scholarly journals Are the problems and motives clear enough? A study on the placement of unaccompanied asylum-seeking minors at compulsory care institutions in Sweden

Author(s):  
Mehdi Ghazinour ◽  
Arian Rostami ◽  
Malin Eriksson ◽  
Mojgan Padyab ◽  
Malin Wimelius

Abstract The Swedish National Board of Institutional Care (SNBIC) is an independent governmental agency that provides compulsory care for minors with psychosocial problems, criminal behavior, and substance abuse. During recent years, a noticeable number of the youth placed at compulsory care institutions have been asylum-seeking minors who have arrived in Sweden without parents or guardians. This steady increase in placements has raised questions and concerns among the involved actors regarding the motives and needs underlying these placements. This qualitative study investigates the main motives that lead unaccompanied asylum-seeking minors to be placed at SNBIC residential homes and the problems that are to be solved during their placement, according to social workers and SNBIC staff. The study is based on 28 in-depth interviews with social workers and SNBIC staff. Findings indicate clear disagreement between social workers and SNBIC staff with regard to the motives for placing unaccompanied minors at SNBIC homes. Although the social workers and SNBIC staff explain that most of the unaccompanied youth placed at SNBIC homes have some form of criminal behavior or substance abuse, SNBIC staff believe, in some cases, the problem is not sufficiently serious to warrant compulsory care. As these disagreements and misunderstandings between the actors have an impact on their collaboration and, consequently, the situation of the unaccompanied minors, all attempts to reach a consensus on the leading causes for placement and the problems that need to be solved with SNBIC placement would increase security for both the young people and the relevant staff.

2019 ◽  
Vol 37 (1) ◽  
pp. 54-68
Author(s):  
Robert Grahn ◽  
Mojgan Padyab ◽  
Lena Lundgren

Background: Treatment for substance use disorder (SUD), results, in general, in improvements in terms of both drug use and social functioning. However, there are clients who are in need of repeated treatment. The aim of this retrospective study was to identify, for adults in compulsory care for severe SUD, the association between reporting having experienced a risky psychosocial childhood and repeated entries into the Swedish compulsory care system for SUD. Method: Hierarchical logistic regression and mediation analysis methods were used to analyse data from the Swedish National Board of Institutional Care (SiS) database. The sample included 2719 adults assessed at their compulsory care intake. The study examined the association between history of institutional care, family with SUD or psychiatric problem and repeated compulsory care entries as an adult controlling for main drug, age and gender. Results: In the regression model the factor with the strongest association with repeated compulsory care intakes for SUD, was as a child having been in mandated institutional care ( OR = 2.0 (1.60–2.51)). The proportion of the total effect that is mediated through LVU (law (1990:52) the care of young persons (special provisions) act) was 33% for SUD problems in family during childhood, 44% for psychiatric problems in family during childhood, and 38% for having been in foster care. Conclusion: Having been in mandated institutional care as a youth was strongly associated with repeated compulsory care for SUD as an adult. This is concerning since receipt of services as a child is supposed to mediate against the consequences of risky childhood conditions. These adults, as a group, are in need of a well-coordinated and integrated system of extensive aftercare services to reduce the likelihood of re-entry into compulsory care for an SUD.


2019 ◽  
Vol 71 ◽  
pp. 41-76
Author(s):  
Yongseok Kim ◽  
Yeob Lee ◽  
Jineui Lee ◽  
Soyoung Park ◽  
Eunhee Lee ◽  
...  

2019 ◽  
Vol 9 (2) ◽  
pp. 10-13
Author(s):  
Sudarshan Basnet ◽  
Arun Kumar Koirala ◽  
Niranjan Shrestha

Introduction: Psychosocial problems among substance abusers are one of the important, challenging public health problems in a worldwide context which is often remain unrecognized and left untreated. This study aims to identify the psychosocial problems and its associated factors among individuals residing in drug and alcohol rehabilitation centers. Methods : A cross-sectional analytical study was conducted among 271 participants from January to July 2019 who are residing in four different rehabilitation centers in Kathmandu. A standard tool ‘Drug Use Screening Inventory – Revised (DUSI-R)’ was used to assess psychosocial problem with face to face interview method. Data were entered in Epi-Data and analyzed using SPSS. Results: Majority of the participants (54.2%) had secondary level education. Most of the participants (43.5%) were unemployed and were found to be involved in substance abuse. The majority of the family member of the participant (62.7%) didn't use alcohol. The starting age of most of the participants (94.5%) who were using drugs was less than 25 years. The mean score of DUSI-R tools was found to be 48.89. The majority of the participants were using alcohol, which was easily available in the market. It was also found that the psychosocial problem was associated with age and education. The psychological problem is seen in less than half (46.1%) of the participant and found to be more prevail in below 30 years of age group and mostly who are in secondary level of education. Conclusions: About half of the participants residing in rehabilitation center had psychosocial problem. Secondary level education period is a crucial time to be more aware where students are at greater risk of having substance abuse including psychosocial problem.


1999 ◽  
Vol 29 (3) ◽  
pp. 689-696 ◽  
Author(s):  
WIENKE G. W. BOERMA ◽  
PETER F. M. VERHAAK

Background. There are considerable differences between and within countries in the involvement of general practitioners (GPs) in psychosocial care. This study aimed to describe the self-perceived role of GPs in 30 European countries as the first contacted professional for patients with psychosocial problems, and to examine the relationship with characteristics of the health care system, practice organization and doctors.Methods. Data collected in the European Study of GP Task Profiles were analysed in relation to the self-perceived involvement of GPs in psychosocial care. In 30 countries 7233 GPs answered standardized questionnaires in their own languages about seven brief case scenarios. The questions focused on care given as the first health care professional contacted, and were answered in a scored scale (1–4) ranging from ‘never’ to ‘almost always’. Independent variables examined were both on a national level and on an individual level, including: listed practice population, referral system, employment status of GPs, workload, measures of practice organization, contacts with social workers and urbanization of practice area. Data were analysed using multi-level techniques.Results. Self-perceived involvement in psychosocial care was much higher in Western than in Eastern Europe and also in countries with a referral system. Cooperation with social workers, rural practice, keeping medical records, presence of an appointment system and high workload were positively associated with this perceived involvement.Conclusions. In countries with self-employed doctors and a referral system, GPs are in a better position to provide psychosocial care. GPs should be encouraged to cooperate with social workers and to keep medical records of their patient contacts routinely.


1991 ◽  
Vol 13 (2) ◽  
pp. 90-104
Author(s):  
Bonnie Benard ◽  
Barbara Fafoglia ◽  
Mary Mcdonald

1998 ◽  
Vol 52 (3) ◽  
pp. 221-230 ◽  
Author(s):  
Howard B Moss ◽  
Silvia Bonicatto ◽  
Levent Kirisci ◽  
Ana Maria Girardelli ◽  
Lenn Murrelle

2016 ◽  
Vol 17 (2) ◽  
pp. 216-235 ◽  
Author(s):  
Lillian Bruland Selseng ◽  
Oddbjørg Skjær Ulvik

Understandings of as well as negotiations about change are constantly present in social work practice and in many instances these are decisive for how social work is formed. Employing discourse theories, this article analyses interpretative repertoires used by social workers in describing how they experience change and absence of change among clients having substance abuse problems, and how they position themselves accordingly. Examination of data drawn from interviews with counsellors working for the Norwegian Labour and Welfare Administration reveal three distinct subject positions in their discursive constructions of change and absence of change. These include (a) ‘the position of despair’, (b) ‘the position of limited professional responsibility’ and (c) ‘the position of resistance’ – each with its own distinctive set of interpretative repertoires. The article relates these to the complexities and varieties of constructions and understandings of change involved in working with substance abusing clients, where the counsellors’ experiences of success and of responsibility have central roles. In addition, the article shows that the institutional context is often significant for how change is constructed and understood by the counsellors.


1994 ◽  
Vol 40 (4) ◽  
pp. 568-588 ◽  
Author(s):  
Elizabeth Mauser ◽  
Kit R. Van Stelle ◽  
D. Paul Moberg

Recognizing the relationship between substance abuse and criminal behavior, the Wisconsin legislature in 1989 mandated the establishment of the Treatment Alternative Programs (TAP) modeled after the national Treatment Alternatives to Street Crime (TASC) program. This study evaluates the economic impact of TAP by examining the benefits and costs and cost-effectiveness of diverting offenders from the criminal justice system into substance abuse treatment. The results suggest that the benefits of TAP outweigh its costs in the short run and TAP costs less than incarcerating offenders.


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