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  • 1.
    Engh, Lisbet
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Svensson, Birgitta
    Örebro universitet.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Icahn School of Medicine at Mount Sinai, USA.
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Swedish population-based study of pupils showed that foster children faced increased risks for ill health, negative lifestyles and school failure.2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 10, p. 1635-1641Article in journal (Refereed)
    Abstract [en]

    AIM: This population-based study explored whether foster children faced a higher risk of health problems than children of the same age who were not in foster care.

    METHODS: Data for 13 739 pupils aged 10, 13 and 16 years were obtained from the Pupil Health Database in the county of Värmland, Sweden, for the school years 2012/2013 and 2013/2014. These included data on school performance, health, lifestyle and social relationships, based on children's interviews with school nurses.

    RESULTS: Of all the pupils, 171 (1.2%) were in foster care. Children in foster care were generally unhealthier than other children. Both girls and boys were at higher risk of chronic health problems, daily smoking, use of drugs and school failure. When the girls in foster care were compared to other girls, we found that they faced a higher risk of psychological and psychosomatic symptoms. This difference was not found for boys. Foster children were also more likely to express a more negative view on life.

    CONCLUSION: We confirmed earlier studies that children in foster care tended to have inferior health and well-being than other children. These findings emphasise that health, risky behaviour and school performance should be considered together when assessing foster children.

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  • 2.
    Greve, Rakel Aasheim
    et al.
    Western Norway University of Applied Sciences, Norway.
    Persdotter, Birgitta
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Christiansen, Øivin
    NORCE Norwegian Research Centre, Norway..
    Jørgensen, Tone
    Western Norway University of Applied Sciences, Norway.
    The Importance of Information Processing in Child Protection Cases-A Study of Social Workers' Integration of Other Professionals' Knowledge2023In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263XArticle in journal (Refereed)
    Abstract [en]

    The processes used by social workers to collect, interpret and use stakeholder information in child protection cases are an unexplored but essential part of the decision-making process. This study focuses on social workers' efforts to integrate the knowledge of other professionals. This article draws on a framework for managing knowledge across organisational boundaries and a process-oriented conceptualisation of knowledge integration. The analysis of ten interviews with social workers shows that the process of knowledge integration affects the basis of social workers' decision making. We argue that knowledge possessed by other professionals is often viewed as easily transferrable and correctly received, when in fact this knowledge is often complex and subjective and requires extra effort to obtain, understand and integrate into case-specific situations. This implies a need to recognise information processing as an influencing factor in decision making within child protection that pertains to both practice and research. Our study is based on ten in-depth interviews with child protection social workers. We focus on the significance of the process of collecting and interpreting information from other professionals (boundary work), information which contributes to the social workers' assessments and decision making. We found that despite the efforts made by the social workers to obtain and understand knowledge from other professionals, this knowledge transfer had limitations. These limitations can weaken the foundation upon which decisions in child protection services are made. We suggest that: (i) child protection services pay more attention to the boundary work; at the organisational level by facilitating collaboration between organisations and at the individual level by enhancing the social workers' interpersonal collaborations skills and (ii) child protection research should include boundary work as an influencing factor on the decision-making process.

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  • 3.
    Grim, Katarina
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Persdotter, Birgitta
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Skillnader som kan innebära risk för diskriminering?: En kvalitativ studie om faktorer som påverkar socialsekreterares bedömningar och beslut inom sociala barn- och ungdomsvården.2021Report (Other academic)
  • 4.
    Janson, Staffan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Långberg, Bodil
    Svensson, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    A 30-year ban on physical punishment of children2009In: Global pathways to abolishing physical punishment: Realizing children's right, Routledge, 2009, p. 241-255Chapter in book (Other (popular science, discussion, etc.))
  • 5.
    Janson, Staffan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Långberg, Bodil
    Svensson, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Våld mot barn - en nationell kartläggning2007Report (Other academic)
  • 6.
    Janson, Staffan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Svensson, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Funktionsnedsättning och utsatthet2012In: Barn med funktionsnedsättning, Lund: Studentlitteratur AB, 2012, 1, p. 75-84Chapter in book (Other academic)
  • 7.
    Janson, Staffan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Svensson, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Långberg, Bodil
    Stiftelsen Allmänna Barnhuset .
    Sweden: A 30-Year Ban on Physical Punishment of Children2011In: Global Pathways to Abolishing Physical Punishment: Realizing Children's Rights / [ed] J. E. Durrant, A. B. Smith, New York: Routledge, 2011, 1, p. 241-255Chapter in book (Refereed)
  • 8.
    Jernbro, Carolina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Svensson, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Tindberg, Y
    Uppsala universitet.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Multiple psychosomatic symptoms can indicate child physical abuse: results from a study of Swedish schoolchildren2012In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 101, no 3, p. 324-9Article in journal (Refereed)
    Abstract [en]

    AIM:

    To examine whether children with self-reported experiences of either physical abuse alone or combined with intimate partner violence report more psychosomatic symptoms than other children and to explore whether these possible associations are enhanced by school-related factors, chronic condition and demographic factors.

    METHODS:

    A national cross-sectional study of 2771 pupils in grades 4, 6 and 9 from 44 schools in Sweden was carried out in 2006 (91% response rate). Data were analysed with univariate tests (chi-square), multiple logistic regression analyses and stratified logistic regression analyses, expressed as crude odds ratio (OR) and adjusted odds ratio (AOR) with 95% confidence intervals.

    RESULTS:

    There was a strong association between reported physical abuse and multiple (three or more) psychosomatic symptoms among schoolchildren (AOR 2.12). Chronic condition was the only determinant that had an obvious enhancing effect on the association between physical abuse and psychosomatic symptoms in childhood.

    CONCLUSION:

    This study shows that multiple psychosomatic symptoms are associated with child physical abuse. Health professionals therefore need to pay special attention to schoolchildren who complain about the co-occurrence of psychosomatic symptoms and pattern of symptoms, which could not be easily explained by other causes.

  • 9.
    Kalin, Torbjörn
    et al.
    Jönköping University.
    Ahlgren, Thorbjörn
    Jönköping University.
    Persdotter, Birgitta
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Gender disparities in child welfare services' assessments of referrals. Findings from Sweden2022In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 134, p. 1-10, article id 105918Article in journal (Refereed)
    Abstract [en]

    Background: Many children referred to the child welfare services are not screened in for further investigation. Factors related to intake decisions have been found on several levels. Many studies, however, lack information about the children's own experiences of child maltreatment and/or behavioral problems. Objective: To examine case factors relating to decision to investigate referrals to the child welfare services in Sweden. Participants and setting: Data are used from a prospective longitudinal multisource program (LoRDYA) in Sweden studying two cohorts of adolescent children in four municipalities (n = 1884). Methods: By linking annual self-rating data with registry data from the child welfare services, data are analyzed through latent-class analysis and Poisson regression. Results: Most children who are self-rated severely exposed to maltreatment and/or behavioral problems are never investigated by the child welfare services (74.2 %). Referrals concerning girls are more likely to be investigated than referrals concerning boys (crudeAME = 0.09 p = ***). For girls, prior referrals (adjAME = 0.16, p = ***), household poverty (adjAME = 0.09, p = *) and any form of self-rated severe exposure to maltreatment and/or behavioral problems (adjAME = 0.14, p = ***) increased the chance of a decision to investigate. For boys, prior referrals (adjAME = 0.24, p = ***) increased the chance of a decision to investigate, while achieved age (adjAME = −0.03, p = *), and being referred on suspicions of neglect and behavioral problems (adjAME = −0.15, p = **) decreased the chance of a decision to investigate. Conclusions: Child welfare services assess referrals on boys and girls differently, which may explain why boys have in crude numbers a decreased chance of decisions to investigate.

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  • 10.
    Kalin, Torbjörn
    et al.
    Jönköping University .
    Persdotter, Birgitta
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Ahlgren, Thorbjörn
    Jönköping University .
    Gerdner, Arne
    Jönköping University.
    How do child welfare referrals in Sweden match children's self-reporting of severe exposure?2022In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206, Vol. 27, no 2, p. 100-111Article in journal (Refereed)
    Abstract [en]

    Child welfare services (CWS) rely on referrals from professionals and civilians to address maltreatment and behavioural problems. To our knowledge, no prior study explored to what extent children who self-reported severe exposure to maltreatment or behavioural problems are referred to the CWS. This study is based on two data sets on a Swedish community sample of 1884 children: (i) self-reports in four waves during adolescence, including indicators of severe exposure, and (ii) a retrospective systematic review of all children's CWS records at age 18. According to self-reports, 445 matched one or more indicators of severe exposure. In total, 389 children of the total sample were referred, but only 169 of the self-reported severely exposed. Severely exposed children were more likely to be referred than other children, adjusting for several background factors. Children who did not experience severe exposure but lived in single-parent families, teenage parent families, poor families or immigrant families were more likely to be referred to CWS than other children. The findings are discussed from a children's rights perspective and inequity in relation to social work practice. In conclusion, although the referral rates are high, many children who are severely exposed to child maltreatment and behavioural problems remain undetected.

  • 11. Myndigheten för vård- och omsorgsanalys,
    Lika läge för alla? Om omotiverade skillnader inom den sociala barn- och ungdomsvården2018Report (Refereed)
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  • 12. Myndigheten för vård och omsorgsanalys,
    Ljuset på skillnader: En studie om omotiverade skillnader i LSS-verksamhet, äldreomsorg och socialpsykiatri2022Report (Refereed)
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    Ljuset på skillnader
  • 13.
    Persdotter, Birgitta
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Andersson, Madeleine
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), FoU Välfärd Värmland (from 2013).
    SAVE - Support and protection Against Violence, on Equal terms for all children: Ett forsknings- och utvecklingsprojekt om barnavårdsutredningarvid anmälan om misstänkt våldsutsatthet2020Report (Other academic)
    Abstract [sv]

    SAVE är den hittills största longitudinella studie i Sverige om sociala barn- och ungdomsvårdens utredningar efter anmälan om misstänkt våldsutsatthet. Syftet med SAVE är att öka kunskapen om i vilken utsträckning olika typer av våldsproblematik framkommer i barnavårdsutredningar, hur risken för fortsatt våld bedöms, i vilken utsträckning insatser beslutas samt om flickor och pojkar oavsett ålder, ursprung och funktionsnedsättning beviljas insatser på lika villkor.Resultatet i denna delrapport baseras på barnavårdsutredningar om 851 barn som aktualiserats hos socialtjänsten efter anmälan om misstänkt våldsutsatthet. Datainsamlingen har pågått från maj 2019 – april 2020.

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  • 14.
    Persdotter, Birgitta
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Landstedt, Evelina
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Hellfeldt, Karin
    Örebro University, Sweden.
    Detection of children at risk of maltreatment: longitudinal understanding of teachers’ concern for children’s home situation in Sweden2023In: European Early Childhood Education Research Journal, ISSN 1350-293X, E-ISSN 1752-1807Article in journal (Refereed)
    Abstract [en]

    Teachers in preschools and schools have a central role in detecting children at risk of maltreatment. The aim of this study was to provide a longitudinal understanding of teachers’ temporary and prolonged concerns for children's home situations (CCHS), from preschool (age 3–5 years) to year 1–3 of elementary school (age 8–10 years). Teacher- and parent reports from an ongoing prospective longitudinal study was used (baseline n = 2,113; 5-year follow-up n = 1,829). The study applied the bio-ecological systems framework by assessing how teachers’ CCHS were associated with person-, process-, and context-related factors. Both temporary and prolonged CCHS were primarily associated with teachers’ concern for different aspects of the children’s development, poor contact with parents and low parental SES, while school-related factors were less prominent. The longitudinal pattern indicates three risk levels and highlights the importance of the contact between teachers and parents in understanding when CCHS arises, ceases, or persists over time. 

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  • 15. Socialstyrelsen,
    Från enskilt ärende till nationell statistik2015Report (Other (popular science, discussion, etc.))
  • 16.
    Svensson, Birgitta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Barn som riskerar att fara illa i sin hemmiljö: Utmaningar i ett förebyggande perspektiv2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim with this thesis was to increase the knowledge about children at risk of maltreatment and to identify challenges in a preventive perspective. Two areas have been studied; Physical abuse of children with chronic conditions/disabilities and Detection and support within the pre-school environment. 

    Four data sets were used: a national survey of school children (I), an in-depth interview study with parents (II) and two pre-school studies (III, IV).

    I-II: Chronic conditions in children increase the risk for physical abuse, but vary with socio-economic circumstances. The highest risk for physical abuse was found among children with chronic conditions born outside Sweden. The subsequent study revealed direct risk factors related to parent and child (emotional demands in precarious situations), and indirect risk factors related to parent and professional (gradual shift in responsibility and emotionally closed environment) and social norms (taboo on talking about abuse).

    III-IV: Preschool staff suspected child maltreatment for two percent of the preschool children. In less than half of the cases, the parents were informed and a report to social services was made in a third of the cases. The most common reason for not making a report was that the staff believed that the pre-school had sufficient resources to help the child. In the subsequent study, preschool teachers’ concerns about the child’s home environment were explored in a broader perspective over a one year period. The study showed that concern for the children’s home situation related to increased concern for several aspects of children’s health and development, increased need of special support in preschool, insufficient contact with parents, and lower parental socioeconomic status.

    The results are discussed according to identified challenges in a preventive perspective. These include emotional obstacles for prevention and a need for a more nuanced and proactive professional approach to enable early support to children at risk of maltreatment and their parents.

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  • 17.
    Svensson, Birgitta
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Våld mot barn – om nyansering och tidiga insatser2018Conference paper (Other academic)
  • 18.
    Svensson, Birgitta
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Andershed, Henrik
    Univ Orebro, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden..
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    A Survey of Swedish Teachers' Concerns for Preschool Children at Risk of Maltreatment2015In: Early Childhood Education Journal, ISSN 1082-3301, E-ISSN 1573-1707, Vol. 43, no 6, p. 495-503Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate a problem that is related to pre-school teachers' prolonged and temporary concerns for children's home situations and the extent to which these children were in need of special support in pre-school and/or were reported to the CPA. Data were obtained from a Swedish prospective study (the SOFIA-study) including 2,017 pre-school children. In this specific study, data from pre-school teacher and parent questionnaires were analyzed (baseline 2010, follow up 2011). Four groups were compared: no concern (85 %), newly arisen concern (6 %), previous concern (5 %), and prolonged concern (4 %). When pre-school teachers expressed prolonged concerns for the children's home situations they not only expressed lasting multiple concerns for children's health and development but also reported long-term problems in the contact between staff and parents. There was an obvious association between concern for the home situation and assessed need of special support in pre-school (37 % in the prolonged concern group). Reports to the child protection agency were made in a minority of the cases. In conclusion, pre-school teachers' concern for children at risk of maltreatment can be understood from a broad perspective on children's health and development. This study highlights the importance of early assessment of the child's home situation, to ensure that proper support is given.

  • 19.
    Svensson, Birgitta
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Bornehag, Carl-Gustav
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Jansson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Chronic conditions in children increase the risk for physical abuse – but vary with socio-economic circumstances2011In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 100, p. 407-412Article in journal (Refereed)
    Abstract [en]

    Aim: To explore whether children (age 10, 12 and 15 years) with self-reported chronic conditions are at higher risk of physical abuse and⁄or exposure to intimate-partner violence than other children, while considering the importance of demographic factors.

    Methods: A national cross-sectional study of 2771 pupils in grades 4, 6 and 9 from 44 schools in Sweden (91% response rate). Conflict Tactic Scales were used to measure physical abuse and separate questions measured exposure to intimate-partner violence. A list of 13 diagnoses was used to estimate chronic conditions.

    Results: Children with chronic conditions had an increased risk for physical abuse (CPA) only (OR 1.67) as well as in combination with exposure to intimate-partner violence (IPV) (OR 2.54), but not to IPV only, compared to children without chronic conditions. Furthermore, when chronic conditions were combined with country of birth other than Sweden and living in low-income areas, the risk for CPA increased even more, indicating interactive effects.

    Conclusions: A wide range of chronic health conditions in children increased the risk for physical abuse. This indicates that certain factors unite this group of children, irrespective of the type of disability or degree of severity, but where a combination with socio-economic circumstances is of importance.

  • 20.
    Svensson, Birgitta
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Exploring risk for abuse of children with chronic conditions or disabilities: parent’s perceptions of stressors and the role of professionals2013In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 39, no 6, p. 887-893Article in journal (Refereed)
    Abstract [en]

    Background: Children with chronic conditions or disabilities are at an increased risk for abuse. High-levels of parental stress have been identified as possible trigger for abuse, where a combination of several factors are of importance, such as lack of social support and limited resources in the neighborhood. Suggestions for preventive measures have merely focused on parenting strategies and targeted intervention programs. So far, little attention has been paid to how the risk for abuse might relate to parent’s perceptions of stressors and the role of professionals. The purpose of the current study was therefore to explore risk factors for abuse with focus on both parent-child and parent-professional relationships.

    Method:Semi-structured in-depth interviews with 15 parents of children with chronic conditions or disabilities were collected and analysed according to qualitative content analysis.

    Findings:Three major themes were found that could be seen as risk factors for child abuse: 1) Emotional demands in precarious situations between parent and child. 2) Gradual shift in responsibility from professionals to parents concerning access to and coordination of service and support. 3) Emotionally closed environment between professionals and parents and taboo on talking about abuse. The gradual shift in responsibility had emotional implications, which could reinforce parental stress and thereby also indirect increase the risk of child abuse. The gradual shift in responsibility also seemed to generate an emotionally closed environment and reinforce the taboo on talking about abuse, which in turn hindered preventive measures. 2

    Conclusions:In the light of parent’s perceptions of stressors and the role of professionals the findings indicate that abuse against children with chronic conditions or disability is not only a family matter, but also depending on qualities in service, professional support and social norms. The result pinpoints three challenges for preventive measures, all with emotional implications; parental strategies, organisational efforts and cultural awareness.

  • 21.
    Svensson, Birgitta
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Psykosomatiska symtom hos barn som upplevt våld i hemmet2009In: Barnläkaren, ISSN 1651-0534, Vol. 6, p. 14-16Article in journal (Other academic)
  • 22.
    Svensson, Birgitta
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences.
    Suspected Child Maltreatment: Preschool Staff in a Conflict of Loyalty2008In: Early Childhood Education Journal, ISSN 1082-3301, E-ISSN 1573-1707, Vol. 36, no 1, p. 25-31Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the actions of Swedish preschool staff when suspecting the maltreatment of children in their domestic environment, and the staff’s further experiences and relations to the family members.

    Methods A questionnaire in 2005 to the staff of 189 child groups in community preschools, including 3,100 children.

    Results: A report to Child Protective Agency (CPA) was submitted in 30% of the cases where maltreatment was suspected. The staff’s decisions as well as their working situation, and how they estimated the parents’ benefits from CPA support were deeply affected by their different relations to the families. The staff had their best contact with the children and their most insecure and vulnerable contact with the fathers.

    Conclusions: In situations with suspected child maltreatment the staff face conflicts of loyalty, mostly based on insecure relations, which could become an impediment to supporting and educating the children.

  • 23. Sveriges kommuner och landsting, (SKL)
    Förbättrad dokumentation: UTVECKLINGSARBETE: FÖRBÄTTRAD DOKUMENTATION INOM DEN SOCIALA BARN- OCH UNGDOMSVÅRDEN2018Report (Other (popular science, discussion, etc.))
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