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Professioner, makt och samverkan mellan myndigheter: socialtjänstens, skolans och BUP:s arbete med ungdomar som inte går till skolan
Umeå University, Faculty of Social Sciences, Department of Social Work.
Umeå University, Faculty of Social Sciences, Department of Social Work.
Høgskolen i Østfold, Avdeling for helse- og sosialfag.
2017 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 24, no 1, p. 59-77Article in journal (Refereed) Published
Abstract [en]

School non-attendence is often a sign of a complex combination of different kinds of problems, which means that these children and young people are often in need of composite help from several different types of professions within various authorities. The purpose of the study was to examine how school authorities, the Social Services and Child and Adolescent Psychiatry (BUP) collaborate in their work with young people who do not go to school. The study comprised a thematic analysis of qualitative interviews with managerial representatives of the respective authorities. The empirical material consisted of 12 qualitative interviews with heads of units at BUP (5 individuals), section managers from Social Services (3 individuals) and principals from compulsory schools (4 individuals) in three municipalities in western Sweden. According to the results, it seems problematic to manage the positions of power that may arise in collaboration between the parties. A position of power thus implies the right to make a desicion as a profession as well as activities that are related to each other. The right to make a desicion means the mandate to determine which measures should be put in place for the young people and their families. This study also shows that the parties should develop a common knowledge base that is a combination of educational, social and psychiatric perspectives. The common knowledge base can reduce the risk of power imbalance between the parties.

Place, publisher, year, edition, pages
Lund: Förbundet för forskning i socialt arbete (FORSA) , 2017. Vol. 24, no 1, p. 59-77
Keywords [sv]
Samverkan, myndigheter, makt, kunskap, professioner, skolfrånvaro
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-133597OAI: oai:DiVA.org:umu-133597DiVA, id: diva2:1088492
Available from: 2017-04-12 Created: 2017-04-12 Last updated: 2018-09-03Bibliographically approved
In thesis
1. Psykiatriseringen av skolkaren: BUP och det institutionella omhändertagandet av ungdomar som inte går till skolan
Open this publication in new window or tab >>Psykiatriseringen av skolkaren: BUP och det institutionella omhändertagandet av ungdomar som inte går till skolan
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Psychiatrization of the truant : child and adolescent psychiatry and the institutional care of young people who do not go to school
Abstract [en]

The main aim of the thesis was to investigate the nature of as well as critically review the institutional care of young people who do not go to school.

The thesis consists of four studies. The first three studies are based on different empirical materials such as electronical journals and administrative patient databases, qualitative interviews with social workers at Child and Adolescent Psychiatry (CAP), and with managerial representatives in School, social services and CAP. The fourth study is mainly theoretical and problematizes the results from the first three studies.

The results show several problematic aspects in the institutional care of young truants. When young truants enters CAP, a quick, and sometimes without psychological investigation, categorization is made with psychiatric terminology in the form of a diagnosis, and medicines are prescribed as treatment. Further, social workers, who shall have a systemic approach on family and relationships, seem to embrace a psychiatric diagnostic understanding of the problems. At the same time, it appears that school only has extra resources to help the truants if they have a psychiatric diagnosis. Although the idea of collaboration between different professionals is that several different perspectives should be used, the results shows that CAP's psychiatric perspective dominates.

The results of what happens to young people who do not go to school is discussed as an example of a special form of medicalization, in which social difficulties and existential problems are referred to psychiatry. It appears that help for them is completely individualised, by focusing on symptoms and diagnosis. What is not visible in this unilateral individualisation, for example, are organisational and educational problems in school, system problems in the family or among friends or lack of social contacts outside the family. By referring the truant to CAP can therefore miss further social circumstances in their life situation, which can have great importance in whether they attend school or not. Therefore, it is important to problematise this process of referring everything to psychiatry and to ask questions about what situations and events have contributed to this cultural pattern, which means that people's difficulties in life are increasingly being solved with diagnosis and medications.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2018. p. 79
Series
Studier i socialt arbete vid Umeå universitet : avhandlings- och skriftserie, ISSN 0283-300X ; 92
Keywords
Truancy, young people who do not go to school, institutional care, child and adolescent psychiatry, social services, school, collaboration, exclusion, psychiatrization
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-151437 (URN)978-91-7601-916-0 (ISBN)
Public defence
2018-09-28, Hörsal B, Samhällsvetarhuset, Umeå, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2018-09-07 Created: 2018-09-03 Last updated: 2018-10-16Bibliographically approved

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Ek, HansIsaksson, Joakim

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