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  • 1.
    Grell, Pär
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Ahmadi, Nader
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Blom, Björn
    Umeå universitet, Institutionen för socialt arbete.
    The Balancing Act: Clients with Complex Needs Describe Their Handling of Specialised Personal Social Services in Sweden2017Inngår i: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 47, nr 3, s. 611-629Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Dealing with specialised social service organisations can be a challenge for clients with complex needs. These organisations may appear confusing and hard to navigate, and there is also a risk of service fragmentation, as such clients often participate simultaneously in an array of interventions. An additional complication to be handled is that these parallel interventions can range from voluntary to more or less involuntary. The aim of the present article is to describe and analyse how clients with complex needs account for their handling of service conditions within specialised personal social services (PSS), using data from a qualitative interview study with PSS clients in Sweden. A conceptual model is presented, covering four ideal typical client approaches to these specialised services: consensus, resignation, fight and escape. One key finding is that the clients combined these approaches in a balancing act intended to promote their own best interests in their parallel contacts with different parts of the specialised PSS organisation. The article concludes that future improvements in social services could be made by paying more attention to the structural arrangements that surround encounters between clients and the social services, as well as clients’ valuable first-hand knowledge of social service organisations.

  • 2.
    Grell, Pär
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och kriminologi, Socialt arbete.
    Blom, Björn
    Umeå universitetet, Institutionen för socialt arbete.
    Ahmadi, Nader
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och kriminologi, Socialt arbete.
    Conditions for helping relations in specialized personal social services: a client perspective on the influence of organizational structure2019Inngår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article highlights organizational structure as a factor influencing conditions for helping relations. It is based on a survey study and an interview study, both directed at parents in families that have parallel contacts in different parts of Swedish personal social services (PSS). The aim is to describe and analyse conditions for helping relations when clients with complex needs encounter specialized PSS.

    Low system trust, people processing dimensions of work, and an organizational and a professional emphasis on formal organizational structures and boundaries were found to constitute unfavourable conditions. Conversely, an occurrence of individual trust, people sustaining and people changing dimensions of work, as well as informal organization and individual social workers’ boundary spanning efforts, constituted favourable conditions. The article concludes that greater understanding of how clients are affected by contextual service conditions can give some pointers towards how to generally improve services for vulnerable and disadvantaged populations.

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