[Relational dealing with crisis of youth welfare professionals in casework regarding the effects of the Covid 19 pandemic]. / Relationaler Umgang mit Krisen von Jugendamtsfachkräften in der Fallarbeit hinsichtlich der Auswirkungen der Covid-19-Pandemie.

There is still little empirical knowledge about the impact of the Covid 19 pandemic on the casework of youth welfare offices. However, qualitative studies provide a number of indications on the importance of teamwork, on explicit and implicit ways of acting as well as on decision-making practices (sense-making) of professionals in child protection. These aspects were largely limited by the lockdowns and the pandemic-related protective measures. This leads to the question of the present study about how these restrictions are dealt with and the coping strategies related to them.The analysis is based on the contrastive interpretation of telephone interviews with professionals from two youth welfare offices. From a relational perspective in the sense of Bruno Latour, which does not focus on the actors, but rather on their connections and relations, some transformations in the network in which the cases are usually processed become visible. These transformations were elaborated based on the interviews as crisis-like restrictions of the usual practice of action. In the analyzed data, ways of acting can be reconstructed that can be understood as dealing with these crises. The results show that the actual crisis is not to be found in the abstract idea of a virus pandemic, but above all in the breaking away of case work habits.

What happens after diagnosis? Understanding the experiences of patients with newly-diagnosed bipolar disorder.

UNLABELLED: Bipolar disorder is chronic condition involving episodes of both depression and elevated mood, associated with significant disability and high relapse rates. Recent estimates suggest a lifetime prevalence of 5%. Little is known about the subjective experiences of patients after receiving a diagnosis of bipolar disorder, and the impact of these experiences on patients' willingness and ability to work with their health professionals to find the most effective combination of treatments and to set up self-management plans. OBJECTIVE: This paper describes a qualitative study exploring the experiences and difficulties faced by patients after they have received a diagnosis of bipolar disorder, as expressed online to expert patients trained to provide informed support. DESIGN: Qualitative study. SETTING: Online communication within a public health service setting. PARTICIPANTS: Twenty-six participants with recently-diagnosed bipolar disorder communicated online with 'Informed Supporters', people who had been managing their bipolar disorder effectively for 2 years or more, as part of an online psycho-education programme. RESULTS: Participants cited unwanted side-effects of medication, coping with unpleasant symptoms, positive and negative reactions to the diagnosis, identifying early warning signs and triggers of the illness, the loss of a sense of self, uncertainty about their future and stigma as issues of major importance after diagnosis. CONCLUSIONS: Personal concerns and difficulties following diagnosis can undermine effective treatment, thwart self-management efforts and interfere with effective functioning. Such data are important for clinicians to take into account when they work in partnership with their patients to fine-tune treatments and help them set up self-management plans.

Decreases in anxiety associated with participation in a camp for children with cardiac defects.

The aim of our study was to examine psychosocial changes associated with participation in a camp for children with cardiac defects. We enrolled 29 children with cardiac defects aged from 8 to 18 years, along with their parents. Both the parents and the children completed measures of expectations for the camp and anxiety. Analyses of repeated measures indicated that levels of anxiety amongst the children decreased significantly at the end of camp when compared to its beginning. Levels of anxiety amongst the children were not statistically different at follow-up. Anxiety amongst the parents concerning the separation from their children also decreased at follow-up when compared to before the camp. Higher levels of anxiety reported by the children prior to the camp were associated with greater anxiety amongst the parents concerning the anticipated separation, more negative parental expectations of the camp, fewer experiences of separation from their children, and lower expectations by the children for the camping experience. Reductions in anxiety amongst the children following the camp were associated with negative parental expectations about the camping experience. The camping environment can provide a naturalistic exposure to new experiences for the child, and a successful separation for the parent, thereby promoting confidence amongst the parents in the ability of their children to function independently.