Från top down till bottom up : - Att förklara och utvärdera psykosocialt arbete inom hälso- och sjukvården

Sammanfattning: Today, activities funded with public funds needs to present relevant and reliable information which shows the results obtained. Requirements increase in welfare activities to be run based on scientific, empirical knowledge. This applies particularly to social work. The social work is, however, poorly researched in areas such as knowledge of interventions in the content, context and effects. One way to evidence-base social work can be to conduct regular and qualified assessments. To evaluate, however, is complex, and knowledge of the evaluations are deficient in those who plan and execute them. The overall aim of this study was to conduct a systematic literature review to identify key evaluation models to the psychosocial work in health care services. A further aim was to develop an evaluation design for the psychosocial work of kuratorsenheten, Falun Hospital. The evaluation models are presented in the paper based on categories of “top down” and “bottom up ", and" other models ". With the help of some key concepts for the evaluation of social work, the conclusion of the meta-theory of critical realism, conducted the study analysis. The results show that the models relevant to the evaluation of psychosocial work in the health services are mainly oriented towards a bottom up perspective. The models are process evaluations, user-oriented models, stakeholder assessments, self assessments, and goals - performance evaluations. The evaluation design of kuratorsenheten also presents a number of elements in the psychosocial work which is central to document, for the opportunity to explain, evaluate and develop the business forward.