Parents of children in out-of-home care receive little support from social services. Drawing on qualitative data collected in the project ‘Parent at a distance’, in which social services in seven municipalities in Sweden aimed to improve support to parents whose children are placed in foster care, this paper explores social workers’ discourses about parents to children in care. The analysis is based on focus group data in which a total of 52 social workers reflected on parents to children in care and how they can be supported by social services. The concept of interpretive repertoires was used to analyse how social workers in interaction construct parents and their support needs. The identified repertoires of change, acceptance, permanency, biology and non-biology may contribute to the understanding of why so few parents receive support, even though legislation stipulates that placements should be temporary. The paper concluded that discourses may shape support practices and thus it is crucial that social workers reflect on and develop their awareness about their constructions of parents and their role for children in out-of-home care.
The purpose of this study was to elucidate conditions at all system levels in a specific health care service to develop practices for identification of children as relatives. An interactive research approach with the intention to create mutual learning between practice and research was used. The participating health care service cared for both clinic in- and outpatients with psychiatric disorders. Health care professionals from different system levels (micro, meso, macro) participated, representing different professions. At the first project meeting, it was obvious that there was no systematic approach to identify children as relatives. At the micro level, activities such as a pilot survey and an open house activity were carried out. At the meso level, it was discussed how to better support collaboration between units. At the management (macro) level, it was decided that all units should appoint at least one child agent, with the aim to increase collaboration throughout the whole health care service. To change focus, in this case from only parents to inclusion of children, is an important challenge faced by health care services when forced to incorporate new policies and regulations. The new regulations contribute to increased complexity in already complex organizations. This study highlights that such challenges are underestimated.
Social Services as a sustainable knowledge organization: from vision to reality? The imminent Social Services Act is expected to stipulate that decision-making should be "in accordance with scientific evidence and proven experience". If the proposal is fulfilled, the Act will contain requirements similar to existing acts in other welfare sectors, such as requirements for increased systematic follow-ups, developmental work and the use of knowledge from various knowledge sources. These are characteristics that symbolize a practice that both uses verified knowledge and develops new knowledge by testing, documenting and evaluating new ideas and working methods in a systematic process in everyday life. In this article, we argue that the goal presupposes an aspiration towards a knowledge organization; therefore we want to contribute with an analysis of what this means for social services. The “knowledge-seeking social worker” is a key actor in the transition towards a knowledge organization, because it is in the everyday social work practice, that is, the interactions between the social worker and the client, that the knowledge organization largely becomes visible. However, a large-scale transition towards a sustainable knowledge organization cannot depend on only professionals and their ability to engage clients in work processes, it will require changes at a system level, where actors in politics, academia and practice take responsibility for future investments. This article highlights four areas of importance: 1) co-ordination of research and practice, 2) continuing education to build expert knowledge and broaden career paths, 3) development of political ownership for quality and direction, and 4) organization and management for knowledge use and knowledge development.
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