Social workers' assessments of needs and interventions for adolescents with substance misuse problems, criminal behaviour and mental health difficulties: a vignette study

Åström, Therese; Jergeby, Ulla; Andershed, Anna‐Karin; Tengström, Anders

doi:10.1080/13691457.2012.724384

Cited by 7 publications

(7 citation statements)

References 25 publications

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“…Despite this, it is officially emphasized that cannabis use is particularly risky for young people and is a high-profile problem requiring attention and resources (Månsson, 2017;T€ ornqvist, 2009). Sweden's management of young cannabis users is based politically on zero tolerance (Tham, 2012), professionally on assessments of risk and protective factors (Åstr€ om, Gumpert, Andershed, & Forster, 2017;Åstr€ om, Jergeby, Andershed, & Tengstr€ om, 2013), and on supportive family services rather than forceful child protection (Gilbert, Parton, & Skivenes, 2011;Healy, Lundstr€ om, & Salln€ as, 2011).…”

Section: Introductionmentioning

confidence: 99%

Risk and responsibilization: resistance and compliance in Swedish treatment for youth cannabis use

Ekendahl

Månsson

Karlsson

2019

Drugs: Education, Prevention and Policy

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There is a lack of research on how youth make sense of substance abuse treatment. The aim of this article was to explore how young people in Stockholm, Sweden, perceive outpatient treatment for cannabis use, position themselves as subjects in relation to it, and how they respond to staff's appeals to rationality and responsible action. The data, consisting of 18 interviews with clients recruited from six treatment centers, were explored using narrative and thematic analysis. Results show that the young clients understood their histories in a responsibilized way where the risk information about cannabis they received was considered crucial. Those who resisted treatment rejected cannabis problematizations by staff, did not value interventions and felt that they had control over their use. Those who complied with treatment said that cannabis problematizations helped them acknowledge their own difficulties, handle substance dependence and mature. We conclude that treatment resistance among young cannabis users would perhaps be prevented if the adult world acknowledged that some believe it is rational and responsible to use cannabis. While the criminal offense of substance use is often expiated through 'treatment' in Sweden, young clients establishing a substance use identity could possibly be avoided if cannabis was not equated with risk.

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Section: Introductionmentioning

confidence: 99%

Risk and responsibilization: resistance and compliance in Swedish treatment for youth cannabis use

Ekendahl

Månsson

Karlsson

2019

Drugs: Education, Prevention and Policy

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“…Contradictory and confusing laws (Leviner, 2014) may explain the development of a pragmatic and arbitrary approach (Lipsky, 2010). The lack of knowledge or lack of access to sufficient research (Åström et al, 2013;Ginner Hau & Smedler, 2011a), in a situation with reluctant boys and/or parents who do not participate in treatment goals, cause other dilemmas. Taken all together, it seems that keeping the child in a secure institution in the interests of protecting society becomes the real practical raison d'etre behind this type of placement (Dominelli, 2009;Stang Dahl, 1978).…”

Section: Discussionmentioning

confidence: 99%

“…The six SSOs who are in focus in this article as informants are educated and experienced. They come from four different municipalities and express professional problems in line with research (Andershed & Andershed, 2016;Andershed & Andershed, 2013;Ginner Hau & Smedler, 2011a, 2011bLeviner, 2014).…”

Section: The Question Of Analytical Generalisabilitymentioning

confidence: 99%

“…However, contradictory conditions and vague rules cause problems for SSOs in their assessments of the child's best interests and subsequent decision-making (Leviner, 2014). In addition, the Swedish social services show low inter-professional agreement, lack of knowledge of effective intervention methods and little know-how about needs assessment, especially of children and criminal youth (Andershed & Andershed, 2016;Andrée Löfholm, Brännström, Olsson, & Hansson, 2013;Åström, Jergeby, Andershed & Tengström, 2013;Ginner Hau & Smedler, 2011a, 2011bKaunitz, 2017). Institutional treatment with therapeutic programmes may have positive effects compared with methods based on control and punishment, but this is generally disputed (Howell & Lipsey, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Social worker motivations and organisational prerequisites for care of children who commit crimes – the best interests of the child or the protection of society?

Tärnfalk

Alm

2019

European Journal of Social Work

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“…In order to detect a small effect (0.25) at 80% power, at the 5% (two-tailed) significance level, and accounting for 30% attrition (Åström, Jergeby, Andershed, & Tengström, 2013)…”

Section: Power Analysis and Participantsmentioning

confidence: 99%

Medically unexplained symptoms in children: an experimental investigation of the impact of internet searching on parental responses

Hughes

Meredith

Monteregge

et al. 2020

Behav. Cogn. Psychother.

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Background: Medically unexplained symptoms (MUS) are symptoms for which no medical cause can be identified. For children and adolescents, symptoms can be maintained through parental responses. Aims: The present study investigated the impact that internet searching of symptoms has on parental responses to MUS. Method: One hundred and twenty-seven adult participants read a vignette in which they were asked to imagine they were a parent of a young person with MUS and completed visual analogue scales (VAS) reporting their beliefs, emotions and behavioural intentions about the MUS. Participants were then randomly assigned to one of three conditions: searching reputable websites for further information about the symptoms (n = 47), free search of any websites for further information about the symptoms (n = 38) or a control condition (n = 42) during which participants spent 10 minutes doing their usual behaviour on the internet, for example checking email and social media. Participants then completed the VAS for a second time. Results: Searching reputable websites led to a significantly greater decrease in behaviour VAS scores compared with the free search condition [F (1,123) = 11.374, p < .001], indicating that participants were less likely to seek a second opinion and to advise the child to avoid usual activities. Conclusions: This study demonstrated that internet searching reputable sites for information regarding physical symptoms can be positive and it may therefore be advisable for health professionals meeting children with MUS to provide the family with information links to reputable sources.

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Social workers' assessments of needs and interventions for adolescents with substance misuse problems, criminal behaviour and mental health difficulties: a vignette study

Cited by 7 publications

References 25 publications

Risk and responsibilization: resistance and compliance in Swedish treatment for youth cannabis use

Risk and responsibilization: resistance and compliance in Swedish treatment for youth cannabis use

Social worker motivations and organisational prerequisites for care of children who commit crimes – the best interests of the child or the protection of society?

Medically unexplained symptoms in children: an experimental investigation of the impact of internet searching on parental responses

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