Inte solklart med SoL : En kvalitativ studie om biståndshandläggares erfarenheter av att möta äldre med psykisk ohälsa
Sammanfattning: There is a lack of studies about elderly with mental illness. Previous studies show that care managers tend to construct needs together with the client based on a standardized range of aid (Olaison, 2009; Jönson & Harnett, 2015; Dunér & Nordström, 2005). Further the social needs tend to disappear during the need investigation. This study is based on semi-structured interviews with care managers that work according to the Swedish Social Services Act towards elderly people in Sweden. The purpose of the study is to understand what strategies care managers have and use in the work alongside elderly with mental illness. The interviewed care managers come from different municipalities in the southern and middle Sweden. The interviews are analysed through the theoretical model of street-level bureaucracy (Lipsky, 2010; Johansson, 2007) and Agevall’s (2000) types of autonomy. The study indicates that care managers experience that they work a lot towards elder clients with mental illness of various kinds. The description of the profession however doesn’t say much about how to work with this clientele. Further the organization doesn't have guidelines specified for mental illness in older people, therefore the care managers need to create their own strategies in order to meet the mental needs in clients. The study shows that the care managers have different strategies in their work. For example, some of them describe how they go beyond the aid guidelines to meet mental needs in their clients.
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