Revealing the Ideas in the Swedish Social Services Act Regarding Support to Individuals with Disabilities

Ehliasson, Kent; Markström, Urban

doi:10.16993/sjdr.720

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Health care systems and associated payer-models differ between countries [ 3 ]. In Sweden, home care for older adults forms a part of the universal welfare system regulated on a national level by the Swedish Social Services Act (SFS 2001:453) [ 4 , 5 ]. Services are provided on an individual need basis and should offer high-quality care to all citizens aged 65 years and older.…”

Section: Introductionmentioning

confidence: 99%

“…Treatment outcomes are improving, meaning that the type of care needed is shifting toward management of chronic disease. Further, health care systems are moving toward distributed care models and treatment at home, enabled by technological innovations [ 5 , 8 ]. In Sweden, home care services are subject to increased demand and growing complexity of responsibilities and tasks.…”

Section: Introductionmentioning

confidence: 99%

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Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study

Darwich¹,

Boström²,

Guidetti³

et al. 2023

JMIR Hum Factors

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Background Home care is facing increasing demand due to an aging population. Several challenges have been identified in the provision of home care, such as the need for support and tailoring support to individual needs. Goal-oriented interventions, such as reablement, may provide a solution to some of these challenges. The reablement approach targets adaptation to disease and relearning of everyday life skills and has been found to improve health-related quality of life while reducing service use. Objective The objective of this study is to characterize home care system variables (elements) and their relationships (connections) relevant to home care staff workload, home care user needs and satisfaction, and the reablement approach. This is to examine the effects of improvement and interventions, such as the person-centered reablement approach, on the delivery of home care services, workload, work-related stress, home care user experience, and other organizational factors. The main focus was on Swedish home care and tax-funded universal welfare systems. Methods The study used a mixed methods approach where a causal loop diagram was developed grounded in participatory methods with academic health care science research experts in nursing, occupational therapy, aging, and the reablement approach. The approach was supplemented with theoretical models and the scientific literature. The developed model was verified by the same group of experts and empirical evidence. Finally, the model was analyzed qualitatively and through simulation methods. Results The final causal loop diagram included elements and connections across the categories: stress, home care staff, home care user, organization, social support network of the home care user, and societal level. The model was able to qualitatively describe observed intervention outcomes from the literature. The analysis suggested elements to target for improvement and the potential impact of relevant studied interventions. For example, the elements “workload” and “distress” were important determinants of home care staff health, provision, and quality of care. Conclusions The developed model may be of value for informing hypothesis formulation, study design, and discourse within the context of improvement in home care. Further work will include a broader group of stakeholders to reduce the risk of bias. Translation into a quantitative model will be explored.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study

Darwich¹,

Boström²,

Guidetti³

et al. 2023

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study (Preprint)

Darwich¹,

Boström²,

Guidetti³

et al. 2022

Preprint

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BACKGROUND Homecare is facing increasing demand due to an aging population. Several challenges have been identified in the provision of homecare, such as the need for support, and tailoring support to the individual needs. Goal-oriented interventions, such as reablement, may provide a solution to some of these challenges. The reablement approach targets adaptation to disease and re-learning of everyday life skills and has been found to improve health-related quality of life while reducing service use. OBJECTIVE The objective of this study was to characterise homecare systems variables (elements), and their relationships (connections), relevant to homecare staff workload, homecare user needs and satisfaction, and the reablement approach. This to examine the effects of change-work and interventions, such as the person-centred reablement approach, on the delivery of homecare services, workload, work-related stress, homecare user experience and other organisational factors. The main focus was on Swedish homecare and tax-funded universal welfare systems. METHODS The study employed a mixed methods approach where a causal loop diagram (CLD) was developed grounded in participatory methods with academic healthcare science research experts in nursing, occupational therapy aging and the reablement approach. The approach was supplemented with theoretical models and the scientific literature. The developed model was verified by the same group of experts and empirical evidence. Finally, the model was analysed qualitatively and through simulation methods. RESULTS The final CLD included elements and connections across the categories: stress, homecare staff, homecare user, organisation, social support network of the homecare user, and societal level. The model was able to qualitatively describe observed intervention-outcomes from the literature. The analysis suggested elements to target for change-work and the potential impact of relevant studied interventions. CONCLUSIONS The developed model may be of value for informing hypothesis formulation, study design, and discourse within the context of change-work in homecare. Further work will include a broader group of stakeholders to reduce the risk of bias. Translation into a quantitative model will be explored.

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Mental health supported accommodation services in a post-deinstitutionalised era

Markström,

Högström,

Fjellfeldt

2023

alterjdr

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The movement towards deinstitutionalisation of mental health services has created a space for new and community-based solutions in western countries, but the field still seems to lack coherent ideological and practical features. This is also evident for issues related to housing. The aim of this article is to examine the characteristics of supportive accommodation services for people with psychiatric disabilities in Sweden, according to the experiences of local service providers. The focus is placed on the services’ organizational setting, main orientation, and conceptual content. This article is based on a multiple case study of ten Swedish municipalities, purposely selected regarding size, location, and demographic features. Data mainly consist of interviews with key informants in the social service organisation. The results indicate the emergence of a new generation of service users with complex needs, who challenge both the organisation and the content of the service offered. Group homes and mobile housing support appeared as pillars in the service supply, but several local and pragmatically oriented solutions were also identified, as well as ambitions to scale down the extent of institutional settings. The guiding idea present at most sites is a strive towards increased autonomy among service users.

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Revealing the Ideas in the Swedish Social Services Act Regarding Support to Individuals with Disabilities

Cited by 3 publications

References 18 publications

Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study

Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study

Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study (Preprint)

Mental health supported accommodation services in a post-deinstitutionalised era

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