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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Diversity Complexity and Ordinality: Mental Health Services Outside the Institutions—Service Users’ and Professionals’ Experience-Based Practices and Knowledges and New Public Management
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Diversity Complexity and Ordinality: Mental Health Services Outside the Institutions—Service Users’ and Professionals’ Experience-Based Practices and Knowledges and New Public Management

机译：多样性复杂性和季度：机构外部服务用户和专业人士的经验的实践和知识以及新的公共管理

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摘要

In conjunction with the dismantling of psychiatric hospitals, social workers have been commissioned to help service users in their daily living in their homes and in the community. The consequences of these changes for experience-based knowledge and practices in their contexts remain relatively unknown. In this study, eighteen service users and the social workers they described as helpful for them were interviewed. The interviews were recorded, transcribed, and analyzed using Thematic Analysis. The following themes emerged: “Here, there and everywhere”, “Doing, being, becoming”, “Talking” and “Order, planning and improvisation” concerning the contradictions service users and professionals mentioned about their practices and the conditions imposed by managerial methods connected to New Public Management. Finally, “Spontaneous planned complexity” was chosen as our overarching theme to characterize the new knowledge and practices which have been developed. The displacement of the place for the encounter and the introduction of non-medicalized professions have allowed community-based practices and thus the co-creation and emergence of new knowledge about the service users as persons and the professionals as qualified professionals. The challenge remains for managers to have trust in their colleagues and not impose rigid rules, schematized methods, and repeated controls.
机译：与精神病医院的拆除结合，社会工作者已被委托帮助服务用户在日常生活中和社区中的服务。这些经验的知识和实践的变化的后果仍然相对不为人知。在这项研究中，采访了十八份服务用户和他们描述为他们有用的社会工作者。使用主题分析记录，转录和分析面试。出现以下主题：“在这里，在那里，随处讨论，”正在进行“，”谈论“，”谈论“和”订单，计划和即兴“关于其实践的矛盾服务用户和专业人士以及管理方法所施加的条件与新的公共管理有关。最后，选择“自发计划的复杂性”作为我们的总体主题，以表征开发的新知识和做法。遭遇的地方和非医学专业的引入的流离失所使社区的实践允许，因此为服务用户和专业人士作为合格专业人士的服务用户的共同创造和出局。经理人仍然存在信任他们的同事，而不是施加刚性规则，原子化方法和反复控制的挑战。

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