För offentliga organisationer kan mediers granskning uppfattas som problematisk. Representanter för socialtjänstorganisationer har i flera uppmärksammade fall framstått som handfallna när de konfronterats med medier. Under senare år har offentliga organisationer kommit att utveckla mer professionella mediestrategier. Artikeln rapporterar resultat från en nationellt representativ enkät om mediehantering inom socialtjänst, skola och polis.
Background/Objectives: The paper presents findings from an ongoing project concerning compulsory community care (CCC) in Sweden. CCC was introduced in 2008 following a series of incidents of assault involving people with mental illness that were widely reported in mass media. The stated purpose of CCC, however, is to facilitate the transfer of inpatients to community care. CCC can only be initiated following compulsory inpatient care after an application to an administrative court from the treating psychiatrist. CCC typically involves coordination between psychiatry and social services, where the latter often are responsible for the day-to-day engagement with the patient. Throughout the world, CCC has been controversial because it involves new ethical questions. For example, coercive measures may be invoked over longer time periods and they infringe into new and more private spheres of citizens. On an organizational level, it requires improved cooperation between health and social service providers. The objective of this paper is to investigate the experiences of patients subjected to CCC. Three aspects of experiences are focused: (1) What is the everyday life experience of being under CCC? (2) How is being under CCC different from other forms of voluntary and involuntary care? (3) How is CCC affecting the ways in which compliance is achieved?
Abstract Background Mentally disordered offenders are a heterogenous group regarding psychopathology as well as background factors, which makes it likely that more than one stereotypical life situation will apply to all forensic psychiatric patients following discharge. Knowledge about typical life situations would be valuable for optimising support for improving the overall life situation of these individuals. This paper investigates life situations from the perspective of level of living research and resources in terms of different welfare dimensions. Methods Included were all all individuals ( n = 1146) who had been discharged from forensic psychiatric care in Sweden during 2009–2018 and were included in the Swedish National Forensic Psychiatric Register. Follow-up time varied from 4 to 3644 days, ( m = 1697, Md = 1685). Register data from several different registers was combined. Data was analysed using latent class analysis, and multinominal logistic regression analysis investigated what background factors were associated with class membership. Results The results show that there are four subgroups of post-discharge life situations: the high support group, the general psychiatric needs group, the working group, and the family group. The high support group was the largest, representing 54% of the entire sample. There are background factors associated with group membership, including both age at discharge, length of stay in forensic psychiatric care and pre-index crime historical factors. Conclusions This study contributes to the understanding of the post-discharge lives of former forensic psychiatric patients and shows that for several subgroups, negative outcomes are rare. Knowledge about these subgroups could be drawn upon to make informed decisions about in- and outpatient forensic psychiatric care, discharge from forensic psychiatric services, and what support is offered to former forensic psychiatric patients.
This paper introduces a theoretical model for analyzing institutional conditions for news management in public sector organizations. In the wide body of empirical research covering public relations ...
Collegealism, therapy and mediation - experts’ interpretative repertoires in court hearings relating to compulsory psychiatric careThis article investigates the role of court appointed psychiatrists (AP) in Swedish court hearings relating to compulsory psychiatric care. Data consists of tape recordings and documents from twelve court hearings together with informal interviews with actors in court. The discourse in court is analyzed in terms of interpretative repertoires. The possibility for APs to examine each case is limited by shortage of time and resources. Furthermore, APs may have to take into account an out-of-court, professional relationship to the treating psychiatrist(CP). We find that conversation between APs and CPs frequently are carried out in a collegiate repertoire. These circumstances inhibit a detailed critical examination of the CP’s application for compulsory care, which in turn helps explaining why APs seldom assess cases different from CPs. How, then, is the AP’s status as expert reproduced in courtroom conversation? This is accomplished by using a disclosing repertoire, which invites the patient to produce incoherent talk. Expert status is also reproduced when APs give medical advise to patients in a therapeutic repertoire. Applying a mediating repertoire, APs attempt to resolve clinical conflicts between CPs and patients. As a result, the legal conflict at stake is downplayed.
In the ongoing project: Therapist and adverse party — court hearings about coercive intervention, we analyze the communication process in court hearings concerning cases where citizens are subjected to coercive measures (compulsory care for psychiatric patients and drug abusers, social authorities' interventions to separate children from their parents). The primary purpose is to analyze the dilemma of balancing two seemingly incompatible roles for chief psychiatrists and social workers: to be "on the client's side" in clinical and social work settings, while acting as a formal adverse party to the client in the courtroom.
This review covers plaque growth on and gingival reactions adjacent to composite resin and glass-ionomer cement restorations. Despite large variations in surface roughness and chemical composition of the restoratives, no clinically measurable differences in the presence or development of plaque and gingivitis were seen. However, more pronounced signs of subclinical gingivitis adjacent to resin composites, compared with non-filled surfaces, were shown by an increase of crevicular fluid levels. This can be explained by the chemical composition of the composites and/or by clinical, not visible, small amounts of dental plaque, which increase the rate of recolonization on these surfaces. The faster recolonization can imply a higher risk for periodontal disease in susceptible patients, especially when resin composites are used more frequently in the more-difficult-to-clean posterior cavities. The effect of fluoride leaching of glass-ionomer cement on the growth of cariogenic micro-organisms is reviewed. Initially, with the still-high fluoride leaching, a lower frequency of mutans streptococci was seen on glass ionomer and glass ionomer cermet cements, compared with amalgam, resin composites, or enamel. After longer periods, this difference disappeared, explained by a too-low level of fluoride leaching from the cement, which had no effect on the micro-organisms. Contrasting results were found for the cermet restorations, where the antibacterial effects of silver ions also can contribute to the inhibition of growth.
