”Det är ju de här barnen som behöver mest”- : en kvalitativ intervjustudie om synen på råd, stöd och behandlingsuppdraget för normalbegåvade ungdomar med autismspektrumtillstånd hos socialtjänsten, barn- och ungdomspsykiatrin och Habiliteringen

Sammanfattning: The study aims to describe how practitioners view their assignment regarding guidance, support and treatment for normally gifted adolescents between 13-17 years with autism spectrum disorder and comorbidity. Practitioners' experience in Social service, Child and youth psychiatry and Habilitation, division of responsibility, and the needs of the target group were studied through six semi-structured interviews which were analyzed thematically and based on new institutional theory.    Results show that in the field and domain there are three players acting on different logics depending on assignment, law, target group, intervention logic and care level offered. There is a domain consensus on youths with less complex problems, where the respective level of care meets the needs according to staff. Domain claims differ and are characterized by domain conflict regarding the individuals with the greatest needs. The adolescents with most psychiatric diagnoses receive the least help from Habilitation and Child and youth psychiatry, in spite of these having the most expertise. The Social service is responsible for placement based on the responsibility logic, despite reporting a lack of specific competence. The design of the organizations governs efforts rather than the needs of the target group.