Påverkande faktorer och dilemman vid HVB-placeringar : En kvalitativ intervjustudie utifrån ett nyinstitutionellt teoretiskt perspektiv

Sammanfattning: The Swedish child welfare system is, in an international comparison, distinguished bya family service orientation. Which means that there's a focus on understanding childrenand families in their community context (Lundström, Shanks, Pålsson & Sallnäs 2021).When a child is in a situation where their health or development is at risk or is harmed,social services have a responsibility to remove the child from that situation. In somecases, the child is then placed at an out of home care facility which is called HVB,where care or treatment is conducted (Kunskapsguiden 2022).In the beginning of the 21st century Sweden has had a rise of private out of home carefacilities (Sallnäs 2005). Which made us interested as to how different factors affect theway that decisions are being made when it comes to placement at HVB and furthermorehow these factors might lead to different dilemmas. Therefore will this paper study whatfactors might exist and how they affect the social workers.The result of the study shows that the child's needs and participation, location of thehome and how the organization is built are all factors that affect the way decisions aremade. The result also shows that there are some dilemmas that might occur. One is thefact that HVB might not actually be a good treatment, another is risks within placementand co-morbidity, another is economics versus the child's best interests and lastlywhether or not the placement should be close to home. Through the study we’ve cometo the conclusion that more research on the field is needed to make sure that Sweden asa society is providing the best possible care for children and adolescents.