Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship

Based on a multi-sited qualitative research study, this article applies a service user perspective when exploring how young service users with mental health problems experience the everyday relationship with service providers. Utilizing theoretical aspects from Institutional Ethnography, the article...

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Bibliographic Details
Main Author: Esben Olesen
Format: Article
Language:English
Published: Stockholm University Press 2018-10-01
Series:Scandinavian Journal of Disability Research
Subjects:
Online Access:https://www.sjdr.se/articles/67
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author Esben Olesen
author_facet Esben Olesen
author_sort Esben Olesen
collection DOAJ
description Based on a multi-sited qualitative research study, this article applies a service user perspective when exploring how young service users with mental health problems experience the everyday relationship with service providers. Utilizing theoretical aspects from Institutional Ethnography, the article illustrates how different ruling ‘texts’ coordinate the everyday interactions between service users and professional front-line workers. The article argues that the institutional practice of distinguishing between the formal and informal sphere clashes with the study participants’ individual needs for a symmetrical relationship built on lasting and more personal care relations. The article further discusses the dilemmas of implementing a service relationship that requires the street-level bureaucrat to step outside the bureaucratically and formally defined work assignment to build informal and individual relations to the service users as an official part of their everyday work.
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spelling doaj.art-ea9d1d7a728b49198e3612b5c31864062023-09-02T23:16:28ZengStockholm University PressScandinavian Journal of Disability Research1501-74191745-30112018-10-0120110.16993/sjdr.67504Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service RelationshipEsben Olesen0Nord University, Nordland Research Institute, BodøBased on a multi-sited qualitative research study, this article applies a service user perspective when exploring how young service users with mental health problems experience the everyday relationship with service providers. Utilizing theoretical aspects from Institutional Ethnography, the article illustrates how different ruling ‘texts’ coordinate the everyday interactions between service users and professional front-line workers. The article argues that the institutional practice of distinguishing between the formal and informal sphere clashes with the study participants’ individual needs for a symmetrical relationship built on lasting and more personal care relations. The article further discusses the dilemmas of implementing a service relationship that requires the street-level bureaucrat to step outside the bureaucratically and formally defined work assignment to build informal and individual relations to the service users as an official part of their everyday work.https://www.sjdr.se/articles/67Service relationshipMental healthYoung adultsWelfare servicesInstitutional Ethnography
spellingShingle Esben Olesen
Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship
Scandinavian Journal of Disability Research
Service relationship
Mental health
Young adults
Welfare services
Institutional Ethnography
title Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship
title_full Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship
title_fullStr Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship
title_full_unstemmed Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship
title_short Young Service Users with Mental Health Problems: Barriers to Implementing a Symmetrical Human Service Relationship
title_sort young service users with mental health problems barriers to implementing a symmetrical human service relationship
topic Service relationship
Mental health
Young adults
Welfare services
Institutional Ethnography
url https://www.sjdr.se/articles/67
work_keys_str_mv AT esbenolesen youngserviceuserswithmentalhealthproblemsbarrierstoimplementingasymmetricalhumanservicerelationship