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No longer a one-man job? On day activities in mental health care in Sweden
- Authors:
- HANSSON J-H., TENGVALD K.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 2(4), October 1993, pp.186-196.
- Publisher:
- Munksgaard/ Blackwell
Swedish psychiatry is organisationally in line with the international development of closing down the old large mental hospitals. As in other countries, problems of provision of care for severely mentally ill people can be observed. An organisationally new field focusing on the activities of daily living is developing, however. This was surveyed nationally in Spring 1991 and parts of these results are presented and discussed. The field is characterized by profound uncertainty manifested in the fact that psychiatry is no longer doing the work alone. Local social services take on a growing responsibility trying to make claims on how to define the work even if psychiatry is dominant, both in organisational and discursive power. Promising characteristics in joint venture units set up between psychiatry and local social services opens up for discussions on who, in what ways and with what means these new forms of care are going to be pursued.
To be or to be trained to be - on emerging and diverging ideological traditions in organising day care activities for people with severe mental disorders in Sweden
- Author:
- HANSSON J-H.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 2(2), April 1993, pp.80-87.
- Publisher:
- Munksgaard/ Blackwell
Organised activities for people with severe mental disorders have until recently been the societal task of one human service organisation, the medical speciality of psychiatry. With former psychiatric inpatients moving out into the local community and with heavier dependence on outpatient poly-clinic care, the situation is slowly changing. Day care activities for people with severe mental disorder are organised with an increasing involvement of the social services. The aim of this article is, using data from a national survey carried out in 1991 in Sweden, to describe and categorize how day care units interpret their task. Results show that claims-making activities still adhere largely to a therapeutic paradigm in spite of the outspoken social character of the work of organising everyday life activities.