The legitimacy and implications of inspection in social services organisations in Sweden

Figures & data

Table 1. The five selected cases

Type of service and case	The service’s target group	The NBHW department	Type of municipality	Type and number of informants
IAD Case A	Adolescents’ needs and rights: social services	Dep. 1	About 14 000 inhabitants	1 politician 2 managers 1 social worker
IAD Case B	Adults’ needs and rights: drug addiction treatment	Dep. 2	More than one million inhabitants	1 politician 2 managers 2 social workers
TI Case C	Adults with drug addiction	Dep. 3	About 25 000 inhabitants	1 politician 1 manager 3 social workers
TI Case D	Adolescents with early drug addiction or criminality	Dep. 3	About 32 000 inhabitants	1 politician 2 managers 2 social workers
TI Case E	Neglected children and their parents	Dep. 4	About 37 000 inhabitants	1 politician 2 managers 2 social workers

Note: Investigation, assessment, and decision-making (IAD), Treatment intervention (TI)

Table 2. The NBHW’s demands for action and the municipalities’ actions to be taken in the five cases

	Case A	Case B	Case C	Case D	Case E
The NBHW´s demands for action	The board shall insure that:
	reports, investigations and the processing of the social services case is made in accordance with legislative rules	the social services cases are documented and dealt with in accordance with legislative rules	the social services cases are documented and dealt with in accordance with legislative rules	urine and exhalation tests are not forced upon adolescents	the parents’ acceptance of the treatment plan is documented in accordance with legislative rules
	the social workers are informed about their responsibility to report deficiencies in the social services		Practices related to how to prevent and discover deficiencies in social services are improved	the inspected service is staffed around the clock
The municipalities’planned actions	New practices will be developed	Supervision of the social workers will be increased	New practices will be developed	Existing policy documents will be revised	Existing practices will be revised
	Checks will be made to see that the new practices are followed	Increase in checks of how existing practices are followed	Existing practices and manuals will be revised	Compulsory exhalation tests will not be used
	The social workers will be informed and educated	The social workers will be informed and educated	The social workers will be informed and educated	The social workers will be informed and educated
			A software documentation program will be purchased and implemented	The inspected institution will be staffed around the clock