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Frames for choice and market characteristics – a Swedish case study of community mental health services in change

Andersson, Maria ; Eklund, Mona LU orcid ; Sandlund, Mikael and Markström, Urban (2015) In Nordic Social Work Research 5(3). p.227-243
Abstract
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... (More)
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 (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nordic Social Work Research
volume
5
issue
3
pages
227 - 243
publisher
Taylor & Francis
external identifiers
  • scopus:84974525004
ISSN
2156-857X
DOI
10.1080/2156857X.2015.1059772
language
English
LU publication?
yes
id
263215a2-8ec5-4377-a9f8-efe9379d1f84
date added to LUP
2019-06-11 22:56:32
date last changed
2022-05-12 04:18:02
@article{263215a2-8ec5-4377-a9f8-efe9379d1f84,
  abstract     = {{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}},
  author       = {{Andersson, Maria and Eklund, Mona and Sandlund, Mikael and Markström, Urban}},
  issn         = {{2156-857X}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{3}},
  pages        = {{227--243}},
  publisher    = {{Taylor & Francis}},
  series       = {{Nordic Social Work Research}},
  title        = {{Frames for choice and market characteristics – a Swedish case study of community mental health services in change}},
  url          = {{http://dx.doi.org/10.1080/2156857X.2015.1059772}},
  doi          = {{10.1080/2156857X.2015.1059772}},
  volume       = {{5}},
  year         = {{2015}},
}