large groups of method users: 'improvisers' and 'eclecticists'.Applications: One can neither understand the use of working methods in social work with clients by studying the methods as such nor by studying the evidence base of different methods. Social workers consider their relationships to clients and the clients' trust as much more important (in order to achieve results) than any particular method.
Project leader in the municipality of Östersund, SwedenThis study is based on interviews with politicians and managers responsible for the personal social services (PSS) in Swedish municipalities with three different organizational models (specialized, integrated, or combined). The aim was to understand the factors that influence organizational processes within the PSS, and how different organizational models affect social workers' interventions. The main results are summarized in a heuristic model that presents a number of fundamental intra-organizational factors that influence the organizing of the personal social services.
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