Young people with complex needs meet complex organizations: an interview study with Swedish professionals about sustainable work practices

Almqvist, Anna‐Lena; Lassinantti, Kitty

doi:10.1080/13668803.2018.1527758

Cited by 18 publications

(6 citation statements)

References 28 publications

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“…Therefore, the state support system must also be researched in more detail to provide suitable individual holistic support approaches. For example, findings from Sweden regarding youth with complex needs identify central barriers within the system of specialized support services to be fragmented support and a lack of continuity (Almqvist & Lassinantti, 2018). Furthermore, our study shows, as already addressed by other studies (Schreiner, 2018), the overwhelming path dependency into sheltered workshops away from the first labor market for some individuals, and this seems to be independent of the type of disability.…”

Section: Discussionsupporting

confidence: 71%

Double Burden of Disability and Poverty: Does Vocational Rehabilitation Ease the School‐to‐Work Transition?

Reims

Tophoven

2021

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Poor young people more often face health difficulties, (learning) disabilities, and are overrepresented in special schools. Consequently, youth from poor households disproportionately frequently participate in disability‐specific programs aiming to improve their educational levels and labor market opportunities. They face a double burden of disability and poverty. In our study, we look at poor and non‐poor youth with disabilities (YPWD) who participate in vocational rehabilitation (VR) and whether VR helps them (a) in transitioning into employment and (b) in leaving poverty. We examine the association between the receipt of initial basic income support (BIS) as a poverty indicator, later labor market outcomes, and earned vocational qualification using administrative data. We make use of a sample of all persons accepted for VR in 2010 (N = 36,645). We employ logit models on VR attendees’ labor market outcomes three and five years after being accepted for VR as well as on their earned vocational qualifications. Beside initial poverty status, we control for educational level, type, and degree of disability and program pattern during the VR process. Our findings show that YPWD from poor households have a decreased likelihood of a vocational certificate and employment. Additionally, they are more likely to receive BIS than young people not from poor households and thus more likely to remain poor. In conclusion, VR seems to support poor YPWD less in their school‐to‐work transitions. Thus, disability‐specific programs should be more tailored to the social situations of participants, and counsellors should be more sensitive to their social backgrounds.

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Section: Discussionsupporting

confidence: 71%

Double Burden of Disability and Poverty: Does Vocational Rehabilitation Ease the School‐to‐Work Transition?

Reims

Tophoven

2021

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“…Subsequently, high-vulnerable families can present resistance to the support from Youth Care professionals. It is unclear whether these families actively resist support due to their negative experiences with prior support or difficulties in forming therapeutic alliance [10], or whether they do not receive the support they need. To overcome these difficulties, there is a need to substantially improve professionals' ability to support these families in an integrated way.…”

Section: Introductionmentioning

confidence: 99%

An integrated approach to meet the needs of high-vulnerable families: a qualitative study on integrated care from a professional perspective

Nooteboom

Driesschen

Kuiper

et al. 2020

Child Adolesc Psychiatry Ment Health

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Background To meet the needs of high-vulnerable families with severe and enduring problems across several life domains, professionals must improve their ability to provide integrated care timely and adequately. The aim of this study was to identify facilitators and barriers professionals encounter when providing integrated care. Methods Experiences and perspectives of 24 professionals from integrated care teams in the Netherlands were gathered by conducting semi-structured interviews. A theory-driven framework method was applied to systematically code the transcripts both deductively and inductively. Results There was a consensus among professionals regarding facilitators and barriers influencing their daily practice, leading to an in depth, thematic report of what facilitates and hinders integrated care. Themes covering the facilitators and barriers were related to early identification and broad assessment, multidisciplinary expertise, continuous pathways, care provision, autonomy of professionals, and evaluation of care processes. Conclusions Professionals emphasized the need for flexible support across several life domains to meet the needs of high-vulnerable families. Also, there should be a balance between the use of guidelines and a professional’s autonomy to tailor support to families’ needs. Other recommendations include the need to improve professionals’ ability in timely stepping up to more intensive care and scaling down to less restrictive support, and to further our insight in risk factors and needs of these families.

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“…These young people are often in contact with a variety of different welfare service providers, and therefore they can also be called multiple-service users (Ungar et al 2013) and risk receiving fragmented care (Bunger 2010). Based on our earlier findings it is young people who for different reasons find themselves in complex life situations, and they encounter a welfare system which has become more specialized, fragmented and complex (Almqvist and Lassinantti 2018b). An increasing specialization of social services makes clients' experiences of support often fragmented (Grell, Ahmadi, and Blom 2016).…”

Section: Introductionmentioning

confidence: 93%

Understanding complex needs through the concept of recognition. A qualitative study with Swedish young people about their encounters with welfare state actors

Almqvist

Lassinantti

2021

Nordic Social Work Research

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The paper uses the concept of recognition to investigate how young people labelled as having 'complex needs' experience their encounters with welfare state actors. Semi-structured interviews were held in 2018 with 14 young people, aged 15-22 years, in two Swedish municipalities. The participants have received multiple, long-term interventions from social services and psychiatric care. Research questions are: What aspects in the encounters between welfare state actors and young people may contribute to complexity in their life situations? How can Honneth's concept of recognition illuminate this complexity? Aspects that have contributed to complexity in young people's life situations are related to acts of dismissal. These dismissals by welfare state actors are interpreted as forms of disrespect as regards affection, rights or solidarity. Barriers to recognition are also related to the participants' young age and position as children, and what this implies in a particular society. Our findings show that the difficulties young people face in their encounters with welfare state actors are partly due to the high level of specialization which contributes to an increased organizational complexity. Implications include that, when encountering young people in complex life situations, welfare state actors need to consider the importance of recognition as regards affection, rights, and solidarity. Recognition is central to achieving a positive outcome in working with young people in complex life situations and is expressed in social interactions. Therefore, building relationships needs to be more highly prioritized in welfare state organizations.

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Young people with complex needs meet complex organizations: an interview study with Swedish professionals about sustainable work practices

Cited by 18 publications

References 28 publications

Double Burden of Disability and Poverty: Does Vocational Rehabilitation Ease the School‐to‐Work Transition?

Double Burden of Disability and Poverty: Does Vocational Rehabilitation Ease the School‐to‐Work Transition?

An integrated approach to meet the needs of high-vulnerable families: a qualitative study on integrated care from a professional perspective

Understanding complex needs through the concept of recognition. A qualitative study with Swedish young people about their encounters with welfare state actors

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