Organisational Structure as Barrier or Support in the Personal Social ...

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Table: 9. Has the number of social workers you have been seeing last year been important toyou? (Percentage of all respondents)***Integrated Combined SpecialisedYes, very much important 23,9 13,6 19,6Yes, pretty much9,0 8,5 19,6importantPartly important 7,5 20,3 23,2No, hardly not important 13,4 27,1 5,4No, not important at all 34,3 16,9 23,2I do not know 11,2 13,6 8,9n= 67 59 56Significance: ***=0,01, **=0,05, *=0,10Table: 10. How many social workers would you like to have contact with, regarding help andsupport to you? (Percentage of all respondents)Integrated Combined SpecialisedIt does not matter 10,4 22,8 12,1I do not know 9,0 8,8 13,81 social worker 64,2 52,6 56,92 social workers 16,4 15,8 15,53 social workers 0 0 1,7n= 67 57 58As we understand it, a lot of clients (between 41 and 62 percent) think that the number ofsocial workers they have contact with is important, even if quite many clients (29 to 48percent) answers that it does not matter. The answers on the question about how many socialworkers the clients want to have contact with clearly show that a majority (between 68 and 81percent) prefer to have contact with only one or two social workers, irrespective of type oforganisation. Why most clients prefer one or two social workers is elucidated by answers on afollow-up question where (n=119) clients with their own words described in which way thenumber of social workers had importance. Below are a number of significant examples:- It has been good to meet one and the same, because this person has the situation undercontrol each time we meet.- It is better with 1-2 persons, because if there are more people it feels like ones problemwon’t be taken seriously. I want to confide myself to so few people as possible. Otherwise Icould write a book with the title “Here is my problem”.- I have trouble with human relations and to trust people, so the smaller number of socialworkers the better. It is positive that I have the same person that helps me with everything.- It has been quite hard to change social worker often; it feels like you have to start all overagain.- Everything gets messy, nobody knows me. You have to take the same story for everyoneseveral times, but no one understands.16
However, there are also a number of answers that expresses positive experiences ofspecialisation, for example:- They were specialists on different areas that I needed help with.- They helped us with different needs in our family. It has felt secure that different units havebeen involved.- Each of them are good in their area of expertise, they are super!All in all, the quantitative and qualitative answers on these questions show that clients ingeneral prefer contacts with a smaller number of social workers, as a way to achievecontinuity and trusting relationships. On that point, our results are fully in line with resultsfrom previous studies.Social workers cooperation and responsibility for the clientsNo matter which organisational model a social services organisation have, some form ofcooperation is mostly necessary. That is true even in an integrated organisation where thesocial workers work with all types of work tasks. Some of the cooperation within anorganisation is directly related to individual clients, so we asked the clients how theyexperienced the social workers cooperation within the organisations they turned to, as well aswith organisations outside the social services.Table: 11. How do you consider the cooperation within the social services (between differentsocial workers) worked concerning help and support for you? (Percentage of allrespondents)**Integrated Combined SpecialisedVery good 34,3 21,3 13,8Pretty good 35,8 29,5 19,0Neither good nor bad 4,5 14,8 13,8Pretty bad 4,5 3,3 8,6Very bad 4,5 9,8 12,1I do not know 14,9 16,4 19,0They do not seem to cooperate 1,5 4,9 13,8n= 67 61 58Significance: ***=0,01, **=0,05, *=0,10As a way to deepen our understanding, we also asked clients to answer the following questionwith their own words: If you answered good or bad, in which way was the cooperation withinthe social services good or bad?Clients who were dissatisfied with the internal cooperation e.g. expressed it like this:- Everybody says different things about the same things.- One person does not seem to know what the other person is doing.- They come with different/contradictory demands and often set a client in a catch 22situation.- Too many different social workers- They just reply “this is not my table”17
Page 1 and 2: O rganisational Structure as Barrie
Page 4 and 5: Different forms of specialisation a
Page 6 and 7: In this type of organisation a dist
Page 8 and 9: fact that almost every PSS-organisa
Page 10 and 11: clients want a key-person that main
Page 12 and 13: The second step was to ask social w
Page 14 and 15: Not like an average Swede - weak so
Page 16 and 17: Trust in social and political insti
Page 20 and 21: Clients who were satisfied with the
Page 22 and 23: The tables 13-15 show that clients
Page 24 and 25: Table: 19. Treatment-indexes. Actua
Page 26 and 27: Table: 24. Have the contact with th
Page 28 and 29: Table: 28. As a result of the conta
Page 30 and 31: In a previous interview study (Perl
Page 32 and 33: clients. This statement is supporte
Page 34 and 35: AppendixHow much does the PSS cost?
Page 36 and 37: Table A.Key figures for the PSS 200
Page 38 and 39: Table B. The studied PSS-organisati
Page 40 and 41: than the actual treatment. Conseque
Page 42 and 43: Börjeson, B., & Håkansson, H. (19
Page 44 and 45: Perlinski, M., Blom, B., Morén, S.

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