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Forssell, Emilia
Publications (5 of 5) Show all publications
Olaison, A., Torres, S. & Forssell, E. (2019). Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest. In: Brian Taylor and Andrew Whittaker (Ed.), Professional Judgement and Decision Making in Social Work: Current Issues (pp. 48-62). London: Routledge
Open this publication in new window or tab >>Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest
2019 (English)In: Professional Judgement and Decision Making in Social Work: Current Issues / [ed] Brian Taylor and Andrew Whittaker, London: Routledge, 2019, p. 48-62Chapter in book (Refereed)
Abstract [en]

Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’ use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.

Place, publisher, year, edition, pages
London: Routledge, 2019
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-156649 (URN)9780367179700 (ISBN)
Available from: 2019-05-03 Created: 2019-05-03 Last updated: 2019-05-15Bibliographically approved
Olaison, A., Torres, S. & Forssell, E. (2018). Needs asessment practice within elder care: does length of work experience make a difference in how care managers percieve professional discretion?. In: : . Paper presented at 8th ECSWR European Conference for Social Work Research April 18-20, in Edinburgh, Scotland.
Open this publication in new window or tab >>Needs asessment practice within elder care: does length of work experience make a difference in how care managers percieve professional discretion?
2018 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-147518 (URN)
Conference
8th ECSWR European Conference for Social Work Research April 18-20, in Edinburgh, Scotland
Available from: 2018-04-23 Created: 2018-04-23 Last updated: 2018-05-18
Olaison, A., Torres, S. & Forssell, E. (2016). Categorization in documentation practices: the role that gender and background can play in the clientization of older people within social work case files.. In: : . Paper presented at 6th European Conference for Social Work Research, Lisbon, Portugal, 30 March - 1 April 2016.
Open this publication in new window or tab >>Categorization in documentation practices: the role that gender and background can play in the clientization of older people within social work case files.
2016 (English)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-126758 (URN)
Conference
6th European Conference for Social Work Research, Lisbon, Portugal, 30 March - 1 April 2016
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2016-04-04 Created: 2016-04-04 Last updated: 2016-04-20Bibliographically approved
Olaison, A., Torres, S. & Forssell, E. (2015). Documentation practices in need assessment: an analysis of descriptions of older people in social work case files. In: : . Paper presented at ECSWR European Conference for Social Work Research.
Open this publication in new window or tab >>Documentation practices in need assessment: an analysis of descriptions of older people in social work case files
2015 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

This presentation departs from the ongoing debate on the role that documentation plays in the clientization of people within social work. It is based on a study of documentation within the context of need assessment practice in Swedish elderly care. The aim is to shed light on how older people’s needs are described in the case files that are used in this practice. The data is comprised of case files (N=202), containing investigations (N=488). Half of the case files concern older people with a Swedish background and half older people with an foreign-background. The results show that, on the whole, the documentation adheres to a standardized template including set headings under which older people and their needs are described in a similar manner. However, in the parts of the assessment that deal with social relations and health status, there are clear differences between how Swedish-born and foreign-born older people are described in terms of level of detail and what information is presented. Regarding the parts where judgments and decisions are made, there are differences in terms of how decisions are justified and presented: foreign-born older people’s assistance needs are more often connected to the additional workload that their relatives perform. The results partially support the critical debate about how clients are constructed in social work documentation. The study also adds new knowledge to this discussion by showing that there is an active categorization process in need assessment documentation in which older people in investigations are described in different ways. As such, the presentation will contribute to the debate on the challenges that documentation practices pose for social work and raises questions about how gender and background influence case documentation.

National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-117407 (URN)
Conference
ECSWR European Conference for Social Work Research
Projects
FAS Dnr: 2010-0666
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, Dnr: 2010-0666
Available from: 2015-04-24 Created: 2015-04-24 Last updated: 2015-05-03
Torres, S., Forssell, E. & Olaison, A. (2012). Othering in need assessment practices: how understandings of ethnic/ cultural ‘Others’ can become institutionalized. In: : . Paper presented at 65th Annual Scientific Meeting of the Gerontological Society of America, November 14-18, 2012, San Diego, USA (pp. 45-46). Oxford University Press, 52(S1)
Open this publication in new window or tab >>Othering in need assessment practices: how understandings of ethnic/ cultural ‘Others’ can become institutionalized
2012 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

This presentation departs from the research gaps that exist in the debate on institutional categorization as far as the implications of ethnic ‘otherness’ are concerned. There is also a gap in the manner in which such understandings affect the political economy of care and there is also a lack of research on the intersection between ethnic ‘Otherness’ and old age. The project upon which this presentation is based departs from all of these debates and focuses on need assessment practice within the context of Swedish elderly care. As such, it aims to contribute to research on images of old age as these are constructed through welfare sector practices. At stake are the following research questions: do understandings of cross-cultural care interaction and ethnic ‘Otherness’ affect the manner in which need assessment processes legitimize and restrict access to certain elderly care services and if so, how. The data for this project is comprised of focus group interviews with need assessors (a total of 60 have been interviewed) as well as a total of 200 need assessment journals. The findings suggest that need asessors’ understandings of old age differ depending on which other social positions elderly people ‘inhabit’. The presentation will contribute to the debate on institutional categorization and how lack of an awareness of the implications on ethnic/cultural ‘Otherness’ influence power differentials in old age.

Place, publisher, year, edition, pages
Oxford University Press, 2012
Series
Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341 ; 52 Issue S1
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-107298 (URN)000312888201226 ()
Conference
65th Annual Scientific Meeting of the Gerontological Society of America, November 14-18, 2012, San Diego, USA
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2014-06-10 Created: 2014-06-10 Last updated: 2018-01-25
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