8 results
Search Results
2. Key misconceptions when assessing digital technology for municipal youth social work.
- Author
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Mackrill, Thomas and Ebsen, Frank
- Subjects
COMMUNICATION ,COMMUNITY health services ,RESEARCH funding ,SOCIAL case work ,SOCIAL justice ,TECHNOLOGY ,CLIENT relations ,MOBILE apps - Abstract
Municipal youth protection work has become infused with digital technology, and yet there is still limited research on how to assess the impact of digital technology on municipal youth social work. This article reviews a range of misconceptions regarding the assessment of digital technology for youth social work in municipal contexts. This review was generated in connection with the development of an app system for communication between young clients and their municipal social workers in Denmark. The misconceptions relate to: variations in technologies and contexts; the impact of digital technologies on the relationship; social justice; differentiating between the user and the digital technology; digitalization and standardization; stakeholder and functional models of municipal social work. The paper concludes that the relationship between municipal social work and digital technology is complex and that thus complex comprehensions of municipal social work practice are needed if the relationship between technologies and practice is to be grasped adequately. The paper argues that given the complexity of the field and the speed of technological and legal changes, external support with regard to assessing how to use, develop and incorporate digital technology needs to be made available to municipalities and social workers. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
3. On being credibly ill: Class and gender in illness stories among welfare officers and clients with medically unexplained symptoms.
- Author
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Mik-Meyer, Nanna
- Subjects
ATTITUDE (Psychology) ,DIAGNOSTIC errors ,FACTITIOUS disorders ,FATIGUE (Physiology) ,GROUP identity ,HEALTH status indicators ,INTERVIEWING ,RESEARCH methodology ,MENTAL status examination ,NEGOTIATION ,PUBLIC welfare ,GENDER role ,SOCIAL classes ,PSYCHOLOGICAL stress ,QUALITATIVE research ,ELIGIBILITY (Social aspects) ,CLIENT relations ,EDUCATIONAL attainment - Abstract
This paper explores the intersection of gender and class concerning welfare clients with medically unexplained symptoms. The study is conducted in Denmark using qualitative interviews with welfare officers and clients. The paper's focus is on how issues of gender and class intersect in the negotiation of illness among welfare officers and clients. The particular client group in question consists of individuals that are defined by their lack of a bio-medical diagnosis. Their 'lack' of identity accentuates how gender and class become central in the categorisation practices, constructing the ill person as either bio-medically sick or as a person who may be suffering but only from diffuse psychological problems. The paper shows that it is predominantly poorly educated women without a bio-medical diagnosis that welfare officers describe as suffering from psychological problems despite the fact that the women themselves focus on physical ailments in their illness stories. Men and better-educated women are described by the welfare officers as tired and exhausted or truly stressed after a long working life. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
4. What is the purpose? Caseworkers' perception of performance information.
- Author
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Høybye-Mortensen, Matilde and Ejbye-Ernst, Peter
- Subjects
CLINICAL medicine ,COMMUNICATION ,COMMUNITY health services ,COMPARATIVE studies ,DOCUMENTATION ,EXECUTIVES ,INFORMATION resources management ,INFORMATION storage & retrieval systems ,MEDICAL databases ,INFORMATION technology ,INTERVIEWING ,MANAGEMENT ,RESEARCH methodology ,CASE studies ,NEEDS assessment ,EVALUATION of organizational effectiveness ,PUBLIC welfare ,RESEARCH ,RESEARCH funding ,SOCIAL case work ,VOCATIONAL rehabilitation ,EMPLOYEES' workload ,ELIGIBILITY (Social aspects) ,OCCUPATIONAL roles ,PEER relations ,CLIENT relations ,KEY performance indicators (Management) ,SOCIAL services case management ,SOCIAL worker attitudes - Abstract
Caseworkers in welfare organisations play a pivotal part in the production of performance information (PI), since the information they record determines the quality of the PI. Previous studies have demonstrated how tasks that are considered illegitimate are stressful for the professionals performing them and are not performed properly. Caseworkers' perception of the PI, which their recordings feed into, must therefore be of great importance with regard to how the caseworkers perform the task of recording. From a qualitative study of the production and use of PI in municipal disability services in Denmark, we gained insight into how caseworkers perceived the purposes of PI. We conclude that PI used in the planning of services to meet clients' needs is recognised as a legitimate purpose. The distance between the manager and caseworkers seems to be important for the degree of understanding of the purpose of the tasks: The shorter the distance, the more understanding. Furthermore, caseworkers also see more subjective purposes of doing the recordings properly. Firstly, it makes management aware of the size of their workload. Secondly, the recordings serve as a documentation tool, which can be useful when clients file complaints. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
5. Rewarding yet demanding: client perspectives on enabling occupations during early stages of recovery from schizophrenia.
- Author
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Bjørkedal, S.T.B., Torsting, A.M.B., and Møller, T.
- Subjects
SCHIZOPHRENIA treatment ,CONVALESCENCE ,INTERPROFESSIONAL relations ,INTERVIEWING ,RESEARCH methodology ,OCCUPATIONAL therapy ,OCCUPATIONS ,PATIENT compliance ,QUESTIONNAIRES ,RESEARCH funding ,SCHIZOPHRENIA ,QUALITATIVE research ,CLIENT relations ,THEMATIC analysis ,PATIENTS' attitudes ,DESCRIPTIVE statistics - Abstract
AimThe purpose of this study, by exploring client perspectives, was to achieve a better understanding of how people with schizophrenia experience an occupational therapy intervention designed to enable them to carry out meaningful occupations in the early phases of recovery.MethodA qualitative design comprising an eight-week client-centred occupational therapy intervention with semi-structured interviews with five of the six clients out of 10 who completed the intervention. Braun and Clark’s thematic analysis was applied to the transcripts. Adherence rate and dropouts were recorded in a logbook. The Canadian Occupational Performance Measure was used to initiate and guide the intervention and the Canadian Model of Client-Centred Enablement for the client–therapist relationship.ResultsParticipants described the intervention, which presupposed a certain level of patient readiness, as demanding. Participants valued engaging in real-life occupations while anchoring new strategies but also the occupational therapist’s role in dealing with failure. Participants felt the intervention assisted in their recovery process and enabled them to engage in meaningful occupations.ConclusionThe study provided unique insight into how participants experienced a client-centred partnership with an occupational therapist in the early phases of recovery. The intervention was feasible and supported the participants’ recovery process. [ABSTRACT FROM PUBLISHER]
- Published
- 2016
- Full Text
- View/download PDF
6. Moral Decision-Making among Assertive Community Treatment (ACT) Case Managers: A Focus Group Study.
- Author
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Lerbæk, Birgitte, Aagaard, Jørgen, Andersen, Mette Braendstrup, and Buus, Niels
- Subjects
ATTITUDE (Psychology) ,DECISION making ,DISCOURSE analysis ,ETHICS ,FOCUS groups ,MEDICAL personnel ,PATERNALISM ,LEGAL status of patients ,ETHICAL decision making ,CLIENT relations ,NARRATIVES ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
The context of care in assertive community treatment (ACT) can be precarious and generate ethical issues involving the principles of autonomy and paternalism. This focus group study examined case managers’ situated accounts of moral reasoning. Our findings show how they expressed strong moral obligation towards helping the clients. Their moral reasoning reflected a paternalistic position where, on different occasions, the potential benefits of their interventions would be prioritised at the expense of protecting the clients’ personal autonomy. The case managers’ reasoning emphasised situational awareness, but there was a risk of supporting paternalistic interventions and denying the clients’ right to autonomy. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
7. Empowered and self-managing users in methadone treatment?
- Author
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Bjerge, Bagga and Nielsen, Bjarke
- Subjects
METHADONE treatment programs ,CONCEPTS ,FIELDWORK (Educational method) ,HOLISTIC medicine ,INTERVIEWING ,MEDICAL protocols ,NEGOTIATION ,SCIENTIFIC observation ,PARADIGMS (Social sciences) ,SELF-efficacy ,SELF-management (Psychology) ,SOCIAL control ,SOCIAL services ,SUBSTANCE abuse treatment ,ETHNOLOGY research ,QUALITATIVE research ,PROFESSIONAL practice ,CLIENT relations ,TREATMENT programs - Abstract
Empowerment is a keyword in treatment. Users should have the means and possibilities to influence their treatment and become self-managing. Drawing on ethnographic fieldwork in a Danish methadone treatment project, we find that the practices of users and staff are often not carried out in accordance with governmental intentions. We identify a gap between the official notions of treatment and practices. We analyse the notions and practices of empowerment by applying two analytical perspectives. First, we apply a constructionist perspective in which empowerment is analysed as wanting to set users ‘free’ but also as ways to govern. We elaborate the analysis by applying a more practice-oriented focus. Drawing on this perspective, we analyse the ways in which staff and users constantly produce, construct and negotiate institutional practices that differ from the governmental intentions for treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
8. Dispatching Emergency Assistance: Callers' Claims of Entitlement and Call Takers' Decisions.
- Author
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Larsen, Tine
- Subjects
DECISION making ,EMERGENCY medical services communication systems ,HELP-seeking behavior ,MEDICAL emergencies ,REACTION time ,CLIENT relations ,INFORMATION needs ,ACQUISITION of data - Abstract
Staff who take calls at the emergency centers in Denmark have to decide whether, on hearing what the caller first says, to (a) immediately start asking dispatch-relevant questions (for example, the caller's address) or (b) first check whether the reported incident is actually an emergency at all. The call takers' choice not only conveys different signals to the caller with regard to whether or not assistance will be granted but also has consequences for the emergency centers' response times. In this study, I focus on cases where callers present their reason for calling by means of an overt request, without providing any information about the incident. I show that what the call takers base their initial decision on is the claim of entitlement that the callers encode into their request. The downside of this staff practice is that subsequent questioning may, in fact, reveal the decision to be inaccurate and the dispatch of assistance to have been either prematurely initiated or unduly delayed. I explicate the mechanisms involved, how the calls play out, and what the implications might be. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
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