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Translating Coercion Policy into Inter-Organisational Collaboration: The Implementation of Compulsory Community Care for People with Mental Illness
Umeå universitet, Institutionen för socialt arbete.
Umeå universitet, Institutionen för socialt arbete.ORCID iD: 0000-0002-6330-5640
Umeå universitet, Institutionen för socialt arbete.ORCID iD: 0000-0002-4540-5373
2016 (English)In: Journal of Social Policy, ISSN 0047-2794, E-ISSN 1469-7823, Vol. 45, no 4, p. 655-671Article in journal (Refereed) Published
Abstract [en]

In 2008, compulsory community care (CCC) for people with severe mental illness was introduced in Sweden. CCC requires co-operation between psychiatric and social services, thus further complicating the longstanding difficulties with service coordination in the mental health field.

This article investigates what happens when a new policy is introduced that assumes complex co-operation of two organisations bestowed with high degrees of discretion. The process of institutionalisation will be analysed in terms of how an idea is translated and materialised on local levels. This has been investigated by interviewing key informants within psychiatric and social services at three different locations.

The implementation was perceived as relatively successful and occurred without major conflict. The main effect of the new legislation was improvement in the coordination of services, where designing a template form for a coordinated care plan was central. The inter-organisational discussions about service coordination that arose had a spill-over effect on services for other patient groups.

In essence, respondents describe CCC as a pedagogical reform to promote the coordination of services, rather than a reform to increase coercive powers over patients. This raises concerns about the legitimacy of the reform.

Place, publisher, year, edition, pages
2016. Vol. 45, no 4, p. 655-671
National Category
Social Work
Research subject
Sociology
Identifiers
URN: urn:nbn:se:uu:diva-348189DOI: 10.1017/S0047279416000040ISI: 000384335500006OAI: oai:DiVA.org:uu-348189DiVA, id: diva2:1196764
Projects
Tvång i frihet – tillkomst, implementering och rättstillämpning av öppen psykiatrisk tvångsvård
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2008-0955]Available from: 2018-04-11 Created: 2018-04-11 Last updated: 2018-04-11

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