Vem sätter spelreglerna för brukarinflytande? : En kvalitativ diskursanalys om enhetschefers syn på brukarinflytande inom socialpsykiatrin.

Sammanfattning

Mental helathcare in Sweden is organized both by the healthcare sector and the municipal sector. Historically, there has been great ideological adaption which has given the municipalities a greater responsibility in mental healthcare. This change was concieved by political reforms and legislation with the aim of conducting more client-focused interventions to promote the users´ indenpendence and influence in their own life and care. This study focuses on how the unit managers of municipal mental healthcare organizations generate possibilities to involve user influence in their organizations. Through eight semi-structured interviews with unit managers, we find that the individual manager, legislation and the lack of political orientations and policies affect the outcome of user influence in the social work of mental health care. Through the result the authors could identify a few distinct key notions which contributed to the mapping of the discourse. Furthermore, the use of these key notions by the unit managers gives them the power to reproduce and construct the discourse which constitutes the practice of user influence in mental healthcare.