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Kjellgren, M., Lilliehorn, S. & Markström, U. (2024). Adolescents’ perspectives on SSWs’ counselling practice in Swedish elementary schools: "plumb the depths and navigate to shore". Journal of Children's Services, 19(1), 20-37
Open this publication in new window or tab >>Adolescents’ perspectives on SSWs’ counselling practice in Swedish elementary schools: "plumb the depths and navigate to shore"
2024 (English)In: Journal of Children's Services, ISSN 1746-6660, E-ISSN 2042-8677, Vol. 19, no 1, p. 20-37Article in journal (Refereed) Published
Abstract [en]

Purpose: This study aims to gain a comprehensive understanding of adolescent’s experiences of individual school social work counselling in Swedish elementary schools.

Design/methodology/approach: The study encompasses interviews with 16 adolescents about their experiences of individual counselling with school social workers (SSWs). The data was analysed using conventional content analysis.

Findings: The main result was the adolescents’ desire “to navigate to shore” to speak freely about their whole lives with a professional SSW and find a “ safe haven,” […] where a trusting professional cared for and comforted them in counselling. The counselling contact contributed to increased knowledge about oneself. The results reveal the importance of the SSWs paying attention and listening to the adolescents’ narratives. The creation of a coherent life narrative enables to finally end counselling and “Cast off.”

Originality/value: The results highlight the importance of Swedish SSWs focusing on individual counselling sessions with adolescents to provide a setting for growth.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2024
Keywords
Adolescent perspective, Counselling, Family factors, Ill-health, School social work
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-218649 (URN)10.1108/JCS-06-2023-0035 (DOI)001129363000001 ()2-s2.0-85179943145 (Scopus ID)
Funder
Umeå University
Available from: 2023-12-28 Created: 2023-12-28 Last updated: 2024-03-15Bibliographically approved
Kjellgren, M., Lilliehorn, S. & Markström, U. (2024). The counselling practice of school social workers in Swedish elementary schools. A focus group study. Nordic Social Work Research, 14(1), 18-31
Open this publication in new window or tab >>The counselling practice of school social workers in Swedish elementary schools. A focus group study
2024 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 14, no 1, p. 18-31Article in journal (Refereed) Published
Abstract [en]

This article describes the counselling practice of school social workers (SSWs) with individual children. The work of SSWs is mainly about helping children and adolescents who for various reasons suffer from mental ill-health, school absenteeism or stress that make them unable to achieve their intended goals. SSWs preferably meet these children in individual counselling sessions. The aim of this article is to describe and analyse SSWs’ experience of counselling with children and to examine the characteristics of counselling practice. The data collection was conducted through four semi-structured focus group interviews with a total of 22 SSWs in four different regions in Sweden. SSWs provide counselling to children in order to bring about improved feelings or behavioural changes. It can be noted that SSWs put emphasis on both the counselling process and the alliance with the child. The interviews showed a common practice among SSWs regarding the structure of the counselling sessions, with certain steps and approaches being employed. However, the specific interventions differed and were characterized by an eclectic standpoint in which SSWs utilize a broad repertoire of therapeutic schools and techniques. Furthermore, a relational perspective emerged as a most prominent focus for the SSWs by re-emerging throughout the material. We believe that SSWs could benefit from theoretical perspectives on ‘contextual model’ and ‘attachment theory’ as ‘models of the mind’. Being emotionally close to the child and being able to follow their development requires a lot from SSWs, as both professional caregivers and as ‘safe havens’.

Place, publisher, year, edition, pages
Routledge, 2024
Keywords
attachment theory, contextual model, focus group interview, School social counselling, school social workers
National Category
Social Work Pedagogical Work
Identifiers
urn:nbn:se:umu:diva-193175 (URN)10.1080/2156857X.2022.2041467 (DOI)001188388400007 ()2-s2.0-85125899332 (Scopus ID)
Available from: 2022-03-17 Created: 2022-03-17 Last updated: 2024-05-10Bibliographically approved
Lilliehorn, S., Fjellfeldt, M., Högström, E. & Markström, U. (2023). Contemporary accommodation services for people with psychiatric disabilities: the simple taxonomy for supported accommodation (STAX-SA) applied and discussed in a Swedish context. Scandinavian Journal of Disability Research, 25(1), 92-105
Open this publication in new window or tab >>Contemporary accommodation services for people with psychiatric disabilities: the simple taxonomy for supported accommodation (STAX-SA) applied and discussed in a Swedish context
2023 (English)In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 25, no 1, p. 92-105Article in journal (Refereed) Published
Abstract [en]

This article focuses on the stock of accommodation service units for people with psychiatric disabilities in Sweden and the classification of supported accommodation. We examined 122 units in 12 municipalities in Sweden and classified them according to the Simple Taxonomy for Supported Accommodation (STAX-SA). We found an obvious variation in the field and a movement into a recovery-oriented direction and towards individuality. There is an emphasis on Move-On that seems to expand into and beyond floating outreach support, and there is a relaxation of service units’ boundaries concerning commitment and target groups. The correspondence to STAX-SA was quite low (48%), and the applicability to ‘real world’ services was not satisfactory. When capturing variation and change in a rich dataset, STAX-SA is too reductive. However, STAX-SA was a successful point of departure in the analysis that opened up for identifying diversities and movement. We suggest some adjustments to increase its applicability.

Place, publisher, year, edition, pages
Stockholm University Press, 2023
Keywords
psychiatric disabilities, supported accommodation, STAX-SA, deinstitutionalisation
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-206188 (URN)10.16993/sjdr.879 (DOI)001000705200002 ()2-s2.0-85152640929 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareSwedish Research Council Formas
Available from: 2023-03-30 Created: 2023-03-30 Last updated: 2023-09-05Bibliographically approved
Markström, U., Näslund, H., Schön, U.-K., Rosenberg, D., Bejerholm, U., Gustavsson, A., . . . Svedberg, P. (2023). Developing sustainable service user involvement practices in mental health services in Sweden: The "Userinvolve" research program protocol. Frontiers in Psychiatry, 14, Article ID 1282700.
Open this publication in new window or tab >>Developing sustainable service user involvement practices in mental health services in Sweden: The "Userinvolve" research program protocol
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2023 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, article id 1282700Article in journal (Refereed) Published
Abstract [en]

Background: The purpose of this paper is to outline the protocol for the research program “UserInvolve,” with the aim of developing sustainable, service user involvement practices in mental health services in Sweden.

Methods: This protocol outlines the knowledge gap and aim of the UserInvolve-program. It further provides an overview of the research infrastructure, with specific focus on the organization and management of the program as well as the design of the six underlying research projects. These six research projects form the core of the UserInvolve-program and will be carried out during a six-year period (2022–2027). The projects are focused on examining articulations of experiential knowledge in user collectives, on four specific user involvement interventions (shared decision-making, peer support, user-focused monitoring, and systemic involvement methods) and on developing theory and method on co-production in mental health research and practice.

Results or conclusion: The knowledge gained through the co-production approach will be disseminated throughout the program years, targeting service users, welfare actors and the research community. Based on these research activities, our impact goals relate to strengthening the legitimacy of and methods for co-production in the mental health research and practice field.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
co-production, involvement, mental health, protocol, research program, service users
National Category
Social Work
Research subject
Psychiatry
Identifiers
urn:nbn:se:umu:diva-215780 (URN)10.3389/fpsyt.2023.1282700 (DOI)37900294 (PubMedID)2-s2.0-85174892656 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2021–01427Forte, Swedish Research Council for Health, Working Life and Welfare, 2020–01328
Available from: 2023-10-25 Created: 2023-10-25 Last updated: 2024-01-17Bibliographically approved
Markström, U., Högström, E. & Fjellfeldt, M. (2023). Mental health supported accommodation services in a post-deinstitutionalised era: Experiences from Swedish service providers. Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap, 17(3), 39-56
Open this publication in new window or tab >>Mental health supported accommodation services in a post-deinstitutionalised era: Experiences from Swedish service providers
2023 (English)In: Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap, ISSN 1875-0672, E-ISSN 1875-0680, Vol. 17, no 3, p. 39-56Article in journal (Refereed) Published
Abstract [en]

The movement towards deinstitutionalisation of mental health services has created a space for new and community-based solutions in western countries, but the field still seems to lack coherent ideological and practical features. This is also evident for issues related to housing. The aim of this article is to examine the characteristics of supportive accommodation services for people with psychiatric disabilities in Sweden, according to the experiences of local service providers. The focus is placed on the services’ organizational setting, main orientation, and conceptual content. This article is based on a multiple case study of ten Swedish municipalities, purposely selected regarding size, location, and demographic features. Data mainly consist of interviews with key informants in the social service organisation. The results indicate the emergence of a new generation of service users with complex needs, who challenge both the organisation and the content of the service offered. Group homes and mobile housing support appeared as pillars in the service supply, but several local and pragmatically oriented solutions were also identified, as well as ambitions to scale down the extent of institutional settings. The guiding idea present at most sites is a strive towards increased autonomy among service users. 

Place, publisher, year, edition, pages
École des hautes études en sciences sociale, 2023
Keywords
Psychiatric disability, Supported Accommodation, Deinstitutionalisation, Institutional logics
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-214885 (URN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-01325Swedish Research Council Formas, 2018-00058Swedish Research Council Formas, 2018-00192
Available from: 2023-10-02 Created: 2023-10-02 Last updated: 2023-10-09Bibliographically approved
Kjellgren, M., Lilliehorn, S. & Markström, U. (2023). School social work in sweden: Who are the children in counselling, and what support are they offered? a protocol study about individual counselling in elementary schools. Child and Adolescent Social Work Journal
Open this publication in new window or tab >>School social work in sweden: Who are the children in counselling, and what support are they offered? a protocol study about individual counselling in elementary schools
2023 (English)In: Child and Adolescent Social Work Journal, ISSN 0738-0151, E-ISSN 1573-2797Article in journal (Refereed) Epub ahead of print
Abstract [en]

The overall aim of the present study is to describe and explore the characteristics and content of school social worker’s (SSWs) individual counselling with children as these are imprinted in session protocols collected at Swedish elementary schools. Specific focus is placed on the character of the children’s concerns, the content of the SSW’s helping strategies, and challenges related to the alliance between the SSW and the children as experienced by the SSW. The study was based on data from a survey protocol of 20 SSW’s daily practice regarding their experiences in counselling children and adolescents. The data consisted of 193 protocols from the same number of unique individual sessions. Data were analysed through quantitative descriptive statistics. The data also contained a large proportion of open-ended textual answers, which were analysed through a qualitative summative content analysis. The counselling strategies were primarily divided into three parts, namely coaching, processing, and assessing. The most common practice elements used included elements of empowerment, alliance and relationship, and hope and trust. In counselling children, SSWs identified a broad range of problems in children’s overall lives. Many children suffered from their home situations, which also impinged upon the SSWs, who were affected by the children’s life narrative. Our results can help inform SSW policy and practices as SSWs assist vulnerable children through individual counselling that corresponds to their help-seeking behaviour and by offering a space for alliances and relationships.

Place, publisher, year, edition, pages
Springer Publishing Company, 2023
Keywords
Children’s concerns, Counselling strategies, School social work
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-214584 (URN)10.1007/s10560-023-00943-y (DOI)2-s2.0-85170847183 (Scopus ID)
Funder
Umeå University
Available from: 2023-09-28 Created: 2023-09-28 Last updated: 2024-03-14
Näslund, H., Grim, K. & Markström, U. (2023). Starting up user-focused monitoring projects: trust and conflicting expectations in user involvement practices. Nordic Social Work Research
Open this publication in new window or tab >>Starting up user-focused monitoring projects: trust and conflicting expectations in user involvement practices
2023 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed) Epub ahead of print
Abstract [en]

User-focused monitoring (UFM) is an emerging method for user involvement and quality development in the Swedish mental health sector. It involves people with lived experience conducting a systematized evaluation of a mental health service or support programme. The aim of this study is to analyse motives and central concerns when initiating a UFM project. Five UFM projects in Sweden were sampled, 16 semi-structured interviews were performed with user monitors and commissioners and analysed using conventional content analysis. Our results showcase a range of motives for conducting UFM, illustrate the centrality of trust in the relationships of the UFM practice and the varying degrees of user autonomy in UFM projects. We further discuss our results in relation to epistemic trust and organizational learning theories. Accountability processes are discussed as important for securing continuous trust between the stakeholders. Furthermore, trust is required for UFM being applied to engage in continuous learning and review of organizational norms and goals together with service users.

Place, publisher, year, edition, pages
Routledge, 2023
Keywords
Mental health, user involvement, user-focused monitoring, service evaluation, organisational learning
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-216011 (URN)10.1080/2156857x.2023.2274562 (DOI)2-s2.0-85175189467 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01328
Available from: 2023-10-31 Created: 2023-10-31 Last updated: 2023-11-08
Kjellgren, M., Lilliehorn, S. & Markström, U. (2023). Therapist, Intermediary or Garbage Can? Examining Professional Challenges for School Social Work in Swedish Elementary Schools. International Journal of School Social Work, 8(1), Article ID 4.
Open this publication in new window or tab >>Therapist, Intermediary or Garbage Can? Examining Professional Challenges for School Social Work in Swedish Elementary Schools
2023 (English)In: International Journal of School Social Work, E-ISSN 2161-4148, Vol. 8, no 1, article id 4Article in journal (Refereed) Published
Abstract [en]

The overall aim of this article is to describe and analyse critical components that influence the role and performance of school social workers in the Swedish elementary school. Special attention will be paid to aspects related to formal regulations, professional self-understanding, and SSWs’ role in the interplay between professional domains involved in elementary school.

The data collection was conducted through four semi-structured qualitative focus group interviews with a total of 22 School Social Workers (SSWs) in four different regions in Sweden during the latter part of 2019.

The results reveal three main challenges for the SSW: 1. To navigate in a pedagogic and medical arena within a multidisciplinary team, 2. To manage ambiguity without formal regulations and in unclear settings and leadership, and finally, 3. To negotiate tasks at different levels, with a health promotional and preventive focus. The SSW ends up, mainly, in remedial work with individual children. The results also disclose SSWs hold a vague professional self-understanding position with little formal mandate to perform their work. We suggest that national guidelines for SSWs be developed, and that a common base of knowledge and education be established.

Place, publisher, year, edition, pages
New Prairie Press, 2023
Keywords
School social worker (SSW), multidisciplinary team, counselling, professional self-understanding, formal regulations
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-204346 (URN)10.4148/2161-4148.1102 (DOI)
Available from: 2023-02-02 Created: 2023-02-02 Last updated: 2024-03-14Bibliographically approved
Näslund, H., Grim, K. & Markström, U. (2023). User-Led Mental Health Service Evaluation: The Contribution of User-Focused Monitoring to Recovery-Oriented Quality Development. Journal of Psychosocial Rehabilitation and Mental Health, 10, 189-202
Open this publication in new window or tab >>User-Led Mental Health Service Evaluation: The Contribution of User-Focused Monitoring to Recovery-Oriented Quality Development
2023 (English)In: Journal of Psychosocial Rehabilitation and Mental Health, ISSN 2198-9834, E-ISSN 2198-963X, Vol. 10, p. 189-202Article in journal (Refereed) Published
Abstract [en]

User-focused monitoring (UFM) is a method of user-led mental health service evaluation that focuses on strengthening user involvement and developing the quality of services. Despite an increased emphasis on user involvement and the recovery orientation of services, scientific knowledge remains limited regarding how such goals can be realised. In this study, our aim is to explore UFM with a specific focus on how recovery processes are examined through the method in order to discuss how UFM can be developed in order to support a recovery orientation in mental health service evaluation. We sampled 20 Swedish UFM reports for qualitative analysis, and we found that UFM is a promising method for integrating a personal recovery perspective in service evaluations. By being performed peer-to-peer, the method has the unique ability to gather experiential knowledge regarding the situation of service users. UFM especially contributes to exploring service users' experiences related to social connectedness and user involvement in services. We also discuss how the method can be developed to further support a recovery orientation in UFM. This might be achieved by integrating a process-oriented approach in the evaluations and by including the user informants' own goals and views on what constitutes meaningful support in UFM. Suggestions for future developments concern incorporating personal recovery perspectives in the training of user monitors and creating structures for aggregating the knowledge produced through UFM. 

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Mental health, User involvement, User-focused monitoring, Service evaluation, Recovery
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-199284 (URN)10.1007/s40737-022-00303-6 (DOI)2-s2.0-85137769212 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01328
Available from: 2022-09-12 Created: 2022-09-12 Last updated: 2023-07-14Bibliographically approved
Berglund-Snodgrass, L., Fjellfeldt, M., Högström, E. & Markström, U. (2022). A healthy city for all? Social services’ roles in collaborative urban development. Urban Planning, 7(4), 113-123
Open this publication in new window or tab >>A healthy city for all? Social services’ roles in collaborative urban development
2022 (English)In: Urban Planning, E-ISSN 2183-7635, Vol. 7, no 4, p. 113-123Article in journal (Refereed) Published
Abstract [en]

There is broad consensus among policymakers about the urgency of developing healthy, inclusive, and socially sustainable cities. In the Swedish context, social services are considered to have knowledge that needs to be integrated into the broader urban development processes in order to accomplish such ends. This article aims to better understand the ways in which social service officials collaborate in urban development processes for developing the social dimensions of healthy cities. We draw from neo-institutional theories, which set out actors (e.g., social service officials) as acting according to a logic of appropriateness, which means that actors do what they see as appropriate for themselves in a specific type of situation. Based on semi-structured interviews with social services officials in 10 Swedish municipalities on their experiences of collaboration in the development of housing and living environments for people with psychiatric disabilities, we identified that they act based on (a) a pragmatic rule of conduct through the role of the problem solver, (b) a bureaucratic rule of conduct through the role of the knowledge provider, and (c) activist rule of conduct through the role of the advocator. In these roles, they have little authority in the development processes, and are unable to set the agenda for the social dimensions of healthy cities but act as the moral consciousness by looking out for everyone’s right to equal living conditions in urban development.

Place, publisher, year, edition, pages
Cogitatio, 2022
Keywords
collaboration, healthy cities, psychiatric disabilities, social services, Sweden
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-200628 (URN)10.17645/up.v7i4.5620 (DOI)000878374600009 ()2-s2.0-85140573885 (Scopus ID)
Funder
Swedish Research Council Formas, 2018‐00058Swedish Research Council Formas, 2018–00192Forte, Swedish Research Council for Health, Working Life and Welfare, 2018‐01325
Available from: 2022-10-27 Created: 2022-10-27 Last updated: 2023-09-05Bibliographically approved
Projects
Mental health service user movements post de-institutionalization ? forms of organization and attitudes to services [2015-00414_Forte]; Umeå UniversityHousing and living environments for people with psychiatric disabilities. Aligning social services and housing planning through experimental collaborative practices. [2018-01325_Forte]; Umeå University; Publications
Lilliehorn, S., Fjellfeldt, M., Högström, E. & Markström, U. (2023). Contemporary accommodation services for people with psychiatric disabilities: the simple taxonomy for supported accommodation (STAX-SA) applied and discussed in a Swedish context. Scandinavian Journal of Disability Research, 25(1), 92-105Markström, U., Högström, E. & Fjellfeldt, M. (2023). Mental health supported accommodation services in a post-deinstitutionalised era: Experiences from Swedish service providers. Alter;European Journal of Disability Research ;Journal Europeen de Recherche Sur le Handicap, 17(3), 39-56Högström, E., Markström, U., Berglund Snodgrass, L., Fjellfeldt, M., Andersén, J. & Lilliehorn, S. (2021). Boende och livsmiljö för personer med psykisk ohälsa: en forskningsrapport om stödinsatser, samarbete över förvaltningsgränser och bostadsförsörjning. Karlskrona: Blekinge Tekniska Högskola
Research communication aimed at nursing and caring staff in the field of elderly and disability care and their managers [KOM18-1359:1_RJ]; Umeå University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6330-5640

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