| 1. |
- Matscheck, David, 1952-, et al.
(författare)
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Exploring the effectiveness of the coordinated individual plan in Sweden: challenges and opportunities for collaborative care
- 2023
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Ingår i: Nordic Social Work Research. - 2156-857X .- 2156-8588.
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Tidskriftsartikel (refereegranskat)abstract
- The increasing specialization and differentiation within welfare organisations in Sweden and internationally have, due to fragmentation and inflexible boundaries, resulted in ineffective care for users. In order to improve care, the Coordinated Individual Plan (CIP) was introduced by the government in Sweden 2009 with the aim of improving collaboration between social service and health care. Persons with concomitant mental health problems and substance abuse were on of the target groups. Earlier studies by the authors indicate that CIP has had limited impact. Use of CIP has been unsystematic and the user/patient's roll less central than expected. This study investigates what can contribute to these findings, based on professionals' experience of their participation in CIP. Interviews were conducted with 20 professionals in the social service and health care sectors and analyzed by qualitative content analysis, using the theoretical perspectives of institutional isomorphism. Findings indicate that, while the professionals were positive to the idea of CIP to improve the situation for the individual user/patient, coercive isomorphism in the form of CIP also led to a more confrontational view of collaboration which doesn't necessarily solve problems for the individual. Organizational and professional perspectives were cited, which can be linked to issues of organizational uncertainty. The study confirms earlier findings indicating that a stronger, team-based model is needed, with development based on professional experience, as the coercive aspect tends to take precedence over professional activities connected to mimetic and normative isomorphism.
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| 2. |
- Matscheck, David, 1952-, et al.
(författare)
-
Integrated care for individuals with mental illness and substance abuse – the example of the coordinated individual plan in Sweden : [Integrerad vård för personer med psykisk ohälsa eller missbruk – exemplet Samordnade Individuella Planer i Sverige]
- 2022
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Ingår i: European Journal of Social Work. - : Informa UK Limited. - 1369-1457 .- 1468-2664. ; 25:2, s. 341-354
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Tidskriftsartikel (refereegranskat)abstract
- Specialisation in care and welfare services often leads to inflexible boundaries between organisations and professions, resulting in fragmented and ineffective care, not least in the areas of severe mental illness and substance abuse. Collaborative models such as case management, multidisciplinary teams and coordinated care plans are used in many countries to address this problem. In a parallel development, demands have been made that individual users/patients should have more influence over their own care. In Sweden, legislation requires the social service and health care to draw up Coordinated Individual Plans (CIP) to clarify responsibility, improve the care process and increase users’ involvement in their own care. This article explores the impact of coordinated care plans, using the Swedish CIP as an example. What can we learn about conditions for integrated care according to the degree of collaboration, involvement for the individual user and supporting structures? The authors have studied 25 case files in a local authority. Findings indicate a low to moderate degree of collaboration and few indications of meaningful user involvement. Further studies are needed concerning factors hindering CIP from achieving a higher degree of collaboration and fully including the intentions and wishes of the individual.
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| 3. |
- Matscheck, David, 1952-, et al.
(författare)
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Jakten på en fungerande modell : Samverkan kring personer med psykisk ohälsa och/eller missbruk
- 2022
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Ingår i: Perspektiv på samverkan. - Lund : Studentlitteratur AB. - 9789144143804 ; , s. 53-76
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Behovet av samverkan kring personer med psykisk ohälsa och/eller missbruk har en förhistoria som handlar om utanförskap i den framväxande välfärden i Sverige. I detta kapitel, som inleds med en tillbakablick, följer vi förändringarna fram till idag, beskriver vad forskning har att säga om möjligheterna och hiner med olika samverkansmodeller och frågar oss hur en fungerande modell för samverkan kan formas utifrån aktuella förutsättningar.
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| 4. |
- Matscheck, David, 1952-, et al.
(författare)
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Samverkan kring missbruk och beroende
- 2013
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Ingår i: Om samverkan. - Lund : Studentlitteratur AB. - 9789144085227 ; , s. 133-149
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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