{"title":"«Det nye paradigmet» i rus- og psykiske helsetjenester – utfordringer og muligheter","authors":"Catharina Bjørkquist, Helge Ramsdal","doi":"10.23865/noasp.140.ch14","DOIUrl":null,"url":null,"abstract":"The purpose of this book has been to show how the challenges associated with services for people with complex needs, exemplified here by addiction and mental health disorders, are handled at the local level. The starting point was three characteristics of trends in national policy and organization of services for people with complex needs: decentralization, user participation and coordination. We argue that these characteristics represent conditions within the services for such disorders and also provide a framework for development within them. The characteristics are understood as entangled processes that constitute elements in the emergence of a “new paradigm” in the services, what is described as a focus on “locally based services”. The processes for change at the local level which we have studied show that institutional characteristics, based on different histories and traditions in the work with addiction and mental health disorders, are important for understanding how these change processes are organized. The three municipalities we studied all recognize that addiction and mental health disorders and illness are important societal problems that must be addressed locally. We can also state, however, that local strategies for achieving the goal of better coordination and integrated services evolve in very different ways.","PeriodicalId":108343,"journal":{"name":"Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse","volume":"105 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23865/noasp.140.ch14","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The purpose of this book has been to show how the challenges associated with services for people with complex needs, exemplified here by addiction and mental health disorders, are handled at the local level. The starting point was three characteristics of trends in national policy and organization of services for people with complex needs: decentralization, user participation and coordination. We argue that these characteristics represent conditions within the services for such disorders and also provide a framework for development within them. The characteristics are understood as entangled processes that constitute elements in the emergence of a “new paradigm” in the services, what is described as a focus on “locally based services”. The processes for change at the local level which we have studied show that institutional characteristics, based on different histories and traditions in the work with addiction and mental health disorders, are important for understanding how these change processes are organized. The three municipalities we studied all recognize that addiction and mental health disorders and illness are important societal problems that must be addressed locally. We can also state, however, that local strategies for achieving the goal of better coordination and integrated services evolve in very different ways.