社会工作的麦当劳化:对加拿大使用选择和伙伴关系方法(CAPA)的精神卫生保健服务的批判性分析

IF 2.3 Q1 SOCIAL WORK
Marjorie Johnstone, Catrina Brown, Nancy Ross
{"title":"社会工作的麦当劳化:对加拿大使用选择和伙伴关系方法(CAPA)的精神卫生保健服务的批判性分析","authors":"Marjorie Johnstone, Catrina Brown, Nancy Ross","doi":"10.1080/10428232.2022.2050117","DOIUrl":null,"url":null,"abstract":"ABSTRACT In this paper, we report on a provincial consultation in Canada, of the adoption of the CAPA model, which was designed to improve mental health service delivery to mental health stakeholders. While the delivery of mental health services in Canada is largely the purview of the medical profession, the implementation of an interdisciplinary team approach has included the social work profession as a significant part of that team, but the direction and mode of service continue to be largely determined by the assumptions embedded in the medical model. We interviewed 50 participants, conducted three focus groups, and circulated an online survey with 115 responses. We explored how the CAPA model commodifies mental health care and the impact this has on social workers employed in that system through exploring the McDonaldization categories of efficiency, calculability predictability and control. The participants were critical of the commodification of mental health service delivery and expressed how the expectations for practice were a lack-of-fit for the practice of social work. We explored the perceived strengths and barriers and our findings suggested that the rise of neoliberalism and managerialism has superimposed a business model approach to mental health services so that fiscal efficiency, parsimonious use of professional time and a focus on individual responsibility are now driving principles.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":"33 1","pages":"223 - 243"},"PeriodicalIF":2.3000,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"The McDonaldization of Social Work: a critical analysis of Mental health Care Services using the Choice and Partnership Approach (CAPA) in Canada\",\"authors\":\"Marjorie Johnstone, Catrina Brown, Nancy Ross\",\"doi\":\"10.1080/10428232.2022.2050117\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT In this paper, we report on a provincial consultation in Canada, of the adoption of the CAPA model, which was designed to improve mental health service delivery to mental health stakeholders. While the delivery of mental health services in Canada is largely the purview of the medical profession, the implementation of an interdisciplinary team approach has included the social work profession as a significant part of that team, but the direction and mode of service continue to be largely determined by the assumptions embedded in the medical model. We interviewed 50 participants, conducted three focus groups, and circulated an online survey with 115 responses. We explored how the CAPA model commodifies mental health care and the impact this has on social workers employed in that system through exploring the McDonaldization categories of efficiency, calculability predictability and control. The participants were critical of the commodification of mental health service delivery and expressed how the expectations for practice were a lack-of-fit for the practice of social work. We explored the perceived strengths and barriers and our findings suggested that the rise of neoliberalism and managerialism has superimposed a business model approach to mental health services so that fiscal efficiency, parsimonious use of professional time and a focus on individual responsibility are now driving principles.\",\"PeriodicalId\":44255,\"journal\":{\"name\":\"Journal of Progressive Human Services\",\"volume\":\"33 1\",\"pages\":\"223 - 243\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2022-03-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Progressive Human Services\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/10428232.2022.2050117\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SOCIAL WORK\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Progressive Human Services","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/10428232.2022.2050117","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SOCIAL WORK","Score":null,"Total":0}
引用次数: 2

摘要

在本文中,我们报告了加拿大的省级咨询,采用CAPA模式,旨在改善心理健康利益相关者的心理健康服务提供。虽然在加拿大提供心理健康服务主要是医疗专业人员的职责范围,但跨学科团队方法的实施已将社会工作专业作为该团队的重要组成部分,但服务的方向和模式仍然在很大程度上取决于医学模式中所包含的假设。我们采访了50名参与者,进行了三个焦点小组,并分发了一份有115份回复的在线调查。我们通过探索效率、可计算性、可预测性和控制的麦当劳化分类,探讨了CAPA模式如何将精神卫生保健商品化,以及这对该系统中雇用的社会工作者的影响。与会者对提供心理健康服务的商品化持批评态度,并表示对实践的期望与社会工作的实践不相适应。我们探索了人们所感知到的优势和障碍,我们的发现表明,新自由主义和管理主义的兴起已经将一种商业模式方法叠加到心理健康服务中,因此财政效率、节省专业时间和关注个人责任现在成为驱动原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The McDonaldization of Social Work: a critical analysis of Mental health Care Services using the Choice and Partnership Approach (CAPA) in Canada
ABSTRACT In this paper, we report on a provincial consultation in Canada, of the adoption of the CAPA model, which was designed to improve mental health service delivery to mental health stakeholders. While the delivery of mental health services in Canada is largely the purview of the medical profession, the implementation of an interdisciplinary team approach has included the social work profession as a significant part of that team, but the direction and mode of service continue to be largely determined by the assumptions embedded in the medical model. We interviewed 50 participants, conducted three focus groups, and circulated an online survey with 115 responses. We explored how the CAPA model commodifies mental health care and the impact this has on social workers employed in that system through exploring the McDonaldization categories of efficiency, calculability predictability and control. The participants were critical of the commodification of mental health service delivery and expressed how the expectations for practice were a lack-of-fit for the practice of social work. We explored the perceived strengths and barriers and our findings suggested that the rise of neoliberalism and managerialism has superimposed a business model approach to mental health services so that fiscal efficiency, parsimonious use of professional time and a focus on individual responsibility are now driving principles.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.20
自引率
8.30%
发文量
14
期刊介绍: The only journal of its kind in the United States, the Journal of Progressive Human Services covers political, social, personal, and professional problems in human services from a progressive perspective. The journal stimulates debate about major social issues and contributes to the development of the analytical tools needed for building a caring society based on equality and justice. The journal"s contributors examine oppressed and vulnerable groups, struggles by workers and clients on the job and in the community, dilemmas of practice in conservative contexts, and strategies for ending racism, sexism, ageism, heterosexism, and discrimination of persons who are disabled and psychologically distressed.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信