1. Reflections on service provision based on results from Swedish national school studies Riga February 2018 Staffan Janson Sweden
What is the point of making study like this?
To give a knowledge base for politicians and stakeholders like preschools, schools, health services, Police forces a.o. about what it looks like concerning upbringing and violence at the present time
By making repeated surveys with the same methodology, point at trends in behavior and attitudes.
Point at development of new phenomena
In case the trends are positive try to explain why the development goes I a positive direction and hopefully be a model and inspiration for other countries when it comes to decent behavior towards children and the support of child rights.

2. The most vulnerable – who cares for them?
Poly-victimized children
Severely neglected
Children placed in foster-home and out of home care
Children with disabilities
Children unsure about their sex (gender)
Children with severely disagreeing parents
Children who have no or little control of their own lives
Families with multi-problems (alcohol-drugs, violence. criminality, economy)

3. Child polyvictimization
From the 2011 national study on corporal punishment and humiliation
3202 Swedish pupils years of age
Abused any time at home 18 %
Witness of IPV %
Psychological abuse 13 %
Severe neglect 3 %
Severely neglected
children % poly-victimized
Witness of IPV % poly-victimized
Physicalabuse l
Witness
Of IPV
Neglect
Psychological
abuse

4. Neglect and Quality of Life 2011 Swedish National School Study
Adjusted for gender and economy

5. Neglect Physical: basic needs (food, shelter, hygiene)
Medical: Not provided for the child´s need of health care, medicines etc.
Emotional: Special treatment, witness of violence and severe threats. Lack of security, warmth and attachment.
Education: Lack of control of truancy, no push to get child to school, no academic support, no attention to special educational needs
Increased risk (x 2-4) in adulthood for: Depression, anxiety, behavior problems, sexual risk behaviour, eating disorders, suicidal ideation and suicides.
OBS! After adjusting for other severe exposition in childhood

6. Children placed in foster care or in institutions
Children placed in foster care or institutions have especially been subjected to poly- victimization and more severe forms of maltreatment, most of them ahead of placement.

7. Children with chronic diseases and disabilities
Increased risk for maltreatment (all diseases and disabilities)
Highest risk for neuro-psychiatric disorders (ADHD, Autism. Asperger)
Almost 80 % maltreatment history in children with eating disorders
More than 30 % of children with eating disorders had been subjected to any form of sexual abuse by an adult.
Disabled children report witness of IPV twice as often as children with no chronic condition
Parents with disabled children:
Get into repeated imperative situations with their children, with increased risk for violence
Feel abandoned by professionals
Have high risk of divorce

8. Children unsure about their sex (gender)

10. Children with little control over their own lives

11. Families with multi-problems
Alcohol, drugs, psychiatric and severe somatic diseases, unemployment, weak economy etc.
Higher risk for repeated and severe maltreatment of children
Severe risk of neglect

13. How can we help to make life better for our children?
Advocacy for Children’s rights and welfare.
Realize where the risks are highest
Increase discovery of abuse and neglect – give children opportunity to talk!
Make interventions focused on the child´s life circumstances.
Work for gender equity and ”empower” dispriviliged mothers.
Use existing well functioning social networks (neighborhood, schools etc.
Work with “evidence based” methods, which are defendable from a child rights perspective.
Vi startar i höst fördjupade undersökningar med föräldrar och professionella som har kontakt med funktionshindrade barn och barn med kronisk sjukdom med avsikten att:
Ge en fördjupad bild av;
- hur föräldrar som har barn med långvarig sjukdom/funktionsnedsättning hanterar sin livssituation och sitt föräldraskap
- på vilket sätt det professionella stödet från olika samhällsinstanser påverkar familjen
Att bidra med kunskap och ta fram förslag kring;
- hur det intersektoriella arbetet kan utvecklas kring familjer med multipla behov och kring barn som far illa eller misstänks fara illa