title: Establishment of community mental health systems in a postdeinstitutional era: a study of organizational structures and service provision in Sweden.
abstract: This article analyzes the state of community mental health services for people with psychiatric disabilities and the interplay between different organizational levels. The study is based on document analysis and interviews with stakeholders in 10 Swedish municipalities. The results show how systems are slow to change and are linked to local traditions. The services are often delivered in closed settings, and the organizations struggle to meet the needs of a new generation of users. There is a gap between local systems and national policies because the latter pays attention to the attributes of a recovery approach.
authors: a Department of Social Work , Umeå University , Umeå , Sweden.
authors: Urban
authors: U
authors: Markström
authors: Rafael
authors: R
authors: Lindqvist
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration; D006291:Health Policy; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008603:Mental Health; D012111:Residence Characteristics; D012112:Residential Facilities / Q000458:organization & administration; D013222:State Medicine / Q000458:organization & administration*; D013548:Sweden
keywords: Community mental health services; evidence-based practice; home- and community-based services; mental health recovery; policy implementation; postdeinstitutionalization era; psychiatric disability; serious mental illness