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Social Workers’ Assessments of Children’s Health When Arguing for Children’s Needs

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Abstract

In Sweden, child-related social services constitute an institutional body that conducts both preventive and supportive work for children in need of health support. However, in the social services Act (2001:453) there are few concrete statements about how social workers should assess children’s health. In this study we therefore explore how social workers in Sweden adapt to the task of assessing children’s health. Specifically, we investigate the ways in which children’s health is explained in the context of reaching conclusions about the concrete needs of children. Inspired by a social constructionist and discursive analytical approach we analysed 60 written investigations where health concerns were expressed at the point of initiating an investigation. The findings are that social workers limited their assessments of children’s health, often using only a few words when mentioning health aspects. There was a difference in how they described physical- and psychological health problems. When they did pay attention to children’s psychological health this was mostly carried out with the use of one single explanation for the cause of the health condition; parental misbehaviour. Besides, this explanation fitted the suggested support. Signs of children’s psychological problems were described by their own destructive behaviour. Physical health was only briefly mentioned and the recommendations for child support involved external assistance. This means that social workers could use a simplified explanatory model lacking descriptions of each child’s life situation. This way of limiting assessment may hinder a deeper understanding of causes and consequences and thereby impose limits on specifying the particular support the child needs.

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Acknowledgments

The authors are grateful to the head and staff of the social services, who provided both the investigations and the good cooperation which made this study possible.

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Authors and Affiliations

  1. Department of Child and Youth Studies, Stockholm University, 106 91, Stockholm, Sweden

    Elin Hultman & Ann-Christin Cederborg

  2. Division of Paediatrics, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Karin Fälth Magnusson

  3. Department of Paediatrics County Council of Östergötland, Linköping, Sweden

    Karin Fälth Magnusson

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  1. Elin Hultman
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  2. Ann-Christin Cederborg
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  3. Karin Fälth Magnusson
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Correspondence to Elin Hultman.

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Hultman, E., Cederborg, AC. & Magnusson, K.F. Social Workers’ Assessments of Children’s Health When Arguing for Children’s Needs. Child Adolesc Soc Work J 32, 301–308 (2015). https://doi.org/10.1007/s10560-014-0371-3

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