Randi Semb - Academia.edu (original) (raw)

Papers by Randi Semb

Det empiriske materialet som er gjenstand for oppgaven er en offentlig utredning, NOU 2009: 10 Fo... more Det empiriske materialet som er gjenstand for oppgaven er en offentlig utredning, NOU 2009: 10 Fordelingsutvalget. Fordelingsutvalget hadde i oppdrag å svare på følgende spørsmål: Hvordan fremme større økonomisk likhet i samfunnet? Selv om målet om økonomisk likhet er gitt, må utvalget blant annet svare på hvor økonomisk like vi bør være. Det er generell enighet om at velferdsstaten skal sørge for at alle skal få dekket et eksistensminimum, men det er uenighet om hvor mye som skal dekkes ut over dette. Det vil også være slik at ulike hensyn kan begrunne et og samme likhetsmål. Mål kan også realiseres på ulike måter. Det overordnede spørsmålet som oppgaven skal belyse, er: Hvilke verdier og normer legges til grunn for å nå målet om større økonomisk likhet? For å svare på dette stilles det tre hovedspørsmål til utredningen: 1. Hva mener utvalget er målene med fordelingspolitikken? 2. Hvilke hensyn vektlegges når sentrale mål kommer i konflikt med hverandre? 3. Når er paternalisme et l...

International Journal of Environmental Research and Public Health, 2021

Recovery-oriented care has become a leading vision across countries. To develop services and comm... more Recovery-oriented care has become a leading vision across countries. To develop services and communities in more recovery-oriented directions, enhanced understandings of recovery in terms of personal and social contexts are important prerequisites. The aim of this study is to explore the nature and characteristics of the experiences of recovery. The method used is a form of qualitative meta-synthesis that integrates the findings from multiple qualitative studies published by one research group. Twenty-eight empirical papers with a focus on recovery as personal and contextual experiences were included in this meta-synthesis. Five meta-themes were developed: (a) being normal, (b) respecting and accepting oneself, (c) being in control, (d) recovery as intentional, and (e) recovery as material and social. The themes describe how recovery encompasses dynamics between personal experiences and contextual dimensions. This meta-synthesis consolidated an understanding of recovery as dynamics ...

Journal of Psychosocial Rehabilitation and Mental Health, 2021

The article explores how young adults with co-occurring substance use and mental health problems ... more The article explores how young adults with co-occurring substance use and mental health problems experience and describe their own and others’ contributions to their sense of community belonging. This article is part of a larger qualitative interview study of young adults. The data for this report were the individual interviews with two study participants. These participants were chosen because they offered in-depth understandings relating to various aspects of community belonging. A thematic narrative analysis of the interview data was carried out. Central to this model of analysis is to transform unstructured qualitative interview data into a unified narrative for each participant, structured around a thematic plot. The analysis revealed two plots: ‘Having to go against yourself to be an insider', and ‘You have to realize that you have problems and try to do something about them'. We interpreted the first narrative as an expression of marginalized people feeling they deser...

Nova Perspectiva Sistêmica, 2019

Apesar da importância das práticas colaborativas na pesquisa e na teoria estar bem consolidada en... more Apesar da importância das práticas colaborativas na pesquisa e na teoria estar bem consolidada entre os profissionais da saúde mental, pouca atenção tem sido dada ao que significa realmente entrar e se engajar numa relação colaborativa. O objetivo deste estudo foi identificar os principais elementos e maneiras pelas quais os profissionais da saúde mental podem colaborar, na prática, com os usuários do serviço e suas famílias. Foi feito um estudo qualitativo, na modalidade pesquisa-ação, utilizando a abordagem da investigação cooperativa incluindo discussões em grupo focal multietapas com terapeutas, médicos, assistentes sociais e demais profissionais da área, especializados em atenção e cuidado em saúde mental e uso problemático de substâncias. Utilizamos análise de conteúdo temática com o propósito de identificar características comuns. A partir da análise de conteúdo identificamos três grandes temas relacionados às experiências dos profissionais de práticas colaborativas: (a) cami...

American Journal of Psychiatric Rehabilitation, 2017

mental health and addiction care: (1) , (2) , (3) and (4) These findings inform the development a... more mental health and addiction care: (1) , (2) , (3) and (4) These findings inform the development and delivery of services to maximize positive outcomes for young adult service users with co5 occurring mental health and substance use problems. Community mental health care, collaborative practices, co5occurring mental health and substance use problems, recovery, shared decision5making, supported decision5 making.

Advances in Dual Diagnosis, 2016

Purpose The importance of collaboration in the mental health field is a well established theoreti... more Purpose The importance of collaboration in the mental health field is a well established theoretical principle, but there has so far been less attention to its practical implications from a parents’ perspective. The purpose of this paper is to describe parents’ experiences of collaboration with mental health practitioners. Design/methodology/approach This was a qualitative study based on thematic analysis of multi-stage focus group discussions with ten parents of young adults with co-occurring mental health and substance use problems. Findings The authors identified three major themes related to family member’s experiences of collaborative practices: negotiating partnerships, incomprehensible services and being the young adult’s advocate. Research limitations/implications A potential limitation of this study is that the parents who agreed to take part in this study were all part of the population who really want to be involved in their relative’s care; other family members who did n...

Tidsskrift for velferdsforskning, 2016

Å tilfredsstille grunnleggende menneskelige behov, som tilhørighet, er et sentralt mål for helse-... more Å tilfredsstille grunnleggende menneskelige behov, som tilhørighet, er et sentralt mål for helse-og sosialtjenestene. Studiens mål er å få økt kunnskap om hvilke erfaringer unge voksne med samtidige rus-og psykiske helseproblemer (ROP-problemer) har med tilhørighet i sitt lokalmiljø, og hva deltakerne mener fremmer og hindrer tilhørighet. Datagrunnlaget er dybdeintervjuer med syv unge voksne med ROP-problemer. Gjennom fortolkende fenomenologisk analyse ble tre hovedtemaer identifisert: 1) Å ikke kunne relatere seg til noe i mainstream, 2) å balansere mellom mainstream og outsiderlivet, og 3) å prøve å få et sterkere fotfeste i mainstream. Nøkkelord Tilhørighet, identitet, strategier, unge voksne, rus, psykisk helse, samfunn, kvalitativ studie Adaptation or retraction? Belonging strategies among young adults with co-occurring substance abuse and mental health problems In the health and social services, meeting human needs, such as belonging, is crucial. The aim of this study is to explore how young adults with co-occurring substance abuse and mental health problems experience a sense of belonging in their local environment, and of facilitators and barriers related to this. Data were gathered through qualitative in-depth interviews with seven young adult service users. Using phenomenological-hermeneutic analysis, three major themes were identified: (1) Can't find anything to relate to in the mainstream, (2) balancing between mainstream and outsider life, and (3) trying to get a stronger foothold in the mainstream.

Scandinavian Psychologist, 2015

Hope is central to recovery in a broad range of health conditions, including those within the men... more Hope is central to recovery in a broad range of health conditions, including those within the mental health and substance use field, yet its implications for research and practice has gained limited attention. The aim of this study is to explore how hope is experienced from a first-person perspective of people with co-occurring mental health and substance use problems, and what may inspire the experience of hope. Data were collected through qualitative in-depth interviews with 9 service users. Inclusion criteria were experiences of co-occurring mental health and substance use problems, and having received services related to these challenges in a Norwegian municipality setting. Interviews were transcribed verbatim and analyzed using thematic analysis. An initial theme encapsulates experiences of hope itself, and the following themes revolve around what participants perceived as hope inspiring. Hope was experienced in terms of aspirations to various changes, often exemplified by what may seem an «ordinary life». Receiving help with practical issues like suitable housing or debt, along with support from trustworthy others, was of great importance in order to experience hope. Trust and confidence both in relation to oneself and others, was pivotal when rebuilding faith in something better for the future.

International journal of mental health systems, 2014

Although the importance of collaboration is well established as a principle in research and in th... more Although the importance of collaboration is well established as a principle in research and in theory, what it actually means for practitioners to collaborate in practice, to be partners in a collaborative relationship, has thus far been given less attention. The aim of this study was to identify key characteristics of the ways in which mental health practitioners collaborate with service users and their families in practice. This was a qualitative action research study, with a cooperative inquiry approach that used multi-staged focus group discussions with ten mental health care and social work practitioners in community mental health and substance use care. Thematic analysis was applied to identify common characteristics. We identified three major themes related to practitioners' experiences of collaborative practices: (1) walking alongside through negotiated dialogues, (2) maintaining human relationships, and (3) maneuvering relationships and services. It appears that even wi...

Disability & Society, 2019

This study explores how young adults with co-occurring substance abuse and mental health issues e... more This study explores how young adults with co-occurring substance abuse and mental health issues experience the challenges of belonging to their local communities. The data was generated through qualitative in-depth interviews with seven young adult service users, six of whom were interviewed twice. The qualitative data analysis resulted in three overarching themes: (1) the need to accept one's own life and the structures surrounding it, (2) being caught between conflicting social worlds, and (3) moral fumbling in choices and actions. Using an empirical study, we suggest that a process of 'communal invalidation' operates through which young adults in the community are socially defined as inadequate. This invalidation serves as a formidable barrier to their recovery.

Journal of Recovery in Mental Health, Dec 11, 2020

The current research examined whether women leaders' senior leadership ambitions are more strongl... more The current research examined whether women leaders' senior leadership ambitions are more strongly negatively affected by perceptions of gender bias (i.e., subtle gender bias, inequity, and mistreatment) in the workplace than leaders who are men and whether this association occurs through cynicism towards work. To test this, 347 leaders completed an online survey. It was found that women leaders had similar senior leadership ambitions as men, and contrary to expectations, gender did not affect the relation between gender bias and senior leadership ambitions. However, for both women and men, perceptions of gender bias were related to cynicism towards work, and ultimately, lower senior leadership ambitions. Further, women leaders who worked in male-dominated workplaces reported more issues of subtle gender bias than others. These findings have meaningful implications and suggest that it is likely systemic barriers, and not women's ambitions, that explain the lack of women in the C-suite.