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Vulnerable children's health as described in investigations of reported children
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences.
Stockholm University, Sweden .
Stockholm University, Sweden .
Linköping University, Department of Clinical and Experimental Medicine, Pediatrics. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping.
2013 (English)In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206, Vol. 18, no 2, 117-128 p.Article in journal (Refereed) Published
Abstract [en]

This study explores whether the social services weigh in health aspects, and what these may be, when investigating reported childrens life situation. Information about physical and psychological health aspects for 259 children in 272 investigations was included. Overall, information about childrens health was limited. Problematic emotions were the most commonly reported health aspect in the investigations, whereas suicidal thoughts, self-harm behaviour and gastrointestinal and renal diseases were mentioned least of all. A cluster analysis revealed that the low level of health information group included the largest sample of data and consisted of investigations with minimal information about childrens health. The three other cluster groups, Neurological diseases and psychosomatic symptoms, Emotional health and Physical and psychological health and destructive behaviour, consisted of investigations conducted mostly according to the model called Childrens Needs In Focus (BBIC, in Swedish, Barns Behov i Centrum). Although these investigations also produced limited information, they provided more than those assessed as having a low level of information about health aspects. The conclusion is that it is necessary to increase information about health aspects in investigations if social welfare systems are to be able to fulfil their ambition of supporting vulnerable childrens need of health care.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2013. Vol. 18, no 2, 117-128 p.
Keyword [en]
health, social service investigation, vulnerable children
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-92695DOI: 10.1111/j.1365-2206.2011.00807.xISI: 000317068800002OAI: diva2:621672
Available from: 2013-05-16 Created: 2013-05-16 Last updated: 2013-12-02Bibliographically approved
In thesis
1. Barnperspektiv i barnavårdsutredningar: med barns hälsa och barns upplevelser i fokus
Open this publication in new window or tab >>Barnperspektiv i barnavårdsutredningar: med barns hälsa och barns upplevelser i fokus
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Child perspective in child welfare investigations : children’s health and children’s experiences in focus
Abstract [sv]

Avhandlingens övergripande syfte var att fördjupa kunskapen om hur socialtjänsten synliggör barns fysiska och psykiska hälsa samt barns egna upplevelser i barnavårdsutredningar. Resultaten diskuteras utifrån rättsliga förutsättningar samt teorier om barn som subjekt och sociala aktörer. De fyra delstudierna visar att det finns begränsningar i hur hälsan samt barns upplevelser beskrivs om man vill förstå deras behov av stöd. En anledning till detta kan vara att den rättsliga regleringen inte per automatik ger barn status som subjekt och aktörer. Resultaten tyder på att barnperspektivet i både den rättsliga regleringen och genomförandet av barnavårdsutredningar har stärkts jämfört med vad som visats i tidigare forskning men det behövs en utvecklad analys och argumentation kring barns upplevelser och barns hälsa. En sådan förståelse ger förutsättningar för att barn blir synliggjorda utifrån sina unika förutsättningar vilket säkerställer att socialtjänsten tar hänsyn till deras unika behov.

Abstract [en]

The overall aim of this thesis is to explore how the physical- and psychological health of children – as well as children’s own experiences – are represented in child welfare investigations. The results are discussed with reference to both legal regulations and theories, which identify children as subjects and social actors in their own right. The four studies show that there are limitations in how children’s health generally, along with their experiences more specifically, are described. The consequence is a diminishing of the chances to understand the child’s need for support. One reason for this might be that legal regulations for social welfare investigations do not automatically ascribe to children the status of subjects and social actors. Compared with previous research, results gathered in this thesis indicate that the child’s perspective has been strengthened in both law and in social welfare investigations. All the same, there is still a need for more developed analyses of children’s health as well as children’s experiences. Such an understanding requires that children be seen from their unique positions, ensuring moreover that social services take into account the specific needs of individual children.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2013. 64 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 600Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 56
Child welfare investigations, documentation, children’s physicaland psychological health; children’s experiences, Barnavårdsutredningar, dokumentation, barns fysiska och psykiska hälsa, barns upplevelser
National Category
Medical and Health Sciences Social Sciences
urn:nbn:se:liu:diva-102187 (URN)10.3384/diss.diva-102187 (DOI)978-91-7519-457-8 (print) (ISBN)
Public defence
2013-12-20, I:101, Hus I, Campus Valla, Linköpings universitet, Linköping, 10:00 (Swedish)
Available from: 2013-12-02 Created: 2013-12-02 Last updated: 2013-12-05Bibliographically approved

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Hultman, ElinFälth-Magnusson, Karin
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Disability ResearchFaculty of Arts and SciencesPediatricsFaculty of Health SciencesDepartment of Paediatrics in Linköping
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