Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse最新文献

«Det nye paradigmet» i rus- og psykiske helsetjenester – utfordringer og muligheter

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch14

Catharina Bjørkquist, Helge Ramsdal

{"title":"«Det nye paradigmet» i rus- og psykiske helsetjenester – utfordringer og muligheter","authors":"Catharina Bjørkquist, Helge Ramsdal","doi":"10.23865/noasp.140.ch14","DOIUrl":"https://doi.org/10.23865/noasp.140.ch14","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":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115226697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trenger ROP-brukere en individuell plan?

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch6

G. Hansen

引用次数: 0

Rekruttering og deltakelse i kvalitativ forskning: Tjenestemottakere og pårørende som deltakere

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch3

Therese Dwyer Løken

{"title":"Rekruttering og deltakelse i kvalitativ forskning: Tjenestemottakere og pårørende som deltakere","authors":"Therese Dwyer Løken","doi":"10.23865/noasp.140.ch3","DOIUrl":"https://doi.org/10.23865/noasp.140.ch3","url":null,"abstract":"The theme of this chapter is how to encourage service recipients and family caregivers to participate in research within the substance abuse and mental health field. The aim is to highlight the challenges in recruitment and participation in a qualitative social science study and to reflect on how these challenges can be addressed. This is done through autoethnographic methods. The data consists of own notes after meetings, telephone conversations and focus group interviews, in addition to email correspondence with relevant persons. The empirical material culminates in three main findings: “Traditional recruitment strategy”, “Recruitment via service recipients” and “Performing focus groups: Need for and willingness to adapt”. The challenges within the main themes are discussed using a reflective perspective. The challenges in the recruitment process were in contrast to the interest, motivation and goodwill shown by the participants during the data collection, hence the discussion is also critically oriented towards resource allocation and conditions for maintaining quality in the recruitment process.","PeriodicalId":108343,"journal":{"name":"Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129728772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nasjonale veiledere – «soft governance» og «nudging»?

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch5

Helge Ramsdal, Catharina Bjørkquist

引用次数: 0

Helhetlige tjenestetilbud i en liten kommune

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch8

G. Hansen

引用次数: 0

Samarbeid om rus- og psykiske helsetjenester – erfaringer fra en innovasjonsprosess i en storbykommune

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch10

Rannveig Røste, Catharina Bjørkquist

引用次数: 0

«… det vanskeligste er jo å finne noe fornuftig å gjøre»: Om betydningen av arbeid og aktivitet for mennesker med ROP-utfordringer

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch12

Ragnhild Fugletveit

{"title":"«… det vanskeligste er jo å finne noe fornuftig å gjøre»: Om betydningen av arbeid og aktivitet for mennesker med ROP-utfordringer","authors":"Ragnhild Fugletveit","doi":"10.23865/noasp.140.ch12","DOIUrl":"https://doi.org/10.23865/noasp.140.ch12","url":null,"abstract":"This chapter explores ways in which work and other activities contribute meaning in the everyday lives of people with co-occurring challenges. There is still insufficient knowledge about the importance of work and activity among people with co-occurring challenges. This is evident in the Norwegian context, where people with co-occurring challenges are marginally represented in the workforce and other realms of activity. The conceptual framework in this chapter is based on symbolic interactionism, which implies meaning as a formative process. The methodological design is a bottom-up perspective, and the empirical sample consists of qualitative interviews with 13 women and men with challenges and/or co-occurring challenges. The findings indicate that work and activity have a significant impact, providing structure in their everyday lives and benefiting others. Work and activity contribute to affiliation in society and the local community. The conclusion indicates that emphasis and attention on work and activity as basic needs for people with co-occurring challenges is required: work and activity must become a central part of comprehensive services aimed at people with co-occurring challenges.","PeriodicalId":108343,"journal":{"name":"Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124168637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bolig til brukere med omfattende rus- og psykiske lidelser

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch11

G. Hansen

引用次数: 0

Samordning av lokalbaserte tjenester: Når svake formelle samordningsstrukturer kompenseres av uformelle samordningsgrep 当地服务的协调：当非正式协调方法弥补了正式协调结构的不足时

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch9

Mona Jerndahl Fineide, Therese Dwyer Løken, Erna Haug

{"title":"Samordning av lokalbaserte tjenester: Når svake formelle samordningsstrukturer kompenseres av uformelle samordningsgrep","authors":"Mona Jerndahl Fineide, Therese Dwyer Løken, Erna Haug","doi":"10.23865/noasp.140.ch9","DOIUrl":"https://doi.org/10.23865/noasp.140.ch9","url":null,"abstract":"By studying how primary care providers organize their services for people with concurrent substance abuse and mental health problems (dual diagnosis), this study aims to investigate formal and informal integration mechanisms. The study has an explorative approach based on interviews with people with dual diagnosis, managers, and front-line professionals in a Norwegian municipality of medium size. We found poor formal structures for internal coordination between services for mental health care and services for substance abuse, although they were organised in the same unit. Further, there were challenges in cooperation between this unit and the other healthcare units. Front-line professionals seemed to compensate for poor formal organisational structures with individual, informal coordination arrangements. Drawing on organisational theory, in particular the dilemmas of street-level bureaucrats and the role they play in policy implementation, this chapter discusses the importance and limitations of informal coordination measures for people with dual diagnosis.","PeriodicalId":108343,"journal":{"name":"Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse","volume":"220 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133968739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oppfølging av ROP-brukere før, under og etter at de har sonet en dom i fengsel

Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykiske helse Pub Date : 1900-01-01 DOI: 10.23865/noasp.140.ch13

G. Hansen

引用次数: 0