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Organisational Structure as Barrier or Support in the Personal Social ...

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Different f<strong>or</strong>ms of specialisation and <strong>in</strong>tegration 3In this section we describe different f<strong>or</strong>ms of <strong>in</strong>tegration and specialisation with<strong>in</strong> <strong>the</strong>personal social services <strong>in</strong> Sweden. In <strong>the</strong> research literature <strong>the</strong>re are several examples ofhow to def<strong>in</strong>e specialisation. In this study we have used a def<strong>in</strong>ition by Doel (1997), where <strong>as</strong>ixth categ<strong>or</strong>y h<strong>as</strong> been added by Blom (2004) to better fit <strong>the</strong> Swedish context.The def<strong>in</strong>ition we have used <strong>in</strong>cludes six different types of specialisation of social w<strong>or</strong>k:1 Field: hospital, school, etc.2 Sett<strong>in</strong>g: field social w<strong>or</strong>k, residential w<strong>or</strong>k, etc.3 Age: children, families, <strong>or</strong> adult services, etc.4 Problem: Mental health, alcohol abuse, etc.5 Methods: T<strong>as</strong>k-centred approach, cognitive <strong>the</strong>rapy, etc.6 Function/T<strong>as</strong>k: <strong>as</strong>sessment vs. <strong>in</strong>tervention; service vs. treatmentAll <strong>the</strong>se f<strong>or</strong>ms of specialisation exist <strong>in</strong> Sweden, though types 3, 4 and type 6 are <strong>the</strong> ma<strong>in</strong>focus of this paper. A suitable attendant question is what genericism (<strong>or</strong> generalism) is <strong>in</strong>social w<strong>or</strong>k <strong>the</strong>n? Despite <strong>the</strong> great number of textbooks on generalist practice <strong>in</strong> social w<strong>or</strong>k,<strong>the</strong>re is no agreement on <strong>the</strong> def<strong>in</strong>ition of genericism <strong>or</strong> generalist practice. In <strong>the</strong> literature,generalist practice is said to be almost everyth<strong>in</strong>g from multi-methods and multilevel (macro,mezzo, micro) approaches; w<strong>or</strong>k<strong>in</strong>g with all <strong>or</strong> most client groups; to hav<strong>in</strong>g a number ofroles and an eclectic choice of <strong>the</strong><strong>or</strong>y b<strong>as</strong>e. In this study we regard genericism <strong>as</strong> what iscarried out with<strong>in</strong> <strong>in</strong>tegrated personal social services. That is, an <strong>or</strong>ganisation where socialw<strong>or</strong>kers – often <strong>in</strong> several geographical are<strong>as</strong>/districts – w<strong>or</strong>k with all (<strong>or</strong> almost all) types ofsocial problems, groups of people and <strong>as</strong>pects of <strong>the</strong> w<strong>or</strong>k with clients (cp. figure 1 below).B<strong>as</strong>ed on a preced<strong>in</strong>g empirical study (Lundgren, Blom, M<strong>or</strong>én & Perl<strong>in</strong>ski, 2009) with<strong>in</strong> <strong>the</strong>research project, we present five pure examples of how <strong>the</strong> personal social services can be<strong>or</strong>ganised <strong>in</strong> Sweden. F<strong>or</strong> <strong>the</strong> sake of clarity we want to po<strong>in</strong>t out that each model exists <strong>in</strong> anumber of variants around <strong>the</strong> country.PSSArea E<strong>as</strong>t Area West Area SouthFigure 1. The <strong>in</strong>tegrated personal social services.In this figure <strong>the</strong> PSS-<strong>or</strong>ganisation is divided <strong>in</strong>to geographical are<strong>as</strong>. O<strong>the</strong>r variants are PSS<strong>or</strong>ganisationsdivided acc<strong>or</strong>d<strong>in</strong>g to town <strong>or</strong> municipal districts. In each area all f<strong>or</strong>ms of PSSrelated t<strong>as</strong>ks are conducted. Even so, one of <strong>the</strong> are<strong>as</strong> with<strong>in</strong> an <strong>in</strong>tegrated <strong>or</strong>ganisation cansometimes have a special responsibility f<strong>or</strong> a certa<strong>in</strong> t<strong>as</strong>k. F<strong>or</strong> example questions about familylaw, and such a family law section is <strong>the</strong>n shared by all are<strong>as</strong>.3 Parts of <strong>the</strong> section “Different f<strong>or</strong>ms of specialisation and <strong>in</strong>tegration” is previously published <strong>in</strong> Swedish <strong>in</strong>Lundgren, Blom, M<strong>or</strong>én & Perl<strong>in</strong>ski (2009).2

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