Structural and interagency influences on mandated health assessments for children in out-of-home care in Sweden: a qualitative study of child protection services workers - Takeaways - MDSpire
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Influences of Structure and Interagency Collaboration on Health Assessments for Children in Out-of-Home Care in Sweden: A Qualitative Analysis of Child Protection Services Practitioners

  • By

  • Godfried Van Agthoven

  • Gabriel Otterman

  • Rajna Knez

  • Kathi Makoroff

  • Laura Korhonen

  • September 25, 2026

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  • 1

    Children in out-of-home care in Sweden face significantly worse health outcomes compared to their peers.

  • 2

    Less than half of eligible children in out-of-home care receive mandated health assessments, indicating low implementation rates.

  • 3

    CPS caseworkers reported fragmented interagency structures and unclear responsibilities as barriers to effective health assessment implementation.

  • 4

    The study identified four key themes affecting health assessment processes: initiation, scheduling, conduct, and reporting.

  • 5

    Strengthening collaboration and clarifying roles between CPS and healthcare may enhance the effectiveness of health assessments.

Original Source(s)

Structural and interagency influences on mandated health assessments for children in out-of-home care in Sweden: a qualitative study of child protection services workers

  • by Godfried Van Agthoven, Gabriel Otterman, Rajna Knez, Kathi Makoroff, Laura Korhonen

  • September 25, 2026

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