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Frames for choice and market characteristics - a Swedish case study of community mental health services in change
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0001-9836-6446
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-6330-5640
2015 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 5, no 3, 227-243 p., 1059772Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe and analyse structural frames for choice, as well as characteristics of a free-choice market, implemented in community mental health services in Sweden. Day centres were focused. A case study was conducted. Documents were collected and semi-structured interviews were conducted with twenty-eight agents involved in the implementation process. Content analysis of data showed that users’ freedom of choice was influenced by detailed regulation. Freedom of choice was extended, but it was also substantially reduced. The gain or loss of freedom of choice depended on which aspects of the system were emphasised. Features, which could be interpreted as paternalistic, were once again structurally embedded, despite a system addressing individual freedom of choice. Further, the market did not seem to be adjusted for the average user of community mental health services.

Place, publisher, year, edition, pages
2015. Vol. 5, no 3, 227-243 p., 1059772
Keyword [en]
social policy, mental health, organisation, choice, quasi-market
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-119914DOI: 10.1080/2156857X.2015.1059772OAI: oai:DiVA.org:umu-119914DiVA: diva2:925544
Available from: 2016-05-02 Created: 2016-05-02 Last updated: 2016-05-31Bibliographically approved

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Andersson, MariaSandlund, MikaelMarkström, Urban
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Department of Social WorkPsychiatry
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