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“It’s about Living Like Everyone Else”: Dichotomies of Housing Support in Swedish Mental Health Care
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Research and Local Development, Region Jönköping County, Sweden; Jönköping Municipality, Sweden.ORCID iD: 0000-0003-4759-4224
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).ORCID iD: 0000-0002-2319-4034
Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Department of Social Work, University of the Free State, South Africa.ORCID iD: 0000-0001-7341-945X
Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Psychiatric Clinic, Ryhov County Hospital in Jönköping, Sweden.
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2021 (English)In: Social Inclusion, ISSN 2183-2803, E-ISSN 2183-2803, Vol. 9, no 3, p. 276-285Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

The deinstitutionalization of psychiatric care has not only altered the living conditions for people with severe mental illness but has also greatly affected social services staff. In the Mental Health Act launched by the Swedish government in 1995, a new kind of service called ‘housing support’ and a new occupational group, ‘housing support workers,’ was introduced. However, housing support does not currently operate under any specific guidelines regarding the content of the service. This study explores housing support at local level in various municipalities of one Swedish county. The data is based on discussion with three focus groups: care managers, managers for home and community‐based support, and housing supporter workers. The perspective of institutional logics as a specific set of frames that creates a standard for what should or could be done, or alternately what cannot be questioned, is applied to analyze the constructed meaning of housing support. The meaning of housing support is constructed through three dichotomies: process and product, independence and dependence, and flexibility and structure. These dichotomies can be understood as dilemmas inherent in the work and organizing of housing support. With no clear guidelines, the levels of organizational and professional discretion create a space for local flexibility but may also contribute to tremendous differences in defining and implementing housing support. We discuss the potential consequences for housing support users implied by the identified discrepancies.

Place, publisher, year, edition, pages
Cogitatio , 2021. Vol. 9, no 3, p. 276-285
Keywords [en]
focus groups; housing support; institutional logics; welfare work
National Category
Social Work
Identifiers
URN: urn:nbn:se:hj:diva-54068DOI: 10.17645/si.v9i3.4314ISI: 000691063200011Scopus ID: 2-s2.0-85113438568Local ID: GOA;;54068OAI: oai:DiVA.org:hj-54068DiVA, id: diva2:1580064
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2019‐01475Available from: 2021-07-13 Created: 2021-07-13 Last updated: 2021-09-09Bibliographically approved

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Börjesson, UlrikaSkillmark, MikaelBülow, Pia H.Wilińska, Monika

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