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

More documents

Recommendations

Info

than the actual treatment. Consequently, there seems to be reason to reflect upon the idea thatthe work climate is more important for the results, than the organisational model.Let us make a thought experiment and imagine a really negative work climate for the socialworkers in the integrated organisation. 18 Should the clients then be that content with theinterventions and the results? We consider that highly unlikely. Logically regarded, the workclimate hence is an important aspect of a successful PSS. If we instead imagine an excellentwork climate in the specialised organisation, would that have resulted in clients being assatisfied as the clients in the integrated organisation? That is hardly plausible, because toomuch of the clients’ expressed dissatisfaction relates to such organisational characteristics thata positive work climate per se hardly can remedy. By way of example, organisationalspecialisation leads to contacts with more units and persons, which is something most clientsdisapprove of. Consequently, there are organisational characteristics – analytically separablefrom the work climate – that influence the clients’ experiences of the interventions and theresults.However, almost irrespective of which kind of organisation that is being studied, it isreasonable to believe that the variables work climate and organisational model eachinfluences the result, in different ways. It can also be assumed that the organisational modelexerts an influence on the work climate. But it can also be the other way around; sometimeswork climate influences the concrete tailoring of a certain model, i.e. the organising processin practice. Such dialectical processes probably influence the results further. Consequently weagree with the standpoint that the work climate has significant bearing on the results.Nevertheless, that does not contradict the fact that the organisational model in itself is veryimportant. This intricate connection between work climate, organisational model and results,is thus something that deserves to be studied more in detail later on.18 For pedagogical reasons only the extremes are discussed here, i.e. the specialised and the integratedorganisation.38
ReferencesArmelius, B-Å. (2002). Effekten av vård på psykiatriska behandlingshem. Slutrapport nr 25från behandlingshemsprojektet. Umeå: Umeå universitet, Institutionen för psykologi.Astvik, W., & Aronsson, G. (1999). Home Care Workers as Specialists or Generalists -Quality in Work and Care. In Proceedings / Work, Stress and Health ´99, Organisation ofWork in a Global Economy, 11-13 March 1999, Baltimore, Maryland, USA.Bergmark, Å., & Lundström, T. (1998). Metoder i socialt arbete [Methods in social work],Socialvetenskaplig Tidskrift, 5, pp. 291-314.Bergmark, Å. & Lundström, T. (2005). En sak i taget? Om specialisering inom socialtjänstensindivid- och familjeomsorg. [One Thing at the Time. On Specialisation Within the PersonalSocial Services]. Socialvetenskaplig tidskrift, 2-3, 125-148.Bergmark, Å. & Lundström, T. (2007). Unitarian ideals and professional diversity in socialwork practice the case of Sweden. European Journal of Social Work, Vol. 10, No. 1, pp. 55-72.Bernler, G., Johnsson, L., Skårner, A. (1993). Behandlingens villkor [Conditions forTreatment], Stockholm, Natur och Kultur.Billquist, L. (1999). Rummet, mötet och ritualerna. [The Room, the Meeting and the Rituals],Doctoral thesis, Department of Social Welfare, Göteborg University, Sweden.Blom, B. (1998). Marknadsorientering av socialtjänstens individ- och familjeomsorg [MarketOrientation of the Personal Social Services]. Doctoral thesis, Department of Social Welfare,Umeå University, Sweden.Blom, B. (2002). The social worker-client relationship – a Sartrean approach. EuropeanJournal of Social Work, vol 5, no 3: 23-31Blom, B. (2004). Specialisation in social work practice – effects on interventions in thepersonal social services. Journal of Social Work (vol 4:1), 25-46.Blom, B. & Morén, S. (2007). Insatser och resultat i socialt arbete [Interventions and Resultsin Social Work Practice]. Lund, Studentlitteratur.Blom, B. & Morén, S. (2009/fortcoming) Explaining social work practice – the CAIMeRtheory.Journal of Social work (accepted September, 2008).Boklund, A. (1995). Olikheter som berikar? [Enriching Dissimilarities?], Doctoral thesis,Department of Social Welfare, Stockholm University, Sweden.Boström, G. (2008). Hälsa på lika villkor? [Health on equal terms? Health and livingconditions among disabled people]. Östersund, Statens folkhälsoinstitut (Swedish NationalInstitute of Public Health) 2008:17.Bowes, A. M., & Dar, N. S. (2000). Researching social care for minority ethnic older people:implications of some Scottish research, British Journal of Social Work, 3, pp. 305-321.39
Page 1 and 2: O rganisational Structure as Barrie
Page 4 and 5: Different forms of specialisation a
Page 6 and 7: In this type of organisation a dist
Page 8 and 9: fact that almost every PSS-organisa
Page 10 and 11: clients want a key-person that main
Page 12 and 13: The second step was to ask social w
Page 14 and 15: Not like an average Swede - weak so
Page 16 and 17: Trust in social and political insti
Page 18 and 19: Table: 9. Has the number of social
Page 20 and 21: Clients who were satisfied with the
Page 22 and 23: The tables 13-15 show that clients
Page 24 and 25: Table: 19. Treatment-indexes. Actua
Page 26 and 27: Table: 24. Have the contact with th
Page 28 and 29: Table: 28. As a result of the conta
Page 30 and 31: In a previous interview study (Perl
Page 32 and 33: clients. This statement is supporte
Page 34 and 35: AppendixHow much does the PSS cost?
Page 36 and 37: Table A.Key figures for the PSS 200
Page 38 and 39: Table B. The studied PSS-organisati
Page 42 and 43: Börjeson, B., & Håkansson, H. (19
Page 44 and 45: Perlinski, M., Blom, B., Morén, S.

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?