Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services

In Norway, an Individual Plan (IP) is a statutory right and a tool for cooperation between the client in need of long-term, coordinated services and the public services. This study analyses the explicit needs of users, how the various actors in the IP process met these needs, as seen from the users&...

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Main Authors: Birgitta Langhammer, Vigdis Helen Madsen, Elisabet Hellem, Kari Anette Bruusgaard, Grete Alve, Åshild Slettebø
Format: Article
Language:English
Published: Stockholm University Press 2013-05-01
Series:Scandinavian Journal of Disability Research
Subjects:
Online Access:https://www.sjdr.se/articles/392
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author Birgitta Langhammer
Vigdis Helen Madsen
Elisabet Hellem
Kari Anette Bruusgaard
Grete Alve
Åshild Slettebø
author_facet Birgitta Langhammer
Vigdis Helen Madsen
Elisabet Hellem
Kari Anette Bruusgaard
Grete Alve
Åshild Slettebø
author_sort Birgitta Langhammer
collection DOAJ
description In Norway, an Individual Plan (IP) is a statutory right and a tool for cooperation between the client in need of long-term, coordinated services and the public services. This study analyses the explicit needs of users, how the various actors in the IP process met these needs, as seen from the users' perspective, and, finally, how disability influenced the outcomes. Participants expressed physical, psychological and social needs. These needs were similar for persons with physical or psychiatric health conditions, or for persons with an innate or acquired disability. However, time elapsed since a disability had been acquired did make a difference. The municipality or district of residence, the administrative and legislative boundaries, the interpretation of those and the coordinators' position within the hierarchy of the system all affected how well users' needs were met, indicating the existence of tension. This tension between the external conditions or framework of services and user participation may be an explanatory factor for the slow implementation of IPs.
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spelling doaj.art-59c9e5bf058c41908283649932da4f472023-09-02T08:04:37ZengStockholm University PressScandinavian Journal of Disability Research1501-74191745-30112013-05-01171264510.1080/15017419.2013.795912321Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social servicesBirgitta Langhammer0Vigdis Helen Madsen1Elisabet Hellem2Kari Anette Bruusgaard3Grete Alve4Åshild Slettebø5Faculty of Health Sciences, Oslo and Akershus University College, Postbox 4, St. Olavs pl.,N-0130 Oslo, Norway; Sunnaas Rehabilitation Hospital, N-1450 Nesoddtangen, NorwayFaculty of Social Sciences, Oslo and Akershus University College, Postbox 4, St. Olavs pl., N-0130 Oslo, NorwayFaculty of Health Sciences, Oslo and Akershus University College, Postbox 4, St. Olavs pl., N-0130 Oslo, NorwayFaculty of Health Sciences, Oslo and Akershus University College, Postbox 4, St. Olavs pl., N-0130 Oslo, NorwayFaculty of Health Sciences, Oslo and Akershus University College, Postbox 4, St. Olavs pl., N-0130 Oslo, NorwayFaculty of Health Sciences, Oslo and Akershus University College, Postbox 4, St. Olavs pl., N-0130 Oslo, Norway; Faculty of Health and Sport Sciences, University of Agder, Postbox 509, N-4898 Grimstad, NorwayIn Norway, an Individual Plan (IP) is a statutory right and a tool for cooperation between the client in need of long-term, coordinated services and the public services. This study analyses the explicit needs of users, how the various actors in the IP process met these needs, as seen from the users' perspective, and, finally, how disability influenced the outcomes. Participants expressed physical, psychological and social needs. These needs were similar for persons with physical or psychiatric health conditions, or for persons with an innate or acquired disability. However, time elapsed since a disability had been acquired did make a difference. The municipality or district of residence, the administrative and legislative boundaries, the interpretation of those and the coordinators' position within the hierarchy of the system all affected how well users' needs were met, indicating the existence of tension. This tension between the external conditions or framework of services and user participation may be an explanatory factor for the slow implementation of IPs.https://www.sjdr.se/articles/392disability, users' experience, health care, communication
spellingShingle Birgitta Langhammer
Vigdis Helen Madsen
Elisabet Hellem
Kari Anette Bruusgaard
Grete Alve
Åshild Slettebø
Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services
Scandinavian Journal of Disability Research
disability, users' experience, health care, communication
title Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services
title_full Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services
title_fullStr Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services
title_full_unstemmed Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services
title_short Working with Individual Plans: users' perspectives on the challenges and conflicts of users' needs in health and social services
title_sort working with individual plans users perspectives on the challenges and conflicts of users needs in health and social services
topic disability, users' experience, health care, communication
url https://www.sjdr.se/articles/392
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