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  • 1.
    Cedersund, Elisabet
    et al.
    Jönköping University.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Care management in practice: on the use of talk and text in gerontological social work2010Inngår i: INTERNATIONAL JOURNAL OF SOCIAL WELFARE, ISSN 1369-6866, Vol. 19, nr 3, s. 339-347Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Int J Soc Welfare 2010: 19: 339-347 (C) 2010 The Author(s), Journal compilation (C) 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This is a study of encounters between social workers and citizens in one type of welfare organisation, the municipal elder care system. The article sheds light on how older peoples claims are dealt with in the processing of home care applications. Twenty encounters between social workers and older people were studied using discourse analysis. The findings reveal that discursive practices are part of the routine when the applications are processed. The application handling follows an agenda-bound pattern that is visible in the encounters. In these standardised procedures, oral discourse is embedded in routines that also include the use of texts. However, within this institutional order, there is also an important element of negotiation between the parties. It is therefore claimed that the encounters include a negotiated order that does not exist on its own, but is achieved in the ongoing interaction.

  • 2.
    Cedersund, Elisabet
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Needs assessment, documentation, and social networks - analysis of care management in elder care2012Inngår i: Abstract book at the 2012 Joint World Conference on Social Work and Social Development: Action and Impact / [ed] Holmberg-Herrström, Eva, Stockholm, 2012, s. 223-224Konferansepaper (Annet vitenskapelig)
  • 3.
    Cedersund, Elisabet
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Positioning and identity construction in home care assessment talk2007Konferansepaper (Annet (populærvitenskap, debatt, mm))
    Abstract [en]

    This paper reports results from a study of meetings between old persons, their relatives and the care managers who work with assessments of home care. According to the Swedish Social Welfare Act old persons who are in need of care are entitled to apply for home care. The formal decision concerning home care is made by the assessment managers who handle these type of applications within the municipality. Old persons and their family members - such as spouses or children - are moreover supposed to have influences on how home care is organized. The issues related to home care may often comprise conflicting interests - both within the family, and between the old persons, their family members and the case managers. The data consist of 20 Swedish home care assessment meetings. The assessments were studied, as institutional practices in which the participants used discursive positioning in order to argue for their version in the decision-making. The results show that the home care assessment meetings functioned as a situated practice in which old persons were positioned both by care managers and their relatives as potential home care receivers. Although the old persons had the final saying in the decision process family members were prominent in constructing the old person as in need of care. This highlights further questions about old persons individual rights within the decision-making in this type of situation. It also poses questions about relatives and their needs in the caring practice for the future development of the old age care system.

  • 4.
    Cedersund, Elisabet
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen Åldrande och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Sverker, Annette M.
    Region Östergötland, Närsjukvården i centrala Östergötland, Rehabgruppen NSC.
    Olaison, Anna
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Bridging between social and medical perspectives: Old people´s experiences of a new health care model. 2018Konferansepaper (Fagfellevurdert)
  • 5.
    Forssell, Emilia
    et al.
    Ersta Sköndal Högskola.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen Uppsala universitet.
    Need assessment practice with older migrants: Challenges to social work2012Konferansepaper (Fagfellevurdert)
  • 6.
    Forssell, Emilia
    et al.
    Ersta Sköndal Högskola, Stockholm.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen, Uppsala universitet.
    Needs assessors in elderlycare meet immigrant families: The welfare state reconsidered2013Inngår i: The Journal of Nutrition , Health and Aging, Vol. 17, Supplement 1, 2013 / [ed] Springer, Springer, 2013, s. 315-316Konferansepaper (Fagfellevurdert)
  • 7.
    Forssell, Emilia
    et al.
    Ersta Sköndal Högskola.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen Uppsala universitet.
    Understandings of cross-cultural interaction and ethnic ‘Otherness’ as challenges for need assessment practices: results from a focus group study with Swedish need assessors2012Konferansepaper (Annet vitenskapelig)
  • 8.
    Forssell, Emilia
    et al.
    Ersta Sköndal Högskola, Stockholm.
    Torres, Sandra
    Sociologiska institutionen, Uppsala universitet.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Anhörigomsorg mot betalning: Biståndshandläggare om sent-i-livet-invandares önskemål2014Inngår i: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 21, nr 2, s. 114-137Artikkel i tidsskrift (Fagfellevurdert)
  • 9.
    Forssell, Emilia
    et al.
    Ersta Sköndal Högskola.
    Torres, Sandra
    Sociologiska institutionen, Uppsala universitet.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Care managers' experiences of cross-cultural needs assessment meetings: the case of late-in-life immigrants2015Inngår i: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 35, nr 3, s. 576-601Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research on care managers' experiences of the needs assessment process is scarce even though the literature on needs assessment practice is relatively extensive. One of the research areas that has not received attention yet is the way in which care managers experience the challenges that are presumably posed by increased ethnic, cultural, linguistic and religious diversity among prospective elder care recipients. This article addresses this research gap. It is based on a project that aims to shed light on care managers' experiences of the needs assessment process in general and cross-cultural needs assessment meetings in particular. The data are constituted of focus group interviews with care managers in Sweden (N=60). In this article we focus on care managers' experiences of needs assessment with older people who have immigrated late-in-life, who come from cultures considered different from the Swedish one and who have not mastered the Swedish language. This was the group of older people that the care managers mostly thought of when asked to describe their experiences of cross-cultural needs assessment meetings. The interviewed care managers discussed the challenges that these meetings present, which were related to communication due to language barriers, different demands and expectations, insecurity regarding what is customary in such meetings, as well as perceived passivity among late-in-life immigrants. The article discusses the contributions of the findings to research on care management practices in general, as well as to needs assessment practice in particular.

  • 10.
    Karlsson, Kristina
    et al.
    Linköpings universitet, Institutionen för tema, Tema teknik och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Samhälle, mångfald, Identitet (SMI). Linköpings universitet, Filosofiska fakulteten.
    Skill, Karin
    Linköpings universitet, Institutionen för tema, Tema teknik och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Mapping and Characterizing: Nordic Everyday Life Research2010Rapport (Annet vitenskapelig)
    Abstract [en]

    The aim of this report is to present references that originate from the Nordic countries,including Sweden, Finland, Denmark, and Norway, and that have been assigned the keyword“everyday life” or one of its Nordic counterparts and published in the period 1990 through2008. The presentation includes information on the total number of references from eachcountry, the most frequent authors and the institutions to which they belong, and the referencetypes and the number of each type. Based on an analysis of some limited information aboutthe dissertations and the journals, it is discussed how Nordic everyday life research may becharacterized.

    In total 560 references were found in the search procedure that is described in the report. Thenumber of references from the different countries is: Finland 176, Sweden 171, Denmark 110,and Norway 103. The analysis imply that the field of Nordic everyday life research is big,multifaceted, and multi- and interdisciplinary. It is performed mainly within the frame ofvarious social science subjects, but also to quite a great extent within subjects of healthscience, and to a minor extent within technology subjects. Some of the references seem torepresent studies with a more comprehensive view on the everyday lives of a certain group ofpeople located in the same place or sharing some characteristic and they try to capture bothwhat people do and what they think and experience. Other studies are narrower and focus on,for example, attitudes towards food or how computers are used or should be designed. Inother words Nordic everyday life research is hard to define clearly. The limited analysis andthe fact that the international field of everyday life research is not well known, do not allowconclusions to be drawn about either a typically Nordic character of everyday life research, ordifferences between the Nordic countries. However, the work of mapping Nordic everydaylife research will continue and the plans of constructing an open-access Everyday LifeResearch Database that will be easily accessible on the Internet are presented.

  • 11.
    Löf (Gillingsjö), Jenny
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Michailakis, Dimitris
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    HBTQ-äldre i den politiska debatten2018Inngår i: Gränsöverskridande Socialt arbete: Kritiska perspektiv / [ed] Magnus Dahlstedt, Malmö: Gleerups Utbildning AB, 2018, 1, s. 41-61Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 12.
    Löf (Gillingsjö), Jenny
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Care decision-making and older LGBTQ adults in Sweden: Getting past generalities2018Inngår i: Innovation in Aging, ISSN 2399-5300, Vol. 2, nr S1, s. 844-845Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is mounting evidence that Swedish elder care is unable to adequately address the unique needs of older lesbian, gay, bisexual, transgender and queer (LGBTQ) persons, and that social work research and services do not focus on individual variations within the LGTBQ-group. There are negative consequences for older LGBTQ individuals, including poor service utilization. Significantly, service utilization is associated with improved outcomes across the life course. Based on interviews with 15 participants living at home in Sweden, this qualitative study explores how older Swedish LGBTQ adults assess elder care alternatives for their future. Findings indicate that feeling accepted as individuals is essential, but that this did not necessarily mean being recognized as an LGBTQ individual. Feeling welcome individually transcended the need to be recognized as LGBTQ. Implications for social work include increasing cultural competence for work with diverse older adults, including LGBTQ persons, and advocating for person-centered care.

  • 13.
    Löf (Gillingsjö), Jenny
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten. Linkoping University.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    ‘I don’t want to go back into the closet just because I need care’ [‘Jag vill inte gå tillbaka i garderoben bara för att jag behöver vård’]: recognition of older LGBTQ adults in relation to future care needs [Erkännande av äldre HBTQ personer i relation till framtida omsorgsbehov]2018Inngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is increasing awareness in research about the social service needs of older LGBTQ adults. However, there are few studies that deal with differences in this community regarding elder care services. As a rule, transgender individuals are not included in these studies. This study focuses on how older Swedish LGBTQ adults reason about openness in an elder care context concerning their future needs for services and adopts Nancy Fraser’s theoretical framework of recognition. The material consists of fifteen semi-structured interviews with older LGBTQ adults. The results indicate that the main concern for older LGBTQ individuals is being accepted for their preferred sexual orientation and/or gender identity in elder care. However, there were differences regarding that concern in this LGBTQ group. There were also a variety of approaches in the group as to preferences for equal versus special treatment with respect to their LGBTQ identity. In addition, there were differences as to whether they prefer to live in LGBTQ housing or not. The findings contribute to existing knowledge by highlighting the diverse views on elder care services in both this group of interviewees and its subgroups. These findings emphasise the importance of the social work practice recognising different preferences and having an accepting approach. The results can further provide guidance on how to design elder care services for older LGBTQ adults.

  • 14.
    Löf (Gillingsjö), Jenny
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    I want to be open when entering elder care: An interview study with older LGBTQ adults reasoning about future care needs.2018Inngår i: Proceedings of the 8th ECSWR European Conference for Social Work Research, 2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Research has shown that there is an increasing awareness that elder care is not addressing the unique needs of older LGBTQ, lesbian, gay, bisexual, and transgender persons. Many LGTBQ people entering old age today have worse health and, to a lesser extent than other older groups, tends to seek help from health and social services. Few studies within gerontological social work have however focused on how older LGBTQ persons express their needs, and wishes of future social services. This presentation addresses this knowledge gap by focusing on how older LGBTQ reason about possible good alternatives to meet their needs when they are entering a phase where they need care. The study is based on a qualitative interview study with (n= 15), older LGBTQ persons in Sweden who live at home and where only two of them have had prior experiences of services. The analysis shows that, the overall most important issue for the older LGTBQ persons, was to be able to be open with their sexual orientation and/or gender identity within a future elder care setting. It was essential for the LGBTQ persons that the engagement of staff must be based on respect and that they should be able to meet every person as an individual. Regarding the issue of need for education and knowledge among staff about LGBTQ issues the interviewed expressed a wish that staff should have knowledge about these issues. For some it was important to be seen as an LGBTQ-person and to others it was mostly important being met in a welcoming and affirmative way, but not focusing too much on their LGBTQ-identity. The results provide support for the debate on the importance of addressing the unique needs of older LGTBQ persons and highlight the importance for social work to address the diversity of needs and wishes that is present within the group in regards to entering elder care.

  • 15.
    Marcusson, Jan
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Medicinska och geriatriska akutkliniken.
    Nord, Magnus
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Johansson, Maria
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i centrala Östergötland, Rörelse och Hälsa.
    Alwin, Jenny
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Levin, Lars-Åke
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.
    Dannapfel, Petra
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Thomas, Kristin
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten.
    Poksinska, Bozena
    Linköpings universitet, Institutionen för ekonomisk och industriell utveckling, Logistik- och kvalitetsutveckling. Linköpings universitet, Tekniska fakulteten.
    Sverker, Annette M.
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Region Östergötland, Närsjukvården i centrala Östergötland, Rörelse och Hälsa.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Cedersund, Elisabet
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen Åldrande och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Kelfve, Susanne
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen Åldrande och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Motel-Klingebiel, Andreas
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen Åldrande och social förändring. Linköpings universitet, Filosofiska fakulteten.
    Hellstrom, Ingrid
    Norrkoping Univ, Sweden.
    Kullberg, Agneta
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Böttiger, Ylva
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för läkemedelsforskning. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Diagnostikcentrum, Klinisk farmakologi.
    Dong, Huan-Ji
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Peolsson, Anneli
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.
    Wass, Malin
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV).
    Lyth, Johan
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Ledningsstab Region Östergötland, Enheten för forskningsstöd.
    Andersson, Agneta
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Ledningsstab Region Östergötland, Enheten för forskningsstöd.
    Proactive healthcare for frail elderly persons: study protocol for a prospective controlled primary care intervention in Sweden2019Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 5, artikkel-id e027847Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction The provision of healthcare services is not dedicated to promoting maintenance of function and does not target frail older persons at high risk of the main causes of morbidity and mortality. The aim of this study is to evaluate the effects of a proactive medical and social intervention in comparison with conventional care on a group of persons aged 75 and older selected by statistical prediction.

    Methods and analysis In a pragmatic multicentre primary care setting (n=1600), a prediction model to find elderly (75+) persons at high risk of complex medical care or hospitalisation is used, followed by proactive medical and social care, in comparison with usual care. The study started in April 2017 with a run-in period until December 2017, followed by a 2-year continued intervention phase that will continue until the end of December 2019. The intervention includes several tools (multiprofessional team for rehabilitation, social support, medical care home visits and telephone support). Primary outcome measures are healthcare cost, number of hospital care episodes, hospital care days and mortality. Secondary outcome measures are number of outpatient visits, cost of social care and informal care, number of prescribed drugs, health-related quality of life, cost-effectiveness, sense of security, functional status and ability. We also study the care of elderly persons in a broader sense, by covering the perspectives of the patients, the professional staff and the management, and on a political level, by using semistructured interviews, qualitative methods and a questionnaire.

    Ethics and dissemination Approved by the regional ethical review board in Linköping (Dnr 2016/347-31). The results will be presented in scientific journals and scientific meetings during 2019–2022 and are planned to be used for the development of future care models.

  • 16.
    Nilsson, Elin
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    What is yet to come?: Couples living with dementia orienting themselves towards an uncertain future2019Inngår i: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 18, nr 3, s. 475-492Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Dementia is a chronic illness that not only has substantial effects on the life as well as future for the individuals diagnosed, but also affects those with whom these individuals have relationships. This has implications that need to be addressed by professional practice, not least since social work research has shown that the support available for couples managing dementia is insufficient. There are few studies today of how couples jointly talk about their future with dementia and how they adapt to it as a couple and as individuals. Therefore, this article explores how couples in which one of the spouses has a diagnosis of dementia jointly talk about an uncertain future with dementia. The study benefits from using the conversation analytic method when studying video-recorded interactions among 15 couples living with dementia. The results show that either or both spouses can actively request knowledge about the progression of dementia, but at the same time, the spouses without dementia express awareness of the uncertainty that is connected to a future with dementia. Moreover, either or both spouses may also express contentment with “not knowing.” In all examples, one or several of the participants alternate between taking epistemic stances of knowing and unknowing as well as ascribing stances to others, and spouses can display similar or oppositional stances. The findings suggest a need for developing communicative practice for couples to jointly talk about dementia, as well as a need for social workers to find ways of providing emotional support.

  • 17.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Filosofiska fakulteten.
    Applying for home care: old people’s perspectives of assessments2003Konferansepaper (Annet vitenskapelig)
  • 18.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Filosofiska fakulteten.
    Assessments for home care as practices of everyday life2006Konferansepaper (Annet vitenskapelig)
  • 19.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Filosofiska fakulteten.
    Categorizing older peoples needs for home care. Discursive patterns in case files.2008Konferansepaper (Annet vitenskapelig)
  • 20.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Filosofiska fakulteten.
    Challenges in Using Discourse Analysis When Studying Old Persons’ Self-Presentations in Institutional Interaction2005Konferansepaper (Annet vitenskapelig)
  • 21.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Contradictions of care. How welfare political conflicts in care management can be viewed through positioning theory2010Inngår i: Words of conflict, Words of war. How the Language we Use in Political Processes Sparks Fighting / [ed] Fathali Moghaddam, Rom Harré, New York: Praeger , 2010, 1, s. 69-88Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    Words of Conflict, Words of War: How the Language We Use in Political Processes Sparks Fighting is a fascinating exploration of the narratives leaders use to position both themselves and others in the course of political processes that lead to peace or conflict. Drawing on the relatively new field of "positioning theory," expert essays provide insights into the ways words position us—for better or worse—and influence our intended results. The focus on narratives, from the interpersonal to the international, leads to a better understanding of political processes and conflict resolution.

    Part one of the study deals with micropolitics and personal positioning. Part two explores positioning by political parties and factions. Links between micro and macro are illustrated by leadership studies of individuals such as President Barak Obama, President Mahmoud Ahmadinejad, President George W. Bush, Governor Sarah Palin, and the Reverend Ian Paisley. The focus throughout is on how a leader can use language to redirect collective politics in support of conflict or of peace.

  • 22.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Creating home care recipients. Using categorization as a tool in home care case management2012Inngår i: Perspectives on care at home for older people / [ed] Christine Ceci, Kristin Björnsdóttir, and Mary Ellen Purkis, New York: Routledge , 2012, s. 158-171Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

       "This volume focuses on how high quality care is provided and the practices and policies that support this. It will offer case studies (both policy- and practice-oriented empirical studies) from countries that share a basic orientation to social welfare: Canada, Denmark, Finland, Iceland, Sweden and the United Kingdom. This book will be essential reading for students, practitioners and researchers who wish to understand diverse problems in service provision for the elderly and the complexities of policy responses in different health and social care contexts"--

  • 23.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Creating images of old people as home-care receivers: Categorizing  needs in social work case files2010Inngår i: Qualitative Social Work, ISSN 1473-3250, E-ISSN 1741-3117, Vol. 0, nr 0, s. 1-19Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Central to the assessment process in case management is howolder people’s needs are constructed through documentationand case files. This article examines how older people’s needsare categorized in written documentation. Sixteen case filesfrom three social work districts in Sweden were studied usingdiscourse analysis. The results identified two general types ofcase files; the fact-oriented (using objective language) andevent-oriented case file (using more personal language) –which depicted the older individuals quite differently. Allcase files employed several need categories; though socialneeds were important in describing living conditions, it wasmedical and physical needs that impinged on home care decisions.This raises questions about how case documentationdepicts older people through society’s eyes and about thediscourses prevailing in gerontological social work.

  • 24.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Creating images of older people as home-care receivers: Categorizing needs in social work case files2010Inngår i: Qualitative Social Work, Vol. 9, nr 4, s. 500-518Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Central to the assessment process in case management is how older people’s needs are constructed through documentation and case files. This article examines how older people’s needs are categorized in written documentation. Sixteen case files from three social work districts in Sweden were studied using discourse analysis. The results identified two general types of case files; the fact-oriented (using objective language) and eventoriented case file (using more personal language) – which depicted the older individuals quite differently. All case files employed several need categories; though social needs were important in describing living conditions, it was medical and physical needs that impinged on home care decisions. This raises questions about how case documentation depicts older people through society’s eyes and about the discourses prevailing in gerontological social work.

  • 25.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Everyday life research – a literary survey2009Konferansepaper (Annet vitenskapelig)
  • 26.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Negotiating needs: Processing older persons as home care recipients in gerontological social work practices2009Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The study concerns the needs assessment processes that older persons undergo to gain access to home care. The participation of older persons, their relatives and municipal care managers was studied from a communicative perspective. The assessment meetings functions as formal problem-solving events. The older persons´ accounts are negotiated discursively in interaction. Various storylines are used by the older persons and their relatives whether they view home care as an intrusion, as a complement or as a right. In case of divergent opinions the older person has the final say as prescribed by the Swedish social service act. One conclusion is that the role of relatives is not defined and a family perspective is not present. In the study the institutional structure of the assessment process was also analyzed. Older persons are processed into clients; their needs are fitted within the framework of documentation and institutional categories. In the transfer of talk to text all the particulars are not reflected and two types of documentation was identified; a fact-oriented objective language or an event-oriented personal language. Care management models and a managerialist thinking has influenced the assessment process by bureaucratisation of older people trough people processing, which is in contradiction to the individual-centric perspective prescribed by the law. The introduction of care management models in gerontological social work has lead to an embedded contradiction and constitutes a welfare political dilemma. Improved communicative methods are needed in order to achieve a holistic assessment situation.

    Delarbeid
    1. Assessment for home care: Negotiating solutions for individual needs
    Åpne denne publikasjonen i ny fane eller vindu >>Assessment for home care: Negotiating solutions for individual needs
    2006 (engelsk)Inngår i: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 20, nr 4, s. 367-380 Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This article explores care management as an activity that regulates the distribution of society's resources for home care. It focuses on interaction in assessment meetings, which are part of the planning of services and care for old people in Sweden. The aim was to acquire an understanding of how old people, as applicants, account for their needs for care, and how these accounts are negotiated and positioned in talk. Twenty home care assessments were audio-taped and the data were analyzed using discursive analysis. It was found that the assessment meetings had an institutional structure within, which old people, as applicants and with individual needs for care, were assessed within fixed institutional categories. Furthermore, analysis showed how interaction during assessment meetings functioned as formal problem-solving, in which applicants' accounts of their health issues were negotiated, contributing to the construction of their identity as home care receivers.

    sted, utgiver, år, opplag, sider
    Elsevier, 2006
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-15964 (URN)10.1016/j.jaging.2005.11.004 (DOI)
    Tilgjengelig fra: 2008-12-18 Laget: 2008-12-18 Sist oppdatert: 2017-12-14
    2. Home care as a family matter?: Discursive positioning, storylines and decision-making in assessment talk
    Åpne denne publikasjonen i ny fane eller vindu >>Home care as a family matter?: Discursive positioning, storylines and decision-making in assessment talk
    2008 (engelsk)Inngår i: Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, ISSN 1612-1783, E-ISSN 1613-3625, Vol. 5, nr 2Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Home care arrangements for older people are coordinated via a client-centred assessment process. This article describes how storylines and discursive positioning are used among older people and their relatives when divergent opinions of care needs are expressed. Eleven assessment interviews were studied using discourse analysis. The results show that relatives and older people advanced three major storylines, and positioned themselves within them with respect to the need for help. These storylines were based on whether the persons viewed home care as an intrusion into daily routines and relationships or as a complement and support in everyday life, or as a right. The content of the storylines and the ways in which positions were shaped within them illustrate how positioning is incorporated as part of the ongoing reflexive process in interaction in which participants form an image of the older person's needs. Assessments clarify the views of the participants on home care, but they also reflect the discourses that are prevalent in the aged care community and in society in general. The article raises questions about strengthening older people’s participation in the decision making process and also whether a new communicative practice is needed for assessments, i.e., one that proceeds on the basis of a broader family perspective.

    Emneord
    Assessment interviews, aged care, storylines, positioning, discourse analysis, decision making
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-15965 (URN)
    Tilgjengelig fra: 2008-12-18 Laget: 2008-12-18 Sist oppdatert: 2017-12-14
    3. Creating images of older people as home-care receivers: Categorizing needs in social work case files
    Åpne denne publikasjonen i ny fane eller vindu >>Creating images of older people as home-care receivers: Categorizing needs in social work case files
    2010 (engelsk)Inngår i: Qualitative Social Work, Vol. 9, nr 4, s. 500-518Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Central to the assessment process in case management is how older people’s needs are constructed through documentation and case files. This article examines how older people’s needs are categorized in written documentation. Sixteen case files from three social work districts in Sweden were studied using discourse analysis. The results identified two general types of case files; the fact-oriented (using objective language) and eventoriented case file (using more personal language) – which depicted the older individuals quite differently. All case files employed several need categories; though social needs were important in describing living conditions, it was medical and physical needs that impinged on home care decisions. This raises questions about how case documentation depicts older people through society’s eyes and about the discourses prevailing in gerontological social work.

    sted, utgiver, år, opplag, sider
    Sage Publications, 2010
    Emneord
    Case files; documentation; categorization; case management; discourse analysis; gerontological social work
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-15966 (URN)10.1177/1473325010367820 (DOI)
    Tilgjengelig fra: 2008-12-18 Laget: 2008-12-18 Sist oppdatert: 2015-01-19bibliografisk kontrollert
    4. Requests and outcomes in care management: Processing older persons as clients in old age care
    Åpne denne publikasjonen i ny fane eller vindu >>Requests and outcomes in care management: Processing older persons as clients in old age care
    (engelsk)Manuskript (Annet vitenskapelig)
    Abstract [en]

    Old age care has undergone a marketisation in recent years in which various models for care management have been introduced with the aim of making assessments efficient. This article investigates the effects the care management model has on resource allocation for home care when handling the requests of older persons in the needs assessment process. Sixteen tape-recorded assessment conversations with associated case-file texts were analysed through discourse analysis. The results show that managerialist thinking has had a partial impact on the assessment process where the documentation requirements have entailed bureaucratisation in terms of the transfer that occurs from talk to text. The findings from the study nevertheless indicate that the assessment conversations have clear elements of an individual-centred perspective in which there is room for a care rational dialogue. This constitutes a welfare policy dilemma today. Providing for older people’s requests should be on the basis of quality and an individual-centred perspective and care management has had a contrary effect in which focus is directed instead towards needs assessment and bureaucratic processes.

    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-15967 (URN)
    Tilgjengelig fra: 2008-12-18 Laget: 2008-12-18 Sist oppdatert: 2015-01-19
  • 27.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    När privata berrättelser blir offentliga. Etiska problem i foskning om handläggningssamtal i äldreomsorgen.2006Inngår i: Etik och forskningens vardag: Etisk reflektion och etik som reflexivitet i humaniora och samhällsvetenskap. / [ed] Anna- Liisa Närvänen, Elisabet Näsman, Linköping University , 2006, s. 21-42Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Antologin tar upp en rad forskningsetiska frågor i forskningens vardag inom främst humanistisk-samhällsvetenskaplig forskning. Fokus ligger främst på frågor som kan väckas vid kvalitativ fältforskning. Aktuella forskningsetiska principer presenteras och boken lyfter fram etisk medvetenhet samt reflexivitet som en viktig del i forskningsprocessen

  • 28.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Processing older persons as clients in elderly care: A study of the micro-processes of care management practice2017Inngår i: Social work in health care, ISSN 0098-1389, E-ISSN 1541-034X, Vol. 56, nr 2, s. 78-98Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Elder care has undergone a marketization in recent years in which various models for care management have been introduced with the aim of making assessments efficient. This article investigates the effects the care management model has on resource allocation for home care when handling the requests of older persons in the needs assessment process. Sixteen tape-recorded assessment conversations with associated case-file texts were analyzed through discourse analysis. The results show that a managerialist thinking has had a partial impact on the assessment process where the documentation requirements have entailed bureaucratization in terms of the transfer that occurs from talk to text. The findings from the study nevertheless indicate that the assessment conversations have clear elements of an individual-centred perspective in which there is room for a care rational dialogue. This constitutes a welfare policy dilemma today. Providing for older people’s requests should be on the basis of quality and an individual-centred perspective and care management has had a contrary effect in which focus is directed instead towards needs assessment and bureaucratic processes.

  • 29.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Requests and outcomes in care management: Processing older persons as clients in old age careManuskript (Annet vitenskapelig)
    Abstract [en]

    Old age care has undergone a marketisation in recent years in which various models for care management have been introduced with the aim of making assessments efficient. This article investigates the effects the care management model has on resource allocation for home care when handling the requests of older persons in the needs assessment process. Sixteen tape-recorded assessment conversations with associated case-file texts were analysed through discourse analysis. The results show that managerialist thinking has had a partial impact on the assessment process where the documentation requirements have entailed bureaucratisation in terms of the transfer that occurs from talk to text. The findings from the study nevertheless indicate that the assessment conversations have clear elements of an individual-centred perspective in which there is room for a care rational dialogue. This constitutes a welfare policy dilemma today. Providing for older people’s requests should be on the basis of quality and an individual-centred perspective and care management has had a contrary effect in which focus is directed instead towards needs assessment and bureaucratic processes.

  • 30.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Requests in care management. Processing older persons as clients in elderly care2012Konferansepaper (Annet vitenskapelig)
  • 31.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Research on communication between professionals and older people2002Konferansepaper (Annet vitenskapelig)
  • 32.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Cedersund, Elisabet
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Assessment for home care: Negotiating solutions for individual needs2006Inngår i: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 20, nr 4, s. 367-380 Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article explores care management as an activity that regulates the distribution of society's resources for home care. It focuses on interaction in assessment meetings, which are part of the planning of services and care for old people in Sweden. The aim was to acquire an understanding of how old people, as applicants, account for their needs for care, and how these accounts are negotiated and positioned in talk. Twenty home care assessments were audio-taped and the data were analyzed using discursive analysis. It was found that the assessment meetings had an institutional structure within, which old people, as applicants and with individual needs for care, were assessed within fixed institutional categories. Furthermore, analysis showed how interaction during assessment meetings functioned as formal problem-solving, in which applicants' accounts of their health issues were negotiated, contributing to the construction of their identity as home care receivers.

  • 33.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Cedersund, Elisabet
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Äldre - vård - civilsamhälle (ÄVC).
    Home care as a family matter?: Discursive positioning, storylines and decision-making in assessment talk2008Inngår i: Communication & Medicine: An Interdisciplinary Journal of Healthcare, Ethics and Society, ISSN 1612-1783, E-ISSN 1613-3625, Vol. 5, nr 2Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Home care arrangements for older people are coordinated via a client-centred assessment process. This article describes how storylines and discursive positioning are used among older people and their relatives when divergent opinions of care needs are expressed. Eleven assessment interviews were studied using discourse analysis. The results show that relatives and older people advanced three major storylines, and positioned themselves within them with respect to the need for help. These storylines were based on whether the persons viewed home care as an intrusion into daily routines and relationships or as a complement and support in everyday life, or as a right. The content of the storylines and the ways in which positions were shaped within them illustrate how positioning is incorporated as part of the ongoing reflexive process in interaction in which participants form an image of the older person's needs. Assessments clarify the views of the participants on home care, but they also reflect the discourses that are prevalent in the aged care community and in society in general. The article raises questions about strengthening older people’s participation in the decision making process and also whether a new communicative practice is needed for assessments, i.e., one that proceeds on the basis of a broader family perspective.

  • 34.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Samhälle, mångfald, Identitet (SMI). Linköpings universitet, Filosofiska fakulteten.
    Cedersund, Elisabet
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Äldre - vård - civilsamhälle (ÄVC). Linköpings universitet, Filosofiska fakulteten.
    Kommunikation i livet på äldre dagar: Om användningen av samtalsanalys i forskning om äldreomsorgens vardag2009Inngår i: Åldrande, åldersordning, ålderism / [ed] Håkan Jönson, Linköping: Linköping University Electronic Press , 2009, 1, s. 176-190Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Kapitlet inleds med en beskrivning av det forskningsprogram med rubriken Kommunikation i äldre människors livsmiljö, som bedrivits vid Tema Äldre och åldrande/NISAL sedan starten år 2000. Därefter ges ett exempel från vår forskning om behovsbedömning i äldreomsorgen där samtalsanalys är den metodologiska ansats som används. Vi visar här hur denna typ av forskning kan användas som verktyg för att studera situationer där samtalens deltagare – de äldre själva, deras närstående och handläggarna – har delvis olika åsikter om de äldre personernas hjälpbehov. Kapitlet avslutas med några tankar om vad samtalsanalytisk forskning kan bidra med för typ av kunskap och vad sådana studier i sin tur kan få för konsekvenser för utformningen av äldreomsorgen.

  • 35.
    Olaison, Anna
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Nilsson, Elin
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Communicative practices of Swedish couples living with dementia: Becoming oriented toward an uncertain future2018Inngår i: Innovation in Aging, ISSN 2399-5300, Vol. 2, nr S1, s. 843-844Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Dementia affects both the present and future of individuals receiving the diagnosis, and of the individuals with whom they have relationships. However, little is known about how couples jointly talk about their future with dementia, and how they adapt to it as a couple and as individuals. Based on conversational analysis of video-recorded interactions among 15 couples living with dementia in Sweden, study findings show that either or both spouses can actively request knowledge about the progress of dementia, but that spouses without dementia express more uncertainty about the future. Further, either or both spouses alternate between epistemic stances of knowing and unknowing, ascribe these stances to one another, and display similar or oppositional stances. The findings suggest a need for developing communicative practices for couples to jointly talk about dementia, and findings ways for practitioners to provide emotional support to these couples.

     

  • 36.
    Olaison, Anna
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Nilsson, Elin
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Couples living with dementia orienting themselves towards an uncertain future: adopting a couplehood-lens on interaction2019Konferansepaper (Fagfellevurdert)
  • 37.
    Olaison, Anna
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Taghizadeh Larsson, Annika
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier. Linköpings universitet, Filosofiska fakulteten.
    Österholm, Johannes
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för arbetsterapi. Linköpings universitet, Medicinska fakulteten.
    Case conferences as an arena for assessments- arguments used by social workers in order to maintain social problems.2017Konferansepaper (Fagfellevurdert)
  • 38.
    Olaison, Anna
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Tagizadeh Larsson, Annika
    Österholm, Johannes
    Case conferences as informal backstage meetings - studying priorities used by social workers in assessment conversations2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    There are few studies in social work with older people today that cast light on how case conferences function as assessments. The focus of this presentation is one case that is considered as difficult as it falls between the cracks amongst two legislations (regarding services in elderly care and disability services). The data consist of recordings of two informal backstage meetings amongst social workers in one Swedish social work agency. The case conferences was analyzed using discourse analysis. Case conferences officially have an informal advisory stated function. However, the study demonstrates that the talk in the case conferences is rich in arguments about priorities and how to dismiss solutions with different dimensions of assessment making depending on which legislation the social workers rely on. The arguments used in case conferences to dismiss different solutions are related to (i) Cultural arguments including relatives' involvement in care, language reasons- and integration (ii) Organizational and legal arguments including organization's resources and economic arguments. (iii) Specific arguments related to the client or a group with the same diagnosis. The results show that case conference regarding elderly care services, relies more on cultural arguments, as these assessments are based on the Social Service Act which are a framework legislation which opens up for more interpretations by the social workers. The case conference regarding disability services are based more on legal and organizational arguments as it relies on the  ‘Act Concerning Support and Services to Persons with Certain Functional Impairments’ which is a civil rights legislations which gives clearer directives for the social workers. By making case conferences visible as everyday assessment practices, the findings suggests  that there is a de-clientificating process in practice  which is directed by categorization were cultural, organizational as well as legislative arguments are at play. As a result, there is no attempt to treat or change the individual’s social problems.

  • 39.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen Uppsala universitet.
    Forssell, Emilia
    Ersta sköndal högskola.
    Care managers understandings of gender and ethnic otherness in needs assessments with elderly migrant clients2012Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Background and purpose: This project departs from the research gaps that exist in the debate on institutional categorization as far as the implications of gender and ethnic ‘otherness’ are concerned. There is also a gap in the manner in which such understandings affect the political economy of care that this project aims to address. The project focuses on need assessment practice within the context of Swedish elderly care and aims to explore if and how understandings of cross-cultural care interaction, ethnic ‘Otherness’ and gender affect the manners in which need assessment processes legitimize and restrict access to certain elderly care services. This presentation is based on an ongoing study focusing on the understandings that care managers of elderly care uphold in order to legitimize the services that they make available to elderly care applicants. Data for the study were collected through focus groups interviews with care managers.

    Results: The findings from the study suggests that care managers understandings of ethnic 'Otherness' do affect the need assessment process and that alternative elderly care services are being designed as a result of it which differentiate between older people with migrant backgrounds and those who belong to the ethnic majority population. As such, a differentiation is being made between migrant elders and Swedish elders in a manner that resembles the 'us' and 'them' dynamics that characterize power un-awared ethnic relations. The presentation will address how the understandings of the care managers in question are constructed.

    Conclusion and implications: The presentation will contribute to the debate on institutional categorization in social work and how lack of an awareness of implications on ethnic otherness influence power differentials and the manner in which welfare services are distributed.

    Key words: Needs assessment, elderly care, gender, ethnic otherness, migrant clients

     

  • 40.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Forssell, Emilia
    Ersta Sköndahl University College, Stockholm, Sweden.
    Categorization in documentation practices: the role that gender and background can play in the clientization of older people within social work case files.2016Konferansepaper (Annet vitenskapelig)
  • 41.
    Olaison, Anna
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Torres, Sandra
    Forssell, Emilia
    Decision making in social work case files: the role that background, gender and age can play in the clientization of older people2019Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This presentation departs from the ongoing debate on the role that documentation plays in the decision making processes of older people’s needs within social work. It is based on a study of documentation within need assessment practice in Swedish elderly care. The aim is to shed light on whether foreign-born background or native-born background, gender and age have any relevance to the ways in which older people’s needs are described  in the case files that are used in this practice.  The data – which has been analyzed using quantitative content analysis and multiple regression analysis - is comprised of case files (n=202) containing investigations (n=488) into requests for welfare services. The results of the analysis show that, women were granted home care (including practical services) more often than men. Foreign-born older people were granted home care grants to a greater extent than Swedish-born older people. Regarding the parts where judgments and decisions are made, there are differences in terms of how decisions are justified and presented in the case files: foreign-born older people’s assistance needs are more often connected to motivations about the additional workload that their relatives perform. The results partially support the critical debate about how clients are constructed through decision making processes in social work documentation. The study also adds new knowledge to this discussion by showing that categories such as gender and having a foreign-born background and to some extent also age makes a difference in relation to which services are being granted and to the way in which needs get documented. As such, the presentation will contribute to the debate on the challenges that a social justice and human rights- informed practice poses for documentation practices in social work and raises questions about the manner in which decision making processes are conducted

  • 42.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Dept. of Sociology, Uppsala University, Uppsala, Sweden,.
    Forssell, Emilia
    Dept. of Social Science, Ersta Sköndal University College, Stockholm, Sweden.
    Documentation in need assessment practice: the role that foreign-born background, gender and age can play in the clientization of older people in social work case files2016Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Aim: To explore whether foreign-born background and gender have any relevance to the ways in which older people’s needs are described in case files used in need assessment practice within Swedish elderly care.

    Methods:  The data – which has been analyzed using quantitative and qualitative content analysis - is comprised of case files (n=202) containing investigations (n=488) into requests for welfare services.

    Findings: The analysis suggests that the backgrounds in question have relevance for the documentation of needs in case files. Differences between how the needs of Swedish-born and foreign-born older people are described in these case files can be discerned.

    Conclusion: The findings raise questions about the implications that different backgrounds can have in case documentation and the ways in which this may impact resource allocation within elderly care. As such, these findings problematize the role that background can have for constructions of ‘clienthood’ in need assessment practice.

     

  • 43.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen, Uppsala universitet.
    Forssell, Emilia
    Ersta Sköndal Högskola, Stockholm.
    Documentation in need assessment within elderly care: does migrant background have any impact on how older people are described in case files?.2013Konferansepaper (Annet vitenskapelig)
  • 44.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Forssell, Emilia
    Documentation practices in need assessment: an analysis of descriptions of older people in social work case files2015Konferansepaper (Fagfellevurdert)
    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.

  • 45.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen, Uppsala universitet.
    Forssell, Emilia
    Ersta Sköndal Högskola.
    Documentation practices in need assessment: the role that institutional categorization plays in the clientization of older migrants2014Inngår i: Paper presented at the Invited Symposium titled 'Institutional categorization in elderly care', 2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This presentation departs from the ongoing debate on the role that institutional categorization plays in the clientization of people within social work and the need for documentation studies about welfare services.  It is based on a study of need assessment practice within the context of Swedish elderly care. The data is comprised of focus groups interviews with 60 care managers and 202 case files (101 described cases with older people that have migrant backgrounds and 101 with people born in Sweden). This presentation aims to shed light on how care managers experience documentation and how older people’s needs are described in the case files that are used in needs assessment practice. It will address the challenges that care managers describe regarding the documentation process and the differences found: in case files involving older people with migrant backgrounds in comparison to those involving older people born in Sweden. The former were described in a more comprehensive way as far as health status and social networks are concerned. The results suggest that documentation in need assessment practice builds on categorization that is guided by assumptions about who migrants are and what their needs may be. As such, the presentation will contribute to the debate on institutional categorization and raises questions about how ethnic ‘Otherness’ influences case documentation.

     

  • 46.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen, Uppsala universitet, Uppsala, Sweden.
    Forssell, Emilia
    Institutionen för socialvetenskap, Ersta Sköndal Bräcke högskola, Stockholm, Sweden.
    Dokumentationens roll i biståndshandläggning: Hur blir äldre som är i behov av hjälp och stöd klienter i den offentliga äldreomsorgen.2018Konferansepaper (Annet vitenskapelig)
  • 47.
    Olaison, Anna
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete.
    Torres, Sandra
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Forssell, Emilia
    Linköpings universitet, Institutionen för tema. Linköpings universitet, Filosofiska fakulteten.
    Needs asessment practice within elder care: does length of work experience make a difference in how care managers percieve professional discretion?2018Konferansepaper (Fagfellevurdert)
  • 48.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Sociologiska institutionen, Uppsala University, Uppsala, Sweden.
    Forssell, Emilia
    Linköpings universitet, Institutionen för tema. Linköpings universitet, Filosofiska fakulteten.
    Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest2019Inngår i: Professional Judgement and Decision Making in Social Work: Current Issues / [ed] Brian Taylor and Andrew Whittaker, London: Routledge, 2019, s. 48-62Kapittel i bok, del av antologi (Fagfellevurdert)
    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.

  • 49.
    Olaison, Anna
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Torres, Sandra
    Department of Sociology, Uppsala University, Uppsala, Sweden.
    Forssell, Emilia
    Department of Social Science, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Professional discretion and length of workexperience: what findings from focus groups withcare managers in elder care suggest2018Inngår i: Journal of Social Work Practice, ISSN 0265-0533, E-ISSN 1465-3885, Vol. 32, nr 2, s. 153-167Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 50.
    Samuelsson, Christina
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Hjalmarsson Österholm, Johannes
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande. Linköpings universitet, Filosofiska fakulteten.
    Olaison, Anna
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Socialt arbete. Linköpings universitet, Filosofiska fakulteten.
    Orally Positioning Older People in Assessment Meetings2015Inngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 41, nr 11, s. 767-785Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    It has been demonstrated that persons with dementia may be positioned as less competent than participants of the same age without dementia, and that persons with dementia possibly also are positioned as less competent than other older persons without dementia. In the present study, we aim to explore this further by analysing Swedish assessment meetings, in which needs and preferences are investigated for older persons without dementia. The material consists five audio-recorded assessment meetings, where there were at least two conversational partners present (a spouse and/or a child) and where the older person applying for social services was not diagnosed with dementia. The ages of the older persons ranged from 81 to 88, while the age of the relatives ranged from 46 to 93. The results of the present study demonstrate that older persons without dementia mainly are positioned as competent. However, it may be related to the degree of frailty, since the frailest person in the present study appears to be positioned as less competent than the other participants. The present paper adds to existing knowledge on how professionals in assessment meetings contribute to the positioning of older persons as competent and capable of making decisions. The results of the present article may be useful to promote development of education and training of communication skills for care mangers in assessments in order to further ensure that older persons with and without cognitive impairments can be actively involved in the creation and interpretation of their applications for social services.

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