The return-to-work (RTW) process for people with multimorbidity and psychosocial difficulties can be complicated. This study explores the organisational prerequisites for coordinating these patients' ...RTW processes from the perspective of coordinators in different clinical areas in Sweden.
Six focus group interviews were conducted with 24 coordinators working in primary healthcare (PHC), psychiatric and orthopaedic clinics. The data were analysed thematically, inspired by organisation theory.
Coordinators described varying approaches to people with multimorbidity and psychosocial difficulties, with more hesitancy among PHC coordinators, who were perceived by other coordinators as hindering patient flows between clinical areas. Most organisational barriers to RTW were identified in the healthcare sector. These were long waiting times, physicians drawing up inadequate RTW plans, coordinators being involved late in the sickness absence process, and lack of rehabilitation programmes for people with multimorbidity. The barriers in relation to organisations such as Social Insurance Agency and Employment Services were caused by regulations and differing perspectives, priorities, and procedures.
Our findings indicate what is needed to improve the RTW process for patients with complex circumstances: better working conditions, steering, and guidelines; shorter waiting times; and a willingness among coordinators from different clinical areas to collaborate around patients.
Implications for rehabilitation
RTW coordinators need sufficient physical and psychosocial working conditions as well as clear leadership.
In order to avoid inequalities in access to RTW support, better systems are needed to identify patients who would benefit from rehabilitation and RTW coordination.
There is a need for multilevel collaboration between clinical areas so that patients with multiple healthcare contacts and prolonged sickness absence can obtain support during the RTW process.
The purpose of this study was to review a group of youths in a municipality which all had committed criminal acts. The study is based on 66 youths between the ages of 13 and 20 that were all matters ...for the social services. The social inquiries of the youths where reviewed using a quantitative method. Their backgrounds where examined to identify what type of risk factors they had and what type of crimes they had committed with an aim to detect if there were a relationship between the risk factors and the art of the crime. The result of the study showed that the majority had committed crimes against another person and the risk factors included family related factors and school problems. The study finds that not those with the most amounts of risk factors commit the worst crimes, a result that in some aspects is contrary to earlier research.
A risky life a quantitative study of criminal youth risk factors Jannas Sandra , Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan; Wallmén Emma , Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan; Jannas Sandra, Stockholm University, Department of Social Work - College of Social Sciences ...
06/2007
Web Resource
Open access
Självständigt arbete på grundnivå (kandidatexamen)
10 poäng / 15 hp
The purpose of this study was to review a group of youths in a municipality which all had committed criminal acts. The study is ...based on 66 youths between the ages of 13 and 20 that were all matters for the social services. The social inquiries of the youths where reviewed using a quantitative method. Their backgrounds where examined to identify what type of risk factors they had and what type of crimes they had committed with an aim to detect if there were a relationship between the risk factors and the art of the crime. The result of the study showed that the majority had committed crimes against another person and the risk factors included family related factors and school problems. The study finds that not those with the most amounts of risk factors commit the worst crimes, a result that in some aspects is contrary to earlier research.
The purpose of this study was to review a group of youths in a municipality which all had committed criminal acts. The study is based on 66 youths between the ages of 13 and 20 that were all matters for the social services. The social inquiries of the youths where reviewed using a quantitative method. Their backgrounds where examined to identify what type of risk factors they had and what type of crimes they had committed with an aim to detect if there were a relationship between the risk factors and the art of the crime. The result of the study showed that the majority had committed crimes against another person and the risk factors included family related factors and school problems. The study finds that not those with the most amounts of risk factors commit the worst crimes, a result that in some aspects is contrary to earlier research.
Självständigt arbete på grundnivå (kandidatexamen)
10 poäng / 15 hp
