title: Handling the Dilemma of Self-Determination and Dementia: A Study of Case Managers' Discursive Strategies in Assessment Meetings.
abstract: In assessment meetings concerning care services for people with dementia, Swedish case managers face a dilemma. On the one hand, according to the law, the right to self-determination of every adult citizen must be respected, but on the other hand cognitive disabilities make it difficult to fulfill obligations of being a full-fledged citizen. In this article, we examine 15 assessment meetings to identify discursive strategies used by case managers to handle this dilemma. We also examine how these affect the participation of persons with dementia, and indicate implications of our study for social work practice and research.
authors.affiliation: a Center for Dementia Research [CEDER], Department of Social and Welfare Studies , Linköping University , Norrköping , Sweden.
authors.forename: Johannes H
authors.initials: JH
authors.lastname: Österholm
authors.affiliation: b National Institute for the Study of Ageing and Later Life [NISAL] and Center for Dementia Research [CEDER], Department of Social and Welfare Studies , Linköping University , Norrköping , Sweden.
authors.forename: Annika
authors.initials: A
authors.lastname: Taghizadeh Larsson
authors.affiliation: c Division of Social Work, Department of Social and Welfare Studies , Linköping University , Norrköping , Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Olaison
mesh_terms: D000368:Aged; D000071959:Case Managers; D003657:Decision Making; D003704:Dementia / Q000175:diagnosis / Q000523:psychology; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D016743:Mental Competency; D026684:Personal Autonomy; D024382:Professional Role; D011580:Psychological Techniques; D012947:Social Work / Q000379:methods*; D013548:Sweden
keywords: assessment; decision-making; needs assessment; social services; social work