In Sweden, the social services' responsibility for abused women has been reinforced and clarified on several occasions since the 1990s. At the same time, the knowledge of their work is undeveloped. This article analyses the social services' support for female victims of domestic violence with a focus on organisation, based on the concepts of specialisation and specialists. The study consists of qualitative interviews with 16 social workers in 11 municipalities. The study shows great organisational variation between the municipalities, although most have some sort of specialised units or person-bound specialisation. Colleagues, training and external supervision are factors the social workers emphasise as important in working with female victims of violence, a social problem described as both special and difficult. The different forms of organisation and specialisation influence the support the social services offer abused women.
Background
Internet-based treatment has emerged as a cost-effective option for reaching people who for different reasons are not reached by traditional treatment. Internet-based treatment for problematic alcohol use, specifically, has been found to show results on par with other forms of treatment. However, in-depth knowledge of users’ experiences is required to understand what works, and what needs further development. The aim of this study is to investigate the help-seeking motives among users of an internet-based service for problematic alcohol use, as well as the users’ experiences of the support available through the service.
Method
The study consists of a thematic analysis of interviews with 38 former users of the internet-based intervention Alkoholhjälpen.
Results
The analysis shows that health and relationship factors, as well as feelings of shame, were important motives for the users’ decisions to reduce their drinking. Availability and anonymity seem to have been important reasons for choosing internet-based support. The different treatment components, i.e. ICBT program, therapist support and discussion forum, were each perceived as helpful by some users but not by others. Treatment components were described as more useful when users were able to personally identify with the content, and when it helped them reflect on their own alcohol consumption.
Conclusions
There are several aspects that are relevant, beyond the comparison between components, if we want to understand what works and for whom in internet-based treatment. Internet-based treatment services should be generous in terms of options for the users.
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