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Cooperation in the public sector: different specialities and competence
Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Human Work Science.
2008 (English)In: Dilemmas for Human Services 2008: 12th International Research Conference, Changing Contexts and Dilemmas for the Human services, University of East London, UK 11th – 12th September 2008, London: University of East London , 2008Conference paper (Refereed)
Abstract [en]

This paper intends to analyze and explore the cooperation between staff from health county council and local authority, social welfare department. Cooperation between these two organizations has become more and more a problem partly because institution care has disappeared and the patients have to rely on social work, primary care and also psychiatric open care. People with psychiatric diseases and disabilities have been institutionalized but after the psychiatric reform 1995 more clients live in their own homes with care from psychiatric day clinic and social welfare department. This has not been unproblematic changes for either the clients or the staff. And this is not just a local or a regional problem; it is also a national problem which has led to a strong governmental support for different projects for the local authorities and health county councils. Socialstyrelsen (SOU 2006:100) establishes the importance that these organizations guarantee continuity, quality and co-ordination and that a comprehensive view in their care of the patient/client maintains. The work with the clients with psychiatric disabilities has grey areas where there is no clear line who have the responsibility. These grey areas, battles between professions who are in charge and the psychiatric right to diagnose the patients give less space for social workers competence and thereby create obstacles for cooperation. The concept cooperation can be described as two parts that are going to achieve a common goal (Danermark 1999) where the patient/client will benefit and get the best care and service regarding to their needs. The professions who are working together to help and give service are social workers, psychiatric and medical doctors, districts nurses and mental care assistants. Cooperation between the staff has become more and more a problem partly because they have different specialities and competence which has intended to create obstacles instead of helping the clients. The professions experiences working with other professions from other organization intend to reduce their special knowledge in their specific competence area (Dalziel, 2005).  The method has been questionnaire and interviews with staff from both organizations. The result shows a lack of trust between the staff, partly because of earlier experiences. The problems for cooperation have been departmentalization of work and that the managers did not support and encourage cooperation as an important task for the staff, and therefore did not allocate time for cooperation. To create a good cooperation climate over the organization boarders needs both financial and management support and also a positive attitude from staff to work with this issue. (

Place, publisher, year, edition, pages
London: University of East London , 2008.
Research subject
Gender and Technology
URN: urn:nbn:se:ltu:diva-39695Local ID: e8b257b0-c69d-11dd-941d-000ea68e967bOAI: diva2:1013212
Dilemmas for Human Services : 11/09/2008 - 12/09/2008
Godkänd; 2008; 20081210 (beneli)Available from: 2016-10-03 Created: 2016-10-03Bibliographically approved

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