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Diagnos- och behandlingskarriärer inom barn- och ungdomspsykiatrin: en studie av 20 ungdomar som inte går till skolan
Umeå University, Faculty of Social Sciences, Department of Social Work.
Høgskolen i Østfold, Avdeling for helse- og sosialfag.
2016 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 93, no 6, p. 650-658Article in journal (Refereed) Published
Abstract [sv]

Artikeln handlar om 20 ungdomar som inte går till skolan med fokus på deras väg genom den Barn- och ungdomspsykiatriska vården. Ungdomarna i studien var mellan 13 och 17 år gamla och den omfattades av 12 flickor och åtta pojkar. Resultatet visar olika professioner inom BUP ger ungdomarna många olika diagnoser och många olika behandlingsåtgärder under en och samma vårdperiod. Vilka konsekvenser kan då detta få för ungdomarna? Det kan leda till för långa vårdperioder som ger psykisk lidande för ungdomarna, samtidigt som det påverkar deras möjligheter att fullfölja sin skolgång negativt.

Abstract [en]

The article addresses 20 adolescents who do not go to school, with a focus on their path through the Child and Youth Mental Health services (BUP). The adolescents in the study were between 13 and 17-years-old and included 12 girls and eight boys. The results show that various professions within BUP give adolescents many different diagnoses and many different treatment measures during a single treatment period. What implication does this have for the adolescents? It can lead to extremely long treatment periods that result in protracted psychological distress for adolescents, at the same time as it affects their possibilities to succeed in school negatively.

Place, publisher, year, edition, pages
Stockholm: Socialmedicinsk tidskrift , 2016. Vol. 93, no 6, p. 650-658
Keywords [en]
skolk, skolvägran, vårdförlopp, diagnosmönster, behandlingsmönster
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-133960OAI: oai:DiVA.org:umu-133960DiVA, id: diva2:1090221
Available from: 2017-04-23 Created: 2017-04-23 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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