ethics and attitudes in compulsory care louise andersson & margareta wihlborg national board of...
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Ethics and attitudes in compulsory care
Louise Andersson & Margareta Wihlborg
National board of institutional care
The board
Governmental authority
3000 employees
Mainly compulsory care
24 institutions: 600 places for young people with behavioral problems (criminality, drug abuse and other deviant behavior)
50 places for young people sentenced to closed juvenile care (criminal court)
11 institutions : 350 places for adults with serious substance abuse
Why work with ethics and attitude?
Treatment against the peoples will. They are depending on personnel
Their rights are prescribed by law and different conventions
Difficult to work with compulsory treatment. Special provisions and coercion in everyday life
Ethical conflicts and dilemmas are common
Why ethics and attitude?
Historically - an area of repression and punishment
A good attitude is the foundation for a safe and trusting relationship
Ethical reflection and support is necessary
Ethical guidelines
Ethical guidelines are used to govern and support the personnel in their work
Ethical guidelines since 1999, renewed in 2006
Guidelines are a product of their time
Critics: abstract and difficult to understand
Some problems with attitudes toward our young peoples and adults, colleagues and partners
The Core value project Purpose: Assess and
agree on core values in attitudes – how we are towards the young peoples, adults and our colleagues
Bottom up – not orders from the head quarter
Structured organization and process
Short time-limit
Organisation and process
1. Every institution and office chose a people in leading position as ”responsible” for the ethical work.
2. Structured process with exercises led by the ”responsible”. Groups of personnel and groups of inmates discussed and agreed on their proposition for our new core values.
3. 2500 people (2000 personnel, 400 young people and 100 adults) where involved and gave their view of what is important – words and definitions
Our new core valuesWe put all the propositions in a file and looked at them from different angles – three words emerged:
Respect, consideration and clarity
-With young people and adults, and their relatives
-With colleagues
-With partners
Establishing the core values
”The responsibles” are establishing the core values at all workplaces during this year.
Information to and practical exercises for all staff to establish the values in practice, posters in every workplace and written material.
Integrated in different processes like staff meetings, staff introductions, staff appraisal, educations etc.
Integrated in treatment methods for example ART and MI, and in our leadership educations.
Next step
The ethical guidelines are renewed and integrated with our new core values. This will be our ethical foundation and is a responsibility for all of us.
During 2015 we will establish the ethical guidelines through exercises, discussion of ethical dilemmas, education, structured activities etc.