| 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. |
- Piuva, Katarina, 1954-, et al.
(författare)
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Just Like Any Other Family? Everyday Life Experiences of Mothers of Adults with Severe Mental Illness in Sweden
- 2020
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Ingår i: Community mental health journal. - : Springer Science and Business Media LLC. - 0010-3853 .- 1573-2789. ; 56:6, s. 1023-1032
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Tidskriftsartikel (refereegranskat)abstract
- This study explores experiences of mothers in Sweden who care for their adult children suffering from severe mental illness. Using 15 interviews with mothers from 40 to 80 years old, the article examines how predominant professional knowledge and sanism constructs the mothers and their children as deviant and what counterstrategies the mothers develop as a response to these experiences of discrimination. The findings show that the mothers’ experiences are characterized by endless confrontations with negative attitudes and comments that have forced them to go through painful and prolonged processes of self-accusations for not having given enough love, care, support and help in different stages of their children's life. But the mothers’ experiences also reveal important aspects of changes over the life span. As the mothers are ageing, the relationship between them and their children becomes more reciprocal and the ill child may even take the role as family carer.
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