Structural disavowal and personal inundation of responsibility – a local perspective on pressure on mental health front-line professionals Strukturell ansvarsfraskrivelse og individuell ansvarsoversvømmelse – kommunalt perspektiv på dilemmaer i profesjonelt arbeidet med rus og psykisk helse
This article examines how professionals in front-line mental health and addiction services respond to the dilemmas of implementing policies at the local level of the service system. In their daily work, front-line health and social work professionals must find ways to cope with challenges balancing...
| Publicado en: | European Journal of Social Work Vol. 25; no. 3; pp. 406 - 418 |
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| Autores principales: | , |
| Formato: | Artículo |
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Taylor & Francis Ltd
May2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=156766787&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 156766787 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 13691457 BHX jtl: European Journal of Social Work issn: 13691457 maglogo: N pubinfo: dt: May2022 vid: 25 iid: 3 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 156766787 10.1080/13691457.2021.1882399 ppf: 406 ppct: 12 formats: tig: atl: Structural disavowal and personal inundation of responsibility – a local perspective on pressure on mental health front-line professionals Strukturell ansvarsfraskrivelse og individuell ansvarsoversvømmelse – kommunalt perspektiv på dilemmaer i profesjonelt arbeidet med rus og psykisk helse aug: au: Bjørkquist, Catharina Ramsdal, Helge affil: Faculty of Health and Welfare, Østfold University College, Fredrikstad, Norway su: Norway Prevention of drug addiction Health policy Social workers Work Job stress Interviewing Experiential learning Psychological adaptation Content analysis Mental health services Research funding Thematic analysis sug: subj: Prevention of drug addiction Health policy Social workers Work Job stress Interviewing Experiential learning Psychological adaptation Content analysis Mental health services Norway Administration of Public Health Programs Residential Mental Health and Substance Abuse Facilities Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Research funding Thematic analysis keyword: Discretion front-line professionals health and social work mental health organisation of services organisering av tjenester profesjonelle i førstelinje psykisk helse helse skjønn sosialt arbeid organisering av tjenester profesjonelle i førstelinje psykisk helse helse skjønn sosialt arbeid Discretion front-line professionals health and social work mental health organisation of services organisering av tjenester profesjonelle i førstelinje psykisk helse helse skjønn sosialt arbeid organisering av tjenester profesjonelle i førstelinje psykisk helse helse skjønn sosialt arbeid ab: This article examines how professionals in front-line mental health and addiction services respond to the dilemmas of implementing policies at the local level of the service system. In their daily work, front-line health and social work professionals must find ways to cope with challenges balancing limited resources, professional ethical standards and client needs for varied and flexible services. Front-line professionals have significant space for discretion in finding ways to cope with these dilemmas. We discuss these ways as a drift towards moral dispositions. Drawing on qualitative interviews with local managers and professionals, we find that front-line professionals find themselves at the bottom of the service line where one cannot 'decentralise' responsibilities any more. We describe and denote this as 'structural disavowal of responsibility', as patients with severe mental health diagnoses are often discharged from specialist services to primary care that lacks the necessary resources. Furthermore, front-line professionals improvise by including measures found in the local community and even their private lives, making their work exceedingly stressful. This is denoted 'personal inundation of responsibility'. We argue that the moral disposition of front-line professionals hence should be extended to encompass personal inundation as one perversion of their responsibilities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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