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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
Liljeholm Bång, M., Lindberg, O., Rantatalo, O. & Lilliehorn, S. (2024). The mismatch between teaching and assessing professionalism: a practice architecture analysis of three professional programmes. Studies in Continuing Education
Open this publication in new window or tab >>The mismatch between teaching and assessing professionalism: a practice architecture analysis of three professional programmes
2024 (English)In: Studies in Continuing Education, ISSN 0158-037X, E-ISSN 1470-126XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

While there is broad agreement about their importance, courses in professionalism have proven difficult to teach and assess. Furthermore, there is currently a lack of knowledge regarding problems that are common across professional boundaries. The purpose of this article is to examine what teaching and assessing professionalism in higher education entails in three distinctly different professional education contexts in Sweden: medical, police, and social-work education. The study is qualitative and comparative, with data consisting of documents (curricula, syllabi, course content n > 200), interviews (n = 18), and participant observations (∼30 h) of how professionalism is taught and assessed in each programme. The results describe the practice architectures of teaching and assessing professionalism, where problems and dilemmas are made visible. The results also show a tension between the ambition to practise and the ambition to assess, which leads to what we call 'assessment avoidance'.

Place, publisher, year, edition, pages
Routledge, 2024
Keywords
Professionalism, professional education, practice theory, medical education, social work education, police education
National Category
Pedagogy
Identifiers
urn:nbn:se:umu:diva-222625 (URN)10.1080/0158037X.2024.2333247 (DOI)001188854600001 ()2-s2.0-85188958221 (Scopus ID)
Available from: 2024-03-22 Created: 2024-03-22 Last updated: 2024-05-14
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
Show others...
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
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
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
Lilliehorn, S., Isaksson, J. & Salander, P. (2023). Two sides of the same coin: Oncology social workers’ experiences of their working life and its pros and cons. Nordic Social Work Research, 13(2), 267-279
Open this publication in new window or tab >>Two sides of the same coin: Oncology social workers’ experiences of their working life and its pros and cons
2023 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 13, no 2, p. 267-279Article in journal (Refereed) Published
Abstract [en]

From the literature we learn that social workers in health care are exposed to different stressors connected to the risk for the development of burnout or traumatization. However, there is a lack of studies that focuses on the social workers’ own narratives on the burdensome, but also the rewarding aspects, of social work in health care. This study focuses on social work in oncology. Thematically structured qualitative interviews were conducted in a narrative form with 20 oncology social workers, half of whom were less experienced and half of whom were more experienced and with additional training in psychotherapy. The interviews focused on ‘pros and cons of practicing social work’ and the results were categorized by means of the similarities-differences technique. The burdensome cons concerned ‘Organizational and professional barriers’ and ‘Demanding cases’, with the latter divided into ‘Impasse because of hopelessness’ and ‘Impasse because of helplessness’. The rewarding pros categories all concerned meaningfulness including ‘Organizational meaningfulness’, ‘Meaningfulness from giving’, ‘Meaningfulness from receiving’, and ‘Meaningfulness from personal development’. Our findings indicate that the burdensome and rewarding aspects are two sides of the same coin. They are interconnected in the sense that the strain and challenge of being in situations of psychological despair also imply emotional satisfaction due to an experience of meaningfulness.

Place, publisher, year, edition, pages
Routledge, 2023
Keywords
cancer, clinical function, counselling, oncology social work
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-186676 (URN)10.1080/2156857X.2021.1958907 (DOI)2-s2.0-85148650679 (Scopus ID)
Funder
The Kamprad Family Foundation, 20150039
Available from: 2021-08-17 Created: 2021-08-17 Last updated: 2023-07-14Bibliographically approved
Isaksson, J. & Lilliehorn, S. (2022). Kuratorn inom cancersjukvården (1ed.). In: Joakim Isaksson; Sara Lilliehorn; Helena Hansson (Ed.), Perspektiv på hälso- och sjukvårdskuratorns mångfacetterade arbete: (pp. 171-191). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Kuratorn inom cancersjukvården
2022 (Swedish)In: Perspektiv på hälso- och sjukvårdskuratorns mångfacetterade arbete / [ed] Joakim Isaksson; Sara Lilliehorn; Helena Hansson, Lund: Studentlitteratur AB, 2022, 1, p. 171-191Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 1
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-202196 (URN)978-91-44-14019-3 (ISBN)
Available from: 2023-01-04 Created: 2023-01-04 Last updated: 2023-01-04Bibliographically approved
Isaksson, J., Lilliehorn, S. & Hansson, H. (Eds.). (2022). Perspektiv på hälso- och sjukvårdskuratorns mångfacetterade arbete (1ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Perspektiv på hälso- och sjukvårdskuratorns mångfacetterade arbete
2022 (Swedish)Collection (editor) (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022. p. 246 Edition: 1
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-202197 (URN)978-91-44-14019-3 (ISBN)
Available from: 2023-01-04 Created: 2023-01-04 Last updated: 2023-01-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5696-996x

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